Posterior bone block of chronic locked posterior shoulder dislocations with glenoid augmentation: a retrospective evaluation of ten shoulders

Aksekili, Mehmet Atıf Erol; Uğurlu, Mahmut; Işık, Çetin; Yüksel, Kağan; Biçici, Vedat; Bozkurt, Murat

doi:10.1007/s00264-015-2907-3

Cited by 17 publications

(13 citation statements)

References 26 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%

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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%

“… 9 When the literature is reviewed, almost all chronic PFDS cases were reported to be LPDSs. 10 However, the group of LPDS may include the cases of PFDS as well because it can only occur with a RHL. Thus, it is necessary to evaluate the surgical and conservative treatment results of two different patient groups separately.…”

Section: Introductionmentioning

confidence: 99%

Locked posterior dislocation of the shoulder

2018

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“…Posterior capsule repair, glenoid bone grafting, 7 posterior glenohumeral ligament reconstruction, and humeral head bone grafting are conducted when indicated (Figs 13 and 14). The shoulder is immobilized in a brace in the neutral rotation position for 6 weeks, after which range-of-motion exercises are allowed.…”

Section: Subsequent Repairmentioning

confidence: 99%

Arthroscopic Reduction of a Chronic Locked Posterior Shoulder Dislocation

Zhao

2020

Arthroscopy Techniques

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Posterior shoulder dislocation is a rare condition. It is easily overlooked and often appears in a chronic locked status, which makes the reduction difficult, even through open procedures. Few reports in the literature have described an isolated arthroscopic reduction because it is difficult to elevate the humeral head to the level of the glenoid surface and obtain anterior-posterior soft-tissue balance. On the basis of an analysis of the mechanisms of the locking of the humeral head and the soft-tissue imbalance, we describe a set of arthroscopic shoulder release and reduction techniques, which include mainly the removal of rotator interval tissue; a thorough subscapularis release from the coracoid, the conjoined tendon, and the glenoid; and a 360° capsule-muscle release from the glenoid and the scapula. The described technique is an effective method to obtain a medial-to-lateral humeral head reduction and anterior-to-posterior soft-tissue balance. The introduction of this technique will provide a practical tool for surgeons to realize an arthroscopic shoulder reduction in the case of a chronic locked posterior shoulder dislocation.

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“…The mean duration of epilepsy in the cohort was 12 years (range, [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] and all patients suffered from grand mal seizures. Primary dislocation occurred a mean of 13 years (range, 4-22) before surgery.…”

Section: Methodsmentioning

confidence: 99%

“…4 Locked posterior dislocation has additionally been described in patients with epilepsy with treatments including soft tissue reconstruction, glenoid/humeral osteotomy, posterior bone block augmentation, segmental humeral reconstruction and arthroplasty. [5][6][7] Significant bone loss is responsible for high recurrence rate of shoulder instability in epileptics and so the majority of surgical strategies focus on bony augmentation of the glenoid, humeral head or both: This is not always successful, and may lead to persistent instability-related symptoms and arthritis. 1,[8][9][10] Conservative non-arthroplasty reconstruction is challenging due to the poor residual bone stock, large joint surface defects, and rotator cuff musculotendinous and capsular insufficiency.…”

Section: Introductionmentioning

confidence: 99%

Anatomical shoulder arthroplasty in epileptic patients with instability arthropathy and persistent seizures

Thangarajah

Falworth

Lambert

2017

Journal of Orthopaedic Surgery

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Purpose: Epileptic seizures can cause shoulder dislocation, recurrent instability and eventually arthritis. The purpose of this study was to report the results, complications and rate of revision surgery following anatomical shoulder arthroplasty in epileptic patients with instability arthropathy. Methods: A consecutive series of eight patients with epilepsy underwent anatomical shoulder arthroplasty for recurrent shoulder instability and were retrospectively reviewed after a mean of 4.7 years (range, 2-7.5 years). These included three total shoulder replacements and five humeral resurfacing hemiarthroplasty procedures. Results: Mean age of the cohort was 33 years (range, 17-44). All patients experienced postoperative grand mal seizures. Two patients with hemiarthroplasty required further surgery due to painful glenoid erosion. No residual cases of instability were noted. Mean active forward elevation and external rotation improved following surgery. The Oxford Shoulder Score improved from 15 pre-operatively (range, 7-22) to 26 post-operatively (range, 12-45) (p ¼ 0.031). This was accompanied by an increase in the mean Subjective Shoulder Value, which improved from 29 (range, 10-80) pre-operatively to 53 (range, 15-90) post-operatively (p¼0.042). Conclusions: Anatomical shoulder arthroplasty may offer a solution for the treatment of instability arthropathy in patients with epilepsy and persistent seizures.

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Posterior bone block of chronic locked posterior shoulder dislocations with glenoid augmentation: a retrospective evaluation of ten shoulders

Abstract: A functional and stable shoulder can be obtained with glenoid augmentation in patients with chronic locked posterior shoulder dislocation. When other treatment alternatives are considered for a young patient group, this is a safe and applicable treatment method.

Cited by 17 publications

References 26 publications

Locked posterior dislocation of the shoulder

Locked posterior dislocation of the shoulder

Arthroscopic Reduction of a Chronic Locked Posterior Shoulder Dislocation

Anatomical shoulder arthroplasty in epileptic patients with instability arthropathy and persistent seizures

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