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Sports Injuries pp 151–157Cite as

Acute Posterior Dislocations

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Abstract

Acute posterior shoulder dislocations are severe and possibly easily missed injuries. High clinical suspicion, a properly performed physical evaluation, and the appropriate shoulder imaging are necessary in order to diagnose and manage these injuries timely and efficiently. Treatment may be closed reduction and immobilization with the arm slightly abducted and externally rotated for 4–6 weeks. The size of the humeral head defect (reverse Hill–Sachs lesion) should determine if some kind of tendon transfer or humeral head reconstruction by the use of an articular allograft is indicated. When the humeral head defect exceeds 45% of the articular surface, prosthetic replacement is considered.

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Authors and Affiliations

  1. Department of Orthopaedics and Traumatology, University of Crete, 711 10, Heraklion, Crete, Greece

    George M. Kontakis

  2. Department of Trauma and Orthopaedics, Leeds General Infirmary, LS1 3DL, Leeds, UK

    Neil Pennington & Roger G. Hackney

Authors
  1. George M. Kontakis
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  2. Neil Pennington
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  3. Roger G. Hackney
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Corresponding author

Correspondence to George M. Kontakis .

Editor information

Editors and Affiliations

  1. Fac. Medicine, Dept. Orthopedics & Traumatology, Hacettepe University, Hasyrcylar Caddesi, Ankara, 94110, Turkey

    Mahmut Nedim Doral

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© 2012 Springer-Verlag Berlin Heidelberg

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Kontakis, G.M., Pennington, N., Hackney, R.G. (2012). Acute Posterior Dislocations. In: Doral, M. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-15630-4_20

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  • DOI: https://doi.org/10.1007/978-3-642-15630-4_20

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-15629-8

  • Online ISBN: 978-3-642-15630-4

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