Abstract
Posterior shoulder dislocations and fracture–dislocations are very uncommon injuries, predominantly affecting middle-aged men, with the latter injury being presented more rarely. It should be considered that the majority of cases are difficult to diagnose on initial examination. Clinical presentation and radiographic imaging are important and helpful tools to identify the lesion. Another helpful tool is the computed tomography (CT) scan, not only to support and confirm the diagnosis, but also to assist the choice of the most appropriate treatment (Hawkins et al. 1987).
The type of injury, any recurrence, the patient’s medical condition and age, and the functional demands will dictate the appropriate treatment. It is well-known that this lesion is very rare and thus large, multicenter, prospective, randomized controlled trials are required in order to define the best therapeutic approaches for this type of injury.
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References
Altay T, Ozturk H, Us RM, Gunal I (1999) Four-part posterior fracture–dislocations of the shoulder. Treatment by limited open reduction and percutaneous stabilization. Arch Orthop Trauma Surg 119:35–38
Bloom MH, Obata WG (1967) Diagnosis of posterior dislocation of the shoulder with use of Velpeau axillary and angle-up roentgenographic views. J Bone Joint Surg Am 49:943–949
Cader ER, Ahmad CS (2012) Hemiarthroplasty for three-and four-part proximal humerus fractures. J Am Acad Orthop Surg 20:17–27
Cautilli RA, Joyce MF, Mackell JV Jr (1978) Posterior dislocations of the shoulder: a method of postreduction management. Am J Sports Med 6:397–399
Checchia SL, Santos PD, Miyazaki AN (1998) Surgical treatment of acute and chronic posterior fracture-dislocation of the shoulder. J Shoulder Elbow Surg 7:53–64
Cicak N (2004) Posterior dislocation of the shoulder. J Bone Joint Surg Br 86:324–332
Connor PM, Boatright JR, D’Alessandro DF (1997) Posterior fracture-dislocation of the shoulder: treatment with acute osteochondral grafting. J Shoulder Elbow Surg 6:480–485
Detenbeck LC (1972) Posterior dislocations of the shoulder. J Trauma 12:183–192
Dorgan JA (1955) Posterior dislocation of the shoulder. Am J Surg 89:890–900
Hawkins RJ, Switlyk P (1993) Acute prosthetic replacement for severe fractures of the proximal humerus. Clin Orthop Relat Res 289:156–160
Hawkins RJ, Neer CS 2nd, Pianta RM, Mendoza FX (1987) Locked posterior dislocation of the shoulder. J Bone Joint Surg Am 69:9–18
Hayes PRL, Klepps S, Bishop J, Cleeman E, Flatow EL (2003) Posterior shoulder dislocation with lesser tuberosity and scapular spine fractures. J Shoulder Elbow Surg 12:524–527
Ito H, Takayama A, Shirai Y (2000) Posterior dislocation of the shoulder with a large fracture segment: a case report. J Shoulder Elbow Surg 9:238–241
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 87:630–634
Kowalsky MS, Levine WN (2008) Traumatic posterior glenohumeral dislocation: classification, pathoanatomy, diagnosis, and treatment. Orthop Clin North Am 39:519–533. Viii
McLaughlin LH (1952) Posterior dislocations of the shoulder. J Bone Joint Surg Am 24-A-3:584–590
McLaughlin HI (1972) Follow-up notes on articles previously published in the journal: posterior dislocation of the shoulder. J Bone Joint Surg Am 14:1477
Mimura T, Mori K, Matsusue Y, Tanaka N, Nishi Y, Kobayashi M (2006) Closed reduction for traumatic posterior dislocation of the shoulder using the “lever principle”: two case reports and a review of the literature. J Orthop Surg (Hong Kong) 14:336–339
Neer CS II (1970) Displaced proximal humeral fractures. I. Classification and evaluation. J Bone Joint Surg Am 52:1077–1089
Patrizio L, Sabetta E (2011) Acute posterior shoulder dislocation with reverse Hill-Sachs lesion of the epiphyseal Humeral Head. ISRN Surg 2011:851051
Roberts A, Wickstrom J (1971) Prognosis of posterior dislocation of the shoulder. Acta Orthop Scand 42:328–337
Robinson CM, Aderinto J (2005) Posterior shoulder dislocations and fracture-dislocations. J Bone Joint Surg Am 87:639–650
Robinson M, Akhtar A, Mitchell M, Beavis C (2007) Complex posterior fracture-dislocation of the shoulder. J Bone Joint Surg Am 89:1454–1466
Rouleau DM, Hebert-Davies J (2012) Incidence of associated injury in posterior shoulder dislocation: systematic review of the literature. J Orthop Trauma 26:246–251
Saupe N, White LM, Bleakney R, Schweitzer ME, Recht MP, Jost B, Zanetti M (2008) Acute traumatic posterior shoulder dislocation: MR findings. Radiology 248:185–193
Sergio LC, Pedro DS, Alberto NM (1998) Surgical treatment of acute and chronic posterior fracture-dislocation of the shoulder. J Shoulder Elbow Surg 7:53–64
Xavier AD, Evander FF (2006) The success of closed reduction in acute locked posterior fracture-dislocations of the shoulder. J Shoulder Elbow Surg 15:701–706
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Kontakis, G.M., Stavrakakis, I.M., Sperelakis, I.V. (2014). Acute Posterior Dislocations and Posterior Fracture–Dislocations of the Shoulder. In: Doral, M., Karlsson, J. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36801-1_24-1
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DOI: https://doi.org/10.1007/978-3-642-36801-1_24-1
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