Abstract
We describe a case of a missed posterior dislocation of the right shoulder with a large reverse Hillsach’s lesion wherein we had to modify the commonly used Neer’s modification of McLaughlin’s procedure as there was severe communition of the lesser tuberosity. This case also illustrates the pitfalls associated with identification and management of these relatively rare injuries.
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References
Garth WP Jr, Slappey CE, Ochs CW (1984) Roentgenographic demonstration of instability of the shoulder: the apical oblique projection. A technical note. J Bone Joint Surg Am 66(9):1450–1453
Hawkins RJ, Neer CS 2nd, Pianta RM, Mendoza FX (1987) Locked posterior dislocation of the shoulder. J Bone Joint Surg Am 69(1):9–18
Krackhardt T, Schewe B, Albrecht D, Weise K (2006) Arthroscopic fixation of the subscapularis tendon in the reverse Hill-Sachs lesion for traumatic unidirectional posterior dislocation of the shoulder. Arthroscopy 22(2):227.e1–227.e6
McLaughlin HL Locked posterior subluxation of the shoulder (1963) diagnosis and treatment. Surg Clin North Am 43:1621–1622
Robinson CM, Aderinto J (2005) Posterior shoulder dislocations and fracture-dislocations. J Bone Joint Surg Am 87(3):639–650
Rowe CR, Zarins B (1982) Chronic unreduced dislocations of the shoulder. J Bone Joint Surg Am 64(4):494–505
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Jariwala, A., Haines, S. & McLeod, G. “Locked” posterior dislocation of the shoulder with communition of the lesser tuberosity: a stabilisation technique. Eur J Orthop Surg Traumatol 18, 377–379 (2008). https://doi.org/10.1007/s00590-008-0318-5
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DOI: https://doi.org/10.1007/s00590-008-0318-5