Locked posterior shoulder dislocation: treatment options and clinical outcomes

Schliemann, Benedikt; Muder, Daniel; Geßmann, Jan; Schildhauer, Thomas A.; Seybold, D.

doi:10.1007/s00402-011-1310-9

Cited by 52 publications

(76 citation statements)

References 27 publications

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“…Some authors [14] believe that closed reductions provide better functional results than bloody reductions. The diagnostic delay and surgical management time are also major prognostic factors.…”

Section: Discussionmentioning

confidence: 99%

Inveterate Posterior Shoulder Dislocation Treated by Sub-Scapular Transfer, about One Case

Samba¹,

Eric²,

Adélaide³

et al. 2017

OJO

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Glena-humeral dislocation is rare. More than the half of those dislocations is unremarked because the diagnostic is not an emergency. A delayed diagnostic alters the functional prognostic and sometimes forces to do a complex surgery with complications whose success rate remains uncertain. We report a case of inveterate posterior shoulder dislocation on a 42-year-old adult occurred during a sport accident and treated by sub-scapulars transfer (modified Mac Laughlin's technical). The aim of this article is to highlight this pathology to ameliorate its diagnostic rate indeed prognostic. Our diagnostic approach and injury, noticed during surgery and therapeutic propositions, are described at the light of literature data on this subject.

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Section: Discussionmentioning

confidence: 99%

Inveterate Posterior Shoulder Dislocation Treated by Sub-Scapular Transfer, about One Case

Samba¹,

Eric²,

Adélaide³

et al. 2017

OJO

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“…If the joint is stable, especially in adduction and internal rotation the arm is immobilized in internal rotation. If the joint remains unstable an anatomic reconstruction is necessary [24]. Medium size defects of 25% to 40% usually need reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Traumatic bilateral posterior dislocation of the shoulder: a case report

et al. 2013

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AbstractIntroduction. Bilateral posterior dislocation of the shoulder is a rare injury, accounted for about 2–5% of all shoulder dislocations. Main courses are electrical shock, epilepsy or extreme trauma with uncontrolled muscle forces. We report about a case of bilateral posterior shoulder dislocation without additional fractures but with a concomitant acromioclavicular joint dislocation. Case presentation. A 46-year-old Caucasian motorcyclist presented to our facility after a fall on slippery ground. He claimed pain in both shoulders with limited range of motion. The initial X-rays were inconclusive, clinical examination showed typical findings of a Rockwood injury with an additional limited external rotation so that a posterior shoulder dislocation was suspected. The CT scan confirmed the clinical suspicion. A closed reduction was performed followed by immobilization in a shoulder abduction pillow for 4 weeks and continuous physiotherapy. Upon follow up normal function with full range of motion was observed. Conclusion. A bilateral posterior shoulder dislocation can be caused by trauma and results in a limited range of motion with often additional injuries. Due to the unusually presentation the risk of missing the injury is increased. Therefore it is most important to consider this rare diagnosis and in case of clinical suspicion perform a careful algorithm of diagnostic.

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“…Debido a su gran movilidad, articulación más frecuentemente dislocada 14,30,31]. Las dislocaciones del hombro pueden darse en tres direcciones: anterior, inferior y posterior.…”

Section: A Luxación Del Hombrounclassified

“…Las dislocaciones del hombro pueden darse en tres direcciones: anterior, inferior y posterior. De estas, las dislocaciones anteriores son las más frecuentes, abarcando hasta 95 casos, seguidas por las posteriores y en una mucho menor proporción las dislocaciones inferiores 11,12,14,30,31]. positiva si se reproduce dolor a nivel del surco bicipital u hombro anterior,y traduce la cabeza larga del bíceps [2, 3, Maniobra de Yergason: con el brazo al lado del cuerpo, el codo en flexión a 90° y la mano en pronación, el paciente debe supinar la mano contra resistencia [8,18,27].…”

Section: A Luxación Del Hombrounclassified

“…Las dislocaciones del hombro pueden darse en tres direcciones: anterior, inferior y posterior. De estas, las dislocaciones anteriores son las más frecuentes, abarcando hasta 95-97% de los or las posteriores y en una mucho menor proporción las dislocaciones inferiores [6, La mayoría de dislocaciones anteriores son reducibles fácilmente, mientras que las inferiores y posteriores tienden a ser más inestables, por lo que ameritan valoración por un ortopedista posterior a la reducción para definir el manejo subsecuente [30].…”

Section: Luxación Del Hombrounclassified

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Articulación del hombro: generalidades y valoración clínica

Calderón

2015

Rev.Med.UCR

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<span>La articulación del hombro es una unidad anatómica compleja enla que interactúan diferentes estructuras para conferirle una gran movilidad, al mismo tiempo que se mantiene su integridad y estabilidad. La patología de la articulación del hombro representa una causa frecuente de consulta a los servicios de emergencias y atención primaria. Ello supone un reto al que debe enfrentarse el personal médico, debido a su complejidad y las importantes relaciones anatómicas que presenta esta articulación. El objetivo de este trabajo es presentar una revisión de las principales consideraciones anatómicas de la articulación del hombro, así como algunas bases para su valoración clínica y finalmente un breve repaso de las patologías más frecuentes de dicha articulación, de manera que sirva de guía para el abordaje en la práctica clínica</span>

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Locked posterior shoulder dislocation: treatment options and clinical outcomes

Cited by 52 publications

References 27 publications

Inveterate Posterior Shoulder Dislocation Treated by Sub-Scapular Transfer, about One Case

Inveterate Posterior Shoulder Dislocation Treated by Sub-Scapular Transfer, about One Case

Traumatic bilateral posterior dislocation of the shoulder: a case report

Articulación del hombro: generalidades y valoración clínica

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