The dual subscapularis procedure: a modified Hawkins’ technique for neglected posterior fracture/dislocation of the shoulder

Arafa, Mohamed S.; Abdelbadie, Ahmed

doi:10.1007/s00590-019-02417-3

Cited by 5 publications

(9 citation statements)

References 35 publications

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“…In a recent study by Park et al [ 1 ], four of six patients with locked PSFD underwent ORIF, obtaining average Constant, ASES, and VAS scores of 67, 67.5, and 2 points, respectively, after a mean follow-up period of 26.2 months. In another study [ 3 ], 13 patients with locked PSFD who underwent a modified McLaughlin procedure had a mean UCLA score of 25.5 points at the end of a mean follow-up period of 12.5 months. Excellent/good results have been reported in surgical treatment of simple locked PSFD in 62%–82% of patients at mid-term follow-up [ 5 , 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…The complication rate has varied considerably in previously published studies. AVN has been reported in 0%–50% of cases after surgical treatment at mid-term follow-up [ 1 , 3 , 18 , 19 , 21 ]. Basal et al [ 7 ] published a systematic review on complication rates in 228 patients.…”

Section: Discussionmentioning

confidence: 99%

“…Locked posterior shoulder dislocation (LPSD) is a rare injury [1] associated with electric shocks, seizures, or high-impact injuries [2][3][4]. LPSD can be underdiagnosed because the clinical and imaging patterns may not be as clear as those of anterior shoulder dislocation [5], which unfortunately has a negative effect on prognosis.…”

Section: Introductionmentioning

confidence: 99%

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Good functional results with open reduction and internal fixation for locked posterior shoulder fracture–dislocation: a case series

Moran

Marsalli

Vargas

et al. 2022

Clin Shoulder Elbow

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Background: There is no standardized therapeutic strategy for locked posterior shoulder fracture–dislocation (PSFD), and no consensus exists on the analysis of preoperative factors. This retrospective study aimed to evaluate functional results and complications in a series of PSFD cases managed with open surgical treatment. Methods: Patients diagnosed with locked PSFD who underwent open surgical treatment with reduction and osteosynthesis between April 2016 and March 2020 were included. All participants were treated with open reduction and internal fixation. Functional assessment used the modified University of California, Los Angeles (UCLA mod) scale, American Shoulder and Elbow Surgeons (ASES) questionnaire, subjective shoulder value (SSV), and visual analog scale (VAS). Complications were evaluated clinically and radiologically by X-ray and computed tomography.Results: Twelve shoulders were included (11 patients; mean age, 40.6 years; range, 19–62 years). The mean follow-up duration was 23.3 months (range, 12–63 months). The UCLA mod, ASES, SSV, and VAS scores were 29.1±3.7, 81.6±13.5, 78±14.8, and 1.2±1.4 points, respectively. The overall complication rate was 16.6%, with one case of post-traumatic stiffness, 1 case of chronic pain, and no cases of avascular necrosis.Conclusions: Open surgical treatment of locked PSFD can achieve good functional results. A correct understanding of these injuries and good preoperative planning helped us to achieve a low rate of complications.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Good functional results with open reduction and internal fixation for locked posterior shoulder fracture–dislocation: a case series

Moran

Marsalli

Vargas

et al. 2022

Clin Shoulder Elbow

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“…Furthermore, the current technique does not limit range of external rotation of the reconstructed GH joint as it per se does not necessitate lesser tuberosity transposition/SSC tenodesis into reverse Hill-Sachs defect, and when the latter are concurrently needed, transposition/tenodesis are performed into a less medialized position. dual SSC procedure of concurrent lesser tuberosity transfer and residual defect filling with a part of SSC tendon in 12 patients) [10,23].…”

Section: Pitfallsmentioning

confidence: 99%

“…According to Black et al, reverse Hill-Sachs defect can be partially reconstructed using osteo-chondral allograft as long as any residual defect is not large enough to engage the posterior glenoid rim. An option to overcome the previous limitation is to couple the current technique with osteotomy and transposition of the lesser tuberosity (± SSC tenodesis) into the anteriorly located residual defect in order to fill the latter or convert the latter into an extra-articular one [9,12,23].…”

Section: Pitfallsmentioning

confidence: 99%

Chronic locked posterior gleno-humeral dislocation: technical note on fibular grafting for restoration of humeral head sphericity

Kandeel

2021

J Orthop Surg Res

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Background Reconstruction of reverse Hill-Sachs defect using osteo-chondral allograft has the advantages of spherical re-contouring and provision of smooth biological articular surface of the reconstructed humeral head. However, worldwide availability and risk of disease transmission of osteo-chondral allograft remain points of increasing concerns. As an alternative to lacking osteo-chondral allograft, the current technical note describes a reconstructive technique of reverse Hill-Sachs defect using autologous fibular grafting. Methods Following open reduction of the dislocated humeral head, reverse Hill-Sachs defect was reconstructed using 3–4 autologous fibular pieces (each is of 10 mm in length) fixed in flush with the articular cartilage using 4-mm cancellous screws. Defect reconstruction was then followed by modified McLaughlin’s transfer and posterior capsulorrhaphy. Results Spherical contour of the humeral head and gleno-humeral range of motion were restored. Intra-operative dynamic testing of the reconstruct revealed no residual posterior gleno-humeral instability. Conclusion Currently reported technique might offer advantages of graft availability, technical simplicity, familiarity and reproducibility, safety (i.e. no disease transmission) and bone preservation facilitating future revision management (if needed). Nevertheless, long-term outcomes of this technique should be investigated via further cohort clinical studies.

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Low Recurrence of Instability and Satisfying Patient-Reported Outcomes Following Various Surgical Treatments of Reverse Hill–Sachs Lesions in the Setting of Posterior Instability: A Systematic Review

van der List,

Glover,

Mason

et al. 2024

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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The dual subscapularis procedure: a modified Hawkins’ technique for neglected posterior fracture/dislocation of the shoulder

Cited by 5 publications

References 35 publications

Good functional results with open reduction and internal fixation for locked posterior shoulder fracture–dislocation: a case series

Good functional results with open reduction and internal fixation for locked posterior shoulder fracture–dislocation: a case series

Chronic locked posterior gleno-humeral dislocation: technical note on fibular grafting for restoration of humeral head sphericity

Low Recurrence of Instability and Satisfying Patient-Reported Outcomes Following Various Surgical Treatments of Reverse Hill–Sachs Lesions in the Setting of Posterior Instability: A Systematic Review

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