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Posterior bone block of chronic locked posterior shoulder dislocations with glenoid augmentation: a retrospective evaluation of ten shoulders

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Abstract

Purpose

The aim of this study, which is the most extensive series to date on this subject, was to present the results of ten shoulders of seven patients treated with the posterior bone block augmentation method with autograft taken from the iliac wing for a chronic locked posterior shoulder dislocation and to evaluate the results in the light of the relevant literature.

Methods

A retrospective examination was made of patients who underwent iliac autograft with glenoid augmentation for chronic posterior shoulder dislocation in our clinic between 2004 and 2011. All of the patients had been initially treated at another centre and referred to our hospital because of continuing or relapsing posterior shoulder dislocation. Assessment was made by physical examination X-ray, computed tomography (CT), and the Constant-Murley score.

Results

All the patients were male with a mean age at the time of surgery of 42.4 years (range, 23–53 years), with a mean follow-up period of 40.6 months (range, 24–55 months). On presentation, all the patients had locked posterior shoulder dislocation. Radiological union was evaluated from the CT images taken 24 months postoperatively. The graft was observed to have been incorporated in all cases. The mean postoperative Constant-Murley score was 81.25/100 ± 17.8. In seven of the shoulders, arthropathy findings increased by varying degrees.

Conclusions

A functional and stable shoulder can be obtained with glenoid augmentation in patients with chronic locked posterior shoulder dislocation. When other treatment alternatives are considered for a young patient group, this is a safe and applicable treatment method.

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References

  1. Detenbeck LC (1972) Posterior dislocations of the shoulder. J Trauma 12(3):183–192

    Article  CAS  PubMed  Google Scholar 

  2. MatsenFAIII TRM, Lippitt SB et al (2004) Glenohumeral instability. In: Rockwood CA Jr, Matsen FA III, Wirth MA et al (eds) The shoulder, vol 2, 3rd edn. Saunders, Philadelphia, pp 655–794

    Google Scholar 

  3. McLaughlin H (1952) Posterior dislocation of the shoulder. J Bone Joint Surg Am 24(3):584–590

    PubMed  Google Scholar 

  4. Karachalios T, Bargiotas K, Papachristos A, Malizos KN (2005) Reconstruction of a neglected posterior dislocation of the shoulder through a limited posterior deltoid-splitting approach. A case report. J Bone Joint Surg Am 87(3):630–634. doi:10.2106/JBJS.D.01942

    Article  CAS  PubMed  Google Scholar 

  5. Servien E, Walch G, Cortes ZE, Edwards TB, O’Connor DP (2007) Posterior bone block procedure for posterior shoulder instability. Knee Surg Sports Traumatol Arthrosc 15(9):1130–1136

    Article  PubMed  Google Scholar 

  6. Kouvalchouk JF, Coudert X, Watin Augouard L, Da Silva RR, Paszkowski A (1993) Treatment of posterior instability of the shoulder joint using an acromial stop with a pediculated deltoid flap. Rev Chir Orthop Reparatrice Appar Mot 79(8):661–665

    CAS  PubMed  Google Scholar 

  7. Hawkins RH (1996) Glenoid osteotomy for recurrent posterior subluxation of the shoulder: assessment by computed axial tomography. J Shoulder Elb Surg 5(5):393–400

    Article  CAS  Google Scholar 

  8. Keppler P, Holz U, Thielemann FW, Meinig R (1994) Locked posterior dislocation of the shoulder: treatment using rotational osteotomy of the humerus. J Orthop Trauma 8(4):286–292

    Article  CAS  PubMed  Google Scholar 

  9. Gavriilidis I, Magosch P, Lichtenberg S, Habermeyer P, Kircher J (2010) Chronic locked posterior shoulder dislocation with severe head involvement. Int Orthop 34(1):79–84. doi:10.1007/s00264-009-0762-9

    Article  PubMed  PubMed Central  Google Scholar 

  10. Wooten C, Klika B, Schleck CD, Harmsen WS, Sperling JW, Cofield RH (2014) Anatomic shoulder arthroplasty as treatment for locked posterior dislocation of the shoulder. J Bone Joint Surg Am 96(3):e19. doi:10.2106/JBJS.L.01588

    Article  PubMed  Google Scholar 

  11. Schwartz DG, Goebel S, Piper K, Kordasiewicz B, Boyle S, Lafosse L (2012) Arthroscopic posterior bone block augmentation in posterior shoulder instability. J Shoulder Elb Surg 22(8):1092–1101. doi:10.1016/j.jse.2012.09.011

    Article  Google Scholar 

  12. Lafosse L, Franceschi G, Kordasiewicz B, Andrews WJ, Schwartz D (2012) Arthroscopic posterior bone block: surgical technique. Musculoskelet Surg 96(3):205–212. doi:10.1007/s12306-012-0220-5

    Article  PubMed  Google Scholar 

  13. Jones TP, Beckenbaugh JP, Sperling JW, Amrami KK, Sundaram M (2003) Your diagnosis? Posterior shoulder dislocation. Orthopedics. 26(7):682, 745–746

  14. Jacquot F, Costil V, Werther JR, Atchabahian A, Sautet A, Feron JM, Doursounian L (2013) Balloon treatment of posterior shoulder dislocation with reverse Hill-Sachs injury: description of a new technique. Int Orthop 37(7):1291–5. doi:10.1007/s00264-013-1877-6

    Article  PubMed  PubMed Central  Google Scholar 

  15. Griggs SM, Holloway B, Williams GR, Iannotti JP (1999) Treatment of locked anterior and posterior dislocations of the shoulder. In: Iannotti JP, Williams GR (eds) Disorders of the shoulder: diagnosis and management. Lippincott Williams and Wilkins, Philadelphia, pp 335–359

    Google Scholar 

  16. Samilson RL, Prieto V (1983) Dislocation arthropathy of the shoulder. J Bone Joint Surg Am 65(4):456–460

    CAS  PubMed  Google Scholar 

  17. Brox JI, Lereim P, Merckoll E, Finnanger AM (2003) Radiographic classification of glenohumeral arthrosis. Acta Orthop Scand 74(2):186–189

    Article  PubMed  Google Scholar 

  18. Yakut E, Düger T, Oksüz C, Yörükan S, Ureten K, Turan D, Frat T, Kiraz S, Krd N, Kayhan H, Yakut Y, Güler C (2004) Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine (Phila Pa 1976) 29(5):581–585

    Article  Google Scholar 

  19. Bozkurt M, Can F, Dogan M, Solak S, Basbozkurt M (2004) Treatment of missed posterior dislocation of the shoulder by delayed open reduction and glenoid reconstruction with corticocancellous iliac bone autograft. Arch Orthop Trauma Surg 124(6):425–428

    Article  PubMed  Google Scholar 

  20. Johnson MH, Paxton ES, Green A (2015) Shoulder arthroplasty options in young (<50 years old) patients: review of current concepts. J Shoulder Elb Surg 24(2):317–325. doi:10.1016/j.jse.2014.09.029

    Article  Google Scholar 

  21. Meuffels DE, Schuit H, van Biezen FC, Reijman M, Verhaar JA (2010) The posterior bone block procedure in posterior shoulder instability: a long-term follow-up study. J Bone Joint Surg (Br) 92(5):651–655. doi:10.1302/0301-620X.92B5.23529

    Article  CAS  Google Scholar 

  22. Singer GC, Kirkland PM, Emery RJ (1995) Coracoid transposition for recurrent anterior instability of the shoulder. A 20-year follow-up study. J Bone Joint Surg (Br) 77(1):73–76

    CAS  Google Scholar 

  23. Hovelius LK, Sandström BC, Rösmark DL, Saebö M, Sundgren KH, Malmqvist BG (2001) Long-term results with the Bankart and Bristow-Latarjet procedures: recurrent shoulder instability and arthropathy. J Shoulder Elb Surg 10(5):445–452

    Article  CAS  Google Scholar 

  24. Longo UG, Loppini M, Rizzello G, Ciuffreda M, Maffulli N, Denaro V (2014) Latarjet, Bristow, and Eden-Hybinette procedures for anterior shoulder dislocation: systematic review and quantitative synthesis of the literature. Arthroscopy 30(9):1184–1211. doi:10.1016/j.arthro.2014.04.005

    Article  PubMed  Google Scholar 

  25. Struck M, Wellmann M, Becher C, Pastor MF, Smith T (2015) Results of an open posterior bone block procedure for recurrent posterior shoulder instability after a short- and long-time follow-up. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-014-3495-2

  26. Surin V, Blåder Walch S, Markhede G, Sundholm K (1990) Rotational osteotomy of the humerus for posterior instability of the shoulder. J Bone Joint Surg Am 72(2):181–186

    CAS  PubMed  Google Scholar 

  27. Walch G, Ascani C, Boulahia A, Nové-Josserand L, Edwards TB (2002) Static posterior subluxation of the humeral head: an unrecognized entity responsible for glenohumeral osteoarthritis in the young adult. J Shoulder Elb Surg 11(4):309–314

    Article  Google Scholar 

  28. Barbier O, Ollat D, Marchaland JP, Versier G (2009) Iliac bone-block autograft for posterior shoulder instability. Orthop Traumatol Surg Res 95:100–107. doi:10.1016/j.otsr.2008.09.008

    Article  CAS  PubMed  Google Scholar 

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Conflict of interest

The authors declare that they have no conflicts of interest.

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Authors and Affiliations

  1. Department of Orthopeadics, Yıldırım Beyazıt University School of Medicine, Eskişehir Yolu, 06800, Ankara, Turkey

    Mehmet Atıf Erol Aksekili, Mahmut Uğurlu, Çetin Işık & Murat Bozkurt

  2. Department of Orthopeadics, Atatürk Training and Research Hospital, Ankara, Turkey

    Kağan Yüksel & Vedat Biçici

Authors
  1. Mehmet Atıf Erol Aksekili
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  2. Mahmut Uğurlu
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  3. Çetin Işık
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  4. Kağan Yüksel
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  5. Vedat Biçici
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  6. Murat Bozkurt
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Correspondence to Mehmet Atıf Erol Aksekili.

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Aksekili, M.A.E., Uğurlu, M., Işık, Ç. et al. Posterior bone block of chronic locked posterior shoulder dislocations with glenoid augmentation: a retrospective evaluation of ten shoulders. International Orthopaedics (SICOT) 40, 813–820 (2016). https://doi.org/10.1007/s00264-015-2907-3

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  • DOI: https://doi.org/10.1007/s00264-015-2907-3

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