Acute massive rotator cuff rupture with posterior shoulder dislocation: arthroscopic novel repair of a rare injury. A case report.
| Autor: | Jaramillo Quiceno GA; Orthopaedic Surgery, Fundación Clínica del Norte, Medellín, Colombia., Arroyave Rivera SA; Orthopedic Surgery, University of Antioquia Faculty of Medicine, Medellín, Colombia chechoarroyave@gmail.com., Ortiz MM; Radiology, Universidad de Antioquia, Medellin, Colombia. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of ISAKOS : joint disorders & orthopaedic sports medicine [J ISAKOS] 2021 Nov; Vol. 6 (6), pp. 375-379. Date of Electronic Publication: 2021 Jun 16. |
| DOI: | 10.1136/jisakos-2020-000553 |
| Abstrakt: | Acute massive rotator cuff tears and posterior shoulder dislocations are an extremely rare association, and a vast majority are treated by open surgery. We present a case of a man in his 20s who suffered closed left shoulder trauma after a road traffic accident. He was initially diagnosed with posterior shoulder dislocation and a reduction was successfully performed. However, the patient still complained of persistent weakness during active movements. We found a massive rotator cuff tear involving all the rotator cuff tendons, with significant supraspinatus retraction and persistent posterior shoulder subluxation. He underwent an all-arthroscopic repair of the rotator cuff with a double-row technique in the subscapularis, supraspinatus and infraspinatus muscles. Capsular repair and tenodesis of the biceps tendon were also performed. The patient had good recovery, reaching full preinjury function 3 months after surgery with a successful return to his regular activities. Competing Interests: Competing interests: None declared. (© International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine 2021. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Databáze: | MEDLINE |
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