Locked Posterior Fracture-dislocation of the Shoulder

Overview

Journal Acta Biomed

Specialty General Medicine

Date 2019 Dec 11

PMID 31821298

Citations 5

Authors

Luigi Branca Vergano

Stefano Landi

Mauro Monesi

Affiliations

Soon will be listed here.

Abstract

Background And Aim Of The Work: To describe a valid option for the treatment of locked posterior fracture-dislocation of the shoulder (LPFDS) and to compare it to the literature about this topic.

Methods: We present a small case series (3 patients), with a medium follow up at 4 years and 5 months. We accurately describe our surgical strategies, underlining the choice of approach, reduction and fixation.

Results: The three patients showed excellent functional and radiological results at the follow up examinations, with a full range of shoulder movements and complete regain of pre-trauma activities. A lateral approach (standard or minimally invasive), a reduction technique with a Shantz pin in the head and in the humeral shaft, and fixation with a locking plate were used in the three patients.

Conclusion: LPFDS is a challenging lesion, hard to recognize and to treat. Our suggested method of treatment is highly reproducible and has revealed itself to be very effective in achieving good results.

Citing Articles

Systematic Review and Meta-Analysis of Locked Posterior Dislocation of the Shoulder Treated with Shoulder Arthroplasty: Improved Outcomes for Total Shoulder Arthroplasty are Associated with Increased Age.

Crowley M, Ghattas Y, Collins A, Levin S, Service B Orthop Surg. 2023; 15(7):1730-1741.

PMID: 37259941 PMC: 10350379. DOI: 10.1111/os.13758.

A Case of Modified McLaughlin Procedure in Neglected Posterior Shoulder Fracture Dislocation.

Shevate I, Salunkhe R, Kulkarni K, Janapamala K, Deshmukh A Cureus. 2023; 15(1):e34356.

PMID: 36874667 PMC: 9974937. DOI: 10.7759/cureus.34356.

Promising Mid-Term Outcomes after Humeral Head Preserving Surgery of Posterior Fracture Dislocations of the Proximal Humerus.

Heilmann L, Katthagen J, Raschke M, Schliemann B, Lill H, El Bajjati H J Clin Med. 2021; 10(17).

PMID: 34501288 PMC: 8432246. DOI: 10.3390/jcm10173841.

Treatment of unusual locked posterior fracture-dislocation of the shoulder: a case series.

Park H, Kim S, Sur Y, Jung J, Kong C Clin Shoulder Elb. 2020; 23(4):190-196.

PMID: 33330257 PMC: 7726361. DOI: 10.5397/cise.2020.00255.

Bilateral posterior fracture-dislocation of the shoulders: Two rare case reports and literature review.

Wu J, Li L, Wang F, Lu S, Liu F, Jia H Medicine (Baltimore). 2020; 99(36):e22088.

PMID: 32899086 PMC: 7478794. DOI: 10.1097/MD.0000000000022088.

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