Modified technique for reconstructing reverse Hill–Sachs lesion in locked chronic posterior shoulder dislocation

Shams, Ahmed; El-Sayed, Mohamed; Gamal, Osama; Elsawy, Mohamed; Azzam, Wael

doi:10.1007/s00590-016-1825-4

Cited by 29 publications

(36 citation statements)

References 23 publications

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“…Closed reduction (with or without pin fixation), open reduction, open reduction and internal fixation (ORIF), ORIF + bone grafting and hemiarthroplasty are the preferred methods in the treatment of acute PFDS. 5 , 11 , 40 , 41 , 54 Total shoulder prosthesis, McLaughlin procedure, spherical-shaped allograft fixation, glenoid augmentation and ORIF are certainly the preferred treatment methods in chronic PFDS; 7 , 10 , 14 - 16 however, objective data for each method are not yet ensured since there are no large case series for each treatment method.…”

Section: Discussionmentioning

confidence: 99%

“…The modified McLaughlin technique is a frequently used technique for cases with an HSL in the range of 25% to 50%. 7 , 9 , 13 , 34 The defect is filled by the osteotomized lesser tubercle with this technique. A graft can be added to the modified McLaughlin procedure according to the size of the defect.…”

Section: Discussionmentioning

confidence: 99%

“…4 , 5 Impression fracture of the anteromedial humeral head (also called ‘reverse Hill-Sachs lesion’ [RHL]) is reported to occur in 40% to 90% of patients with an initial dislocation. 6 , 7 In addition to their rarity, what makes LPDS cases important is that they are easily missed. These cases are frequently missed in the initial examination as the occurrence of the dislocation is overlooked because urgent treatment of the seizure is the priority.…”

Section: Introductionmentioning

confidence: 99%

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Locked posterior dislocation of the shoulder

2018

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Locked posterior dislocation of the shoulder is very rare. Seizures and trauma are the most common causes of this injury.There is no current benchmark treatment strategy for these rare cases.This study has shown that reconstruction of the shoulder joint in an anatomical way in acute and chronic cases up to 16 weeks provides good results.The purpose of this study is to evaluate the results of different treatment procedures with outcomes and to compare the results of the same procedures in acute and chronic cases.Cite this article: EFORT Open Rev 2017;3:15–23. DOI: 10.1302/2058-5241.3.160089.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Locked posterior dislocation of the shoulder

2018

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“…21 Shams et al operated 11 patients with defects of 25% to 50% with a modified McLaughlin technique by fixing the tuberosity with non-absorbable sutures instead of screws and obtained good to excellent results in most of the patients who were followed up for 29 months. 22 Banerjee et al used the modified McLaughlin procedure in seven male patients with acute trauma (within three weeks of injury), who were followed up for 41 months and obtained excellent results. 23 Kokkalis et al used morselized bone allograft (fresh-frozen femoral head bone allograft) in the defective area and then transferred the lesser tuberosity with the attached subscapularis tendon and secured it with absorbable suture anchors.…”

Section: Mclaughlin Proceduresmentioning

confidence: 99%

Treatment options for locked posterior shoulder dislocations and clinical outcomes

Aydın

Kayaalp

Aşansu³

et al. 2019

EFORT Open Reviews

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Posterior dislocations are rare and diagnostically difficult injuries. Diagnosis is often delayed and this leads to a locked posteriorly dislocated humeral head. Treatment options include conservative methods and surgical anatomic reconstruction options as well as non-anatomic surgical procedures such as subscapularis tendon transfer, hemiarthroplasty and total shoulder arthroplasty. Decision-making for treatment as well as prognosis depend on the extent of the articular defect size of the humeral head, duration of the dislocation and patient-specific conditions such as age and activity levels. Cite this article: EFORT Open Rev 2019;4:194-200. DOI: 10.1302/2058-5241.4.180043

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“…Issues surrounding the most recent dislocation event including duration of dislocation, mechanism of injury, and previous episodes of instability are documented. Pain to the posterior aspect of the shoulder rather than instability is the most common complaint of patients with recurrent instability 3 , 11 , 12 . Patients with a chronically dislocated shoulder complain of persistent pain and commonly present with a posterior deformity of the humeral head with a flattening at the anterior aspect of the shoulder and oftentimes a fixed internal rotation deformity with limited abduction 13 .…”

Section: Surgical Techniquementioning

confidence: 99%

Posterior Glenohumeral Capsular Reconstruction With Modified McLaughlin for Chronic Locked Posterior Dislocation

Matthewson

Wong

2019

Arthroscopy Techniques

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Posterior instability is relatively rare when compared with anterior instability but can comprise up to 40% of operatively treated instability cases. Posterior dislocations are much rarer and are classically due to trauma, seizure, or electric shock. Due to a lack of an obvious deformity and an internally rotated and adducted arm position, posterior shoulder dislocations often are missed on initial presentation. In the management of posterior dislocations, considerations need to be made in regard to bony and soft-tissue pathology. In the setting of soft-tissue deficiency, previous options included nonoperative management primarily consisting of bracing and activity modification as well as arthroplasty options that do not rely on the capsulolabral complex for stability. In this paper, we present a technique for treating a chronic posterior shoulder dislocation with an associated large reverse Hill–Sachs deformity. In this setting, a revision labral repair and capsulodesis is generally not possible due to insufficient capsulolabral tissues. Here, we present the technique for an arthroscopic posterior capsule reconstruction using an acellular dermal allograft as well as a McLaughlin procedure for the treatment of a reverse Hill–Sachs lesion.

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Modified technique for reconstructing reverse Hill–Sachs lesion in locked chronic posterior shoulder dislocation

Abstract: II.

Cited by 29 publications

References 23 publications

Locked posterior dislocation of the shoulder

Locked posterior dislocation of the shoulder

Treatment options for locked posterior shoulder dislocations and clinical outcomes

Posterior Glenohumeral Capsular Reconstruction With Modified McLaughlin for Chronic Locked Posterior Dislocation

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