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Subtraction osteotomy of the humeral head in posterior shoulder dislocation: a case report

  • Up-to date Review and Case Report • SHOULDER - TRAUMA
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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Locked posterior dislocations of the shoulder with an impacted fracture of the humeral head and an articular surface defect greater than 35–40% are generally treated with a femoral head bone graft or prosthesis. We present a case in which a subtraction osteotomy with osteoclasia on the impacted zone was performed to try to make the articular surface of the humeral head congruent and continuous. With a 42-month follow-up, the clinical outcome, in terms of mobility and pain, was very good; X-rays show there was no avascular necrosis of the humeral head nor signs of articular arthrosis. The aim of this work is to present a detailed description of our procedure, which can be a therapeutic option for this type of pathology.

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Authors and Affiliations

  1. Instituto de Traumatología Cordobés, Avenida de la Arruzafilla S/N, 14011, Córdoba, Spain

    Manuel Zafra

  2. Reina Sofía University Hospital, Avda. Menéndez Pidal, 14004, Córdoba, Spain

    Pilar Uceda

  3. High Resolution Hospital Ecija, Seville, Spain

    Carmen Ruiz-Bonilla

  4. Isla Hierro St Number 14, 14011, Córdoba, Spain

    Pilar Uceda

Authors
  1. Manuel Zafra
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  2. Pilar Uceda
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  3. Carmen Ruiz-Bonilla
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Correspondence to Pilar Uceda.

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Zafra, M., Uceda, P. & Ruiz-Bonilla, C. Subtraction osteotomy of the humeral head in posterior shoulder dislocation: a case report. Eur J Orthop Surg Traumatol 29, 933–936 (2019). https://doi.org/10.1007/s00590-019-02388-5

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  • DOI: https://doi.org/10.1007/s00590-019-02388-5

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