Ortiz-Díaz LG, Magallanes-Durán E, Martínez-Pérez R

Language: Spanish
References: 6
Page: 333-336
PDF size: 283.43 Kb.

ABSTRACT

Introduction: Posterior shoulder dislocations are rare (2%) and are associated with seizures, electrocutions and high-energy trauma. They may be associated with a reverse Hill-Sachs lesion. One of the treatment principles consists of the subscapular tendon transfer to the injury area or McLaughlin procedure. Clinical case: A case of a man with a reverse Hill-Sachs defect treated with a modification of McLaughlin’s original technique is presented. The functional results after 13 months of surgery are reported. Results: Currently with a Constant Score of 98 points. Conclusion: The technical modification used for the surgical treatment of the reverse Hill-Sachs lesion presented in this patient demonstrated good functional results with low cost material.

REFERENCES

1. Antosh IJ, Tokish JM, Owens BD. Posterior Shoulder Instability: current surgical management. Sports Health. 2016; 8(6): 520-6.

2. McLaughlin HL. Posterior dislocation of the shoulder. J Bone Joint Surg. 1952; 34A(3): 548-90.

3. Konda SR, Fisher N, Gage M, Egol K. Posterior fracture dislocation of the shoulder: a modified McLaughlin Procedure. J Orthop Trauma. 2017; 31(Suppl 3): S36-7.

4. Djurdjevic D. Unrecognized posterior dislocation of the shoulder. Masters Thesis, Zagreb, 2003.

5. Cicak N. Posterior dislocation of the shoulder. J Bone Joint Surg. 2004; 86(3): 324-32.

6. Kokkalis ZT, Mavrogenis AF, Ballas EG, Papanastasiou J, Papagelopoulos PJ. Modified McLaughlin technique for neglected locked posterior dislocation of the shoulder. Orthopedics. 2013; 36(7): e912-6.