A Modified Reverse Remplissage Procedure for Management of a Locked Posterior Shoulder Dislocation

Autor: Xavier Zwiebel, Stéphane Pelet, Alexandre Leclerc
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Case Reports in Orthopedics, Vol 2020 (2020)
Druh dokumentu: article
ISSN: 2090-6749
2090-6757
DOI: 10.1155/2020/8625368
Popis: Posterior shoulder dislocation is rare and often represents a diagnostic and therapeutic challenge. An impaction fracture of the anteroinferior aspect of the humeral head (called a reverse Hill-Sachs (RHS) fracture) is always present in case of chronic locked posterior dislocation. Surgical management is required and decided on the delay between the trauma and the diagnosis and the importance of the RHS (in percentage). The authors present a chronic locked posterior shoulder dislocation in a 32-year-old active male with a reverse Hill-Sachs lesion of more than 40%. An open reduction was required, and stabilization was achieved with a modified remplissage technique with detachment of the upper quarter of the subscapularis tendon. Three years after the surgery, the patient recovered an excellent functional level with a stable shoulder.
Databáze: Directory of Open Access Journals
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