Acute bilateral posterior dislocation of the shoulder: One-stage reconstruction of both humeral heads with cancellous autograft and cartilage preservation

被引：10

作者：

Begin, M. ^{[1
,2
]}

Gagey, O. ^{[1
,2
]}

Soubeyrand, M. ^{[1
,2
]}

机构：

[1] Hop Univ Bicetre, AP HP, Serv Chirurg Orthoped, F-94270 Le Kremlin Bicetre, France

[2] Univ Paris 11, F-91405 Orsay, France

来源：

CHIRURGIE DE LA MAIN | 2012年 / 31卷 / 01期

关键词：

Shoulder; Dislocation; Posterior; Acute; Reconstruction; Autograft; Preservation; Cartilage; FRACTURE-DISLOCATION;

D O I：

10.1016/j.main.2012.01.002

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We present a case of bilateral posterior shoulder dislocation after an epileptic seizure. The anterior humeral-head impression fracture was 60% of the articular surface on the right shoulder and 30% on the left shoulder. We performed an early one-stage reconstruction of both humeral heads. A cancellous autograft was used on the left side and an iliac cortico-cancellous autograft on the right side, with preservation of the patient's cartilage. Three years later, the clinical and morphological results were excellent. The discussion focuses on surgical options that range from conservative treatment with excision of the damaged cartilage to immediate hemiarthroplasty. This case is original because of the preservation of the patient's cartilage during reconstruction. (C) 2012 Elsevier Masson SAS. All rights reserved.

引用

页码：34 / 37

页数：4