Morales CCO, De SMFA, Gómez MCE, Nares ZJ, Castillo MJA

Language: Spanish
References: 22
Page: 528-533
PDF size: 988.63 Kb.

ABSTRACT

Introduction: posterior shoulder dislocation associated with reverse Hill-Sachs fracture is uncommon; however, it occurs in 30-90% of cases following the first episode of posterior dislocation, leading to secondary instability, glenohumeral redislocation, and early arthritis. Currently, accurate diagnosis and appropriate treatment pose a challenge for orthopedic surgeons. Clinical case: a case is presented of a 39-year-old male who suffered a motorcycle accident, with a mechanism of injury being a direct contusion to the right shoulder, diagnosed eight weeks later by MRI with posterior engaging dislocation of the right shoulder + reverse Hill-Sachs + subscapular lesion, undergoing surgical treatment using the open McLaughlin technique. Conclusion: the treatment of chronic reverse Hill-Sachs in this patient, using the open McLaughlin procedure, demonstrated functional results without needing the modified Neer technique.

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