Subtraction osteotomy of the humeral head in posterior shoulder dislocation: a case report

被引：0
作者：
Manuel Zafra
Pilar Uceda
Carmen Ruiz-Bonilla
机构：
[1] Instituto de Traumatología Cordobés,
[2] Reina Sofía University Hospital,undefined
[3] High Resolution Hospital Ecija,undefined
来源：
European Journal of Orthopaedic Surgery & Traumatology | 2019年 / 29卷
关键词：
Posterior dislocation; Shoulder; Osteotomy;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Locked posterior dislocations of the shoulder with an impacted fracture of the humeral head and an articular surface defect greater than 35–40% are generally treated with a femoral head bone graft or prosthesis. We present a case in which a subtraction osteotomy with osteoclasia on the impacted zone was performed to try to make the articular surface of the humeral head congruent and continuous. With a 42-month follow-up, the clinical outcome, in terms of mobility and pain, was very good; X-rays show there was no avascular necrosis of the humeral head nor signs of articular arthrosis. The aim of this work is to present a detailed description of our procedure, which can be a therapeutic option for this type of pathology.
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页码：933 / 936
页数：3
相关论文
共 38 条
  • [1] McLaughlin HL(1952)Posterior dislocation of the shoulder J Bone Jt Surg Am 34 584-590
  • [2] Hawkins RJ(1987)Locked posterior dislocation of the shoulder J Bone Jt Surg Am 69 9-18
  • [3] Neer CS(1967)Luxation posterieure de l’epaule Rev Chir Orthop Reparatrice Appar Mot 53 65-85
  • [4] Planta RM(2004)Shoulder arthroplasty for locked posterior dislocation of the shoulder J Shoulder Elbow Surg 13 522-527
  • [5] Mendoza FX(2014)Anatomic shoulder arthroplasty as treatment for locked posterior dislocation of the shoulder J Bone Jt Surg Am 96 19-164
  • [6] Dubousset J(1987)A clinical method of functional assessment of the shoulder Clin Orthop Relat Res 214 160-2888
  • [7] Sperling JW(2013)Excellent results of lesser tuberosity transfer in acute locked posterior shoulder dislocation Knee Surg Sports Traumatol Arthrosc 21 2884-650
  • [8] Pring M(2005)Posterior shoulder dislocations and fracture-dislocations J Bone Jt Surg Am 87 639-76
  • [9] Antuna SA(2010)Treatment of locked chronic posterior dislocation of the shoulder by reconstruction of the defect in the humeral head with an allograft J Bone Jt Surg Br 92 71-1690
  • [10] Cofield RH(2014)Long-term outcome of segmental reconstruction of the humeral head for the treatment of locked posterior dislocation of the shoulder J Shoulder Elbow Surg 23 1682-1494
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