scholarly journals Management of Locked Posterior Shoulder Dislocation with Reverse Hill–Sachs Lesions via Anatomical Reconstructions

2021 ◽  
Author(s):  
Meng Mi ◽  
Jin‐ming Zhang ◽  
Xie‐yuan Jiang ◽  
Qiang Huang
Keyword(s):  
Shoulder Dislocation ◽  
Posterior Shoulder Dislocation ◽  
Locked Posterior Shoulder Dislocation ◽  
Posterior Shoulder

scholarly journals Erratum to: Locked posterior shoulder dislocation: treatment options and clinical outcomes

2011 ◽  
Vol 131 (12) ◽  
pp. 1745-1745
Author(s):  
Benedikt Schliemann ◽  
Daniel Muder ◽  
Jan Geßmann ◽  
Thomas A. Schildhauer ◽  
Dominik Seybold
Keyword(s):  
Clinical Outcomes ◽  
Shoulder Dislocation ◽  
Treatment Options ◽  
Posterior Shoulder Dislocation ◽  
Locked Posterior Shoulder Dislocation ◽  
Posterior Shoulder

scholarly journals Chronic locked posterior shoulder dislocation with severe head involvement

2009 ◽  
Vol 34 (1) ◽  
pp. 79-84 ◽  
Author(s):  
Iosif Gavriilidis ◽  
Petra Magosch ◽  
Sven Lichtenberg ◽  
Peter Habermeyer ◽  
Jörn Kircher
Keyword(s):  
Shoulder Dislocation ◽  
Posterior Shoulder Dislocation ◽  
Locked Posterior Shoulder Dislocation ◽  
Posterior Shoulder

scholarly journals Mid-Term outcomes following fresh-frozen humeral head osteochondral allograft reconstruction for reverse Hill Sachs lesion: a case series

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Giulio Maria Marcheggiani Muccioli ◽  
Vito Gaetano Rinaldi ◽  
Giada Lullini ◽  
Alice Ritali ◽  
Massimiliano Mosca ◽  
...  
Keyword(s):  
Humeral Head ◽  
Shoulder Dislocation ◽  
Case Series ◽  
Posterior Shoulder Dislocation ◽  
Link Type ◽  
Locked Posterior Shoulder Dislocation ◽  
Posterior Shoulder ◽  
Fresh Frozen ◽  
The Mean ◽  
Osteochondral Allografts

Abstract Background Locked posterior glenohumeral dislocations with a reverse Hill-Sachs impaction fracture involving less than 30% of the humeral head are most frequently treated with lesser tuberosity transfer into the defect, whereas those involving more than 50% undergo humeral head arthroplasty. Reconstruction of the defect with segmental femoral osteochondral allografts has been proposed to treat patients between these two ranges, but the medium−/long-term outcomes of this joint-preserving procedure are controversial. Methods Between 2001 and 2018, 12 consecutive patients with a unilateral locked posterior shoulder dislocation and an impaction fracture from 30 to 50% (mean 31% ± 1.32) of the humeral head were treated with segmental reconstruction of the defect with fresh-frozen humeral head osteochondral allografts. Patients were assessed clinically, radiographically and with computed tomography (CT) at a medium follow-up of 66 ± 50.25 months (range, 24–225). Results All twelve shoulders presented a slight limitation in anterior elevation (average, 166.6° ± 22.76). The mean active external rotation with the shoulder at 90° of abduction was 82.5° ± 6.61, and that with the arm held in stable adduction was 79.16 ± 18.80. The mean abduction was 156.25° ± 25.09. The mean Constant-Murley score (CS) was 82 ± 15.09 points (range, 40–97 points), and the mean ASES was 94 ± 8.49 points. The mean pre- and postoperatively Western Ontario Shoulder Instability index (WOSI) was 236.5 ± 227.9 and 11.20 ± 10.85, respectively. Development of osteoarthrosis (OA) was minimal. The average allograft resorption rate was 4% ± 2.4. There were no cases of failure (reoperation for any reason) in this series. Conclusion Segmental humeral head reconstruction with humeral head fresh-frozen osteochondral allografts provides good to excellent clinical results with low-grade OA and low allograft resorption in patients with locked posterior shoulder dislocation. Trial registration ClinicalTrials.gov PRS, ClinicalTrials.gov ID: NCT04823455. Registered 29 March 2021 - Retrospectively registered, https://register.clinicaltrials.gov/prs/app/action/SelectProtocol?sid=S000AU8P&selectaction=Edit&uid=U0004J36&ts=12&cx=6cykp8 Level of evidence Level IV, Case Series, Treatment Study.

scholarly journals All-Arthroscopic McLaughlin's Procedure in Patients with Reverse Hill–Sachs Lesion Caused by Locked Posterior Shoulder Dislocation

Joints ◽  
2019 ◽  
Author(s):  
Emmanouil Brilakis ◽  
Michael-Alexander Malahias ◽  
Maria Patramani ◽  
Grigoris Avramidis ◽  
Dimitrios Gerogiannis ◽  
...  
Keyword(s):  
Shoulder Dislocation ◽  
External Rotation ◽  
The Body ◽  
Posterior Shoulder Dislocation ◽  
Locked Posterior Shoulder Dislocation ◽  
Posterior Shoulder ◽  
Retrospective Clinical Study ◽  
Clinical Series ◽  
Mclaughlin Procedure

Abstract Purpose This study aims to investigate the clinical and functional outcomes of the all-arthroscopic McLaughlin procedure in a clinical series of patients suffering by neglected locked posterior shoulder dislocation. Methods A retrospective clinical study based on prospectively collected data was conducted in a single center regarding 10 patients with neglected locked posterior shoulder dislocation and concomitant reverse Hill–Sachs lesion, who were treated with the all-arthroscopic Mclaughlin procedure. The average humeral bone defect was 39 ± 7% according to the preoperative computed tomography evaluation. The mean time of follow-up was 77 ± 16 months (range, 63–104 months). Results No patient had suffered a new dislocation, whereas all of them were satisfied with the surgical outcome and returned to their previous activities of daily living. External rotation was restored to every patient studied from 0 degrees at the baseline. At the last follow-up, the median external rotation beside the body was 90 degrees (range, 50–90 degrees; p < 0.01) and the respective measurement at 90 degrees of abduction was 90 degrees (range, 80–90 degrees; p < 0.01). The active forward flexion was increased (p < 0.01), from 60 degrees (range, 30–180 degrees) at the baseline to 180 degrees (range, 160–180 degrees) at the last follow-up and the internal rotation was gained (p < 0.01) from the level of buttock (range, lateral thigh–T12) at the baseline to the T11 level (range, T7–L3) at the last follow-up. The median UCLA score was increased from 8 (range, 4–22) to 35 (range, 33–35; p < 0.01) and the Oxford instability score from 5 (range, 3–16) to 46 (range, 43–48; p < 0.01), respectively. Conclusion The arthroscopic McLaughlin procedure in substantial reverse Hills–Sachs lesion caused by locked posterior dislocation leads to excellent clinical and functional results in the long-term follow-up. Level of Evidence This is a therapeutic study, case series with no comparison group, Level IV.

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