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A Modified Reverse Remplissage Procedure for Management of a Locked Posterior Shoulder Dislocation
Posterior shoulder dislocation is rare and often represents a diagnostic and therapeutic challenge. An impaction fracture of the anteroinferior aspect of the humeral head (called a reverse Hill-Sachs (RHS) fracture) is always present in case of chronic locked posterior dislocation. Surgical manageme...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275965/ https://www.ncbi.nlm.nih.gov/pubmed/32550033 http://dx.doi.org/10.1155/2020/8625368 |
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author | Zwiebel, Xavier Pelet, Stéphane Leclerc, Alexandre |
author_facet | Zwiebel, Xavier Pelet, Stéphane Leclerc, Alexandre |
author_sort | Zwiebel, Xavier |
collection | PubMed |
description | Posterior shoulder dislocation is rare and often represents a diagnostic and therapeutic challenge. An impaction fracture of the anteroinferior aspect of the humeral head (called a reverse Hill-Sachs (RHS) fracture) is always present in case of chronic locked posterior dislocation. Surgical management is required and decided on the delay between the trauma and the diagnosis and the importance of the RHS (in percentage). The authors present a chronic locked posterior shoulder dislocation in a 32-year-old active male with a reverse Hill-Sachs lesion of more than 40%. An open reduction was required, and stabilization was achieved with a modified remplissage technique with detachment of the upper quarter of the subscapularis tendon. Three years after the surgery, the patient recovered an excellent functional level with a stable shoulder. |
format | Online Article Text |
id | pubmed-7275965 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-72759652020-06-16 A Modified Reverse Remplissage Procedure for Management of a Locked Posterior Shoulder Dislocation Zwiebel, Xavier Pelet, Stéphane Leclerc, Alexandre Case Rep Orthop Case Report Posterior shoulder dislocation is rare and often represents a diagnostic and therapeutic challenge. An impaction fracture of the anteroinferior aspect of the humeral head (called a reverse Hill-Sachs (RHS) fracture) is always present in case of chronic locked posterior dislocation. Surgical management is required and decided on the delay between the trauma and the diagnosis and the importance of the RHS (in percentage). The authors present a chronic locked posterior shoulder dislocation in a 32-year-old active male with a reverse Hill-Sachs lesion of more than 40%. An open reduction was required, and stabilization was achieved with a modified remplissage technique with detachment of the upper quarter of the subscapularis tendon. Three years after the surgery, the patient recovered an excellent functional level with a stable shoulder. Hindawi 2020-05-28 /pmc/articles/PMC7275965/ /pubmed/32550033 http://dx.doi.org/10.1155/2020/8625368 Text en Copyright © 2020 Xavier Zwiebel et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Zwiebel, Xavier Pelet, Stéphane Leclerc, Alexandre A Modified Reverse Remplissage Procedure for Management of a Locked Posterior Shoulder Dislocation |
title | A Modified Reverse Remplissage Procedure for Management of a Locked Posterior Shoulder Dislocation |
title_full | A Modified Reverse Remplissage Procedure for Management of a Locked Posterior Shoulder Dislocation |
title_fullStr | A Modified Reverse Remplissage Procedure for Management of a Locked Posterior Shoulder Dislocation |
title_full_unstemmed | A Modified Reverse Remplissage Procedure for Management of a Locked Posterior Shoulder Dislocation |
title_short | A Modified Reverse Remplissage Procedure for Management of a Locked Posterior Shoulder Dislocation |
title_sort | modified reverse remplissage procedure for management of a locked posterior shoulder dislocation |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7275965/ https://www.ncbi.nlm.nih.gov/pubmed/32550033 http://dx.doi.org/10.1155/2020/8625368 |
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