Undiagnosed Posterior Dislocations of the Shoulder Joint. A Preliminary Report


Authors: M. Křivohlávek ;  R. Lukáš ;  S. Taller
Authors‘ workplace: Traumacentrum Krajské nemocnice Liberec, primář: MUDr. R. Lukáš, Ph. D.
Published in: Rozhl. Chir., 2007, roč. 86, č. 1, s. 41-48.
Category: Monothematic special - Original

Overview

Posterior dislocations are infrequent injuries of the proximal humerus, counting for 1–4% of all shoulder dislocations. Frequently, they are related to epileptic seisures or electric current injuries or accompany complete anatomical neck fractures of the proximal humerus. Very frequently, they remain undiagnosed and their late diagnosis results in poor functional outcomes.

The authors assess the surgical procedure and its results in five cases of primarily undiagnosed posterior dislocations. In two cases, transposition of the m. subscapularis was performed, in one case hemiarthroplasty, and in two cases derotation osteotomy of the proximal humerus was used.

Although the study group was small, the preliminary results of the procedures for chronic posterior dislocation of the shoulder joint favours preservative procedures compared to hemiarthroplasty of the shoulder joint.

Key words:
posterior luxation of the humerus – derotation osteotomy


Sources

1. Gerber, C., Lambert, S. M. Allograft reconstruction of segmental defects of humeral head for the treatment of chronic locked posterior dislocation of the shoulder. J. Bone Point Surg. (Am), 1996, roč. 78, č. 3, s. 376–382.

2. Chaker, A., Kočiš, J., Višňa, P. Inveterovaná skapulo-humerální luxace po chybně zhojené zlomenině proximálního humeru – kazuistika. Úraz. Chir., 2003, roč. 11, č. 2, s. 13–15.

3. Checchia, S. L., Santos, P. D.,Miyazaki, A. N. Surgical treatment of acute and chronic posterior fracture-dislocation of the shoulder. J. Shoulder Elbow Surg., 1998, roč. 7, č. 1, s. 53–65.

4. Kofránek, I. Rameno. In: Dungl, P. Ortopedie. Praha: Avicenum, 2006, s. 677–706

5. Kovanda, M. Inveterovaná zadní luxace ramene. Acta Chir. Orthop. Traumatol. Cech., 1968, roč. 35, č. 5, s. 446–447.

6. Kronberg, M., Bronstrom, L. Rotation osteotomy of the proximal humerus to stabilise the shoulder. J. Bone Surg. (Br), 1995, roč. 77, č. 6, s. 294–297.

7. Křivohlávek, M., Lukáš, R., Taller, S., Šrám, J. Použití úhlově stabilní dlahy Philos u zlomenin proximálního humeru. Úraz. Chir., 2005, roč. 13, č. 2, s. 52–59.

8. McLaughlin, H. L. Locked posterior subluxation of the shoulder: diagnosis and treatment. Surg. Clin. N. Am., 1963, roč. 43, č. 12, s. 1621–1628.

9. Mestdagh, H., Maynou, C., Delobelle, J. M., Urvoy, P., Butin, E. Traumatic posterior dislocation of the shoulder in adults. Apropos of 25 cases. Ann. Chir., 1994, roč. 48, č. 4, s. 355–363.

10. Neer, C. S. Dislocations. In: Neer, C. S.: Shoulder reconstruction. Philadelphia: WB Saunders, 1990, s. 393–395.

11. Perron, A. D., Jones, R. L. Posterior shoulder dislocation: avoiding a missed diagnosis. Am. J. Emerg. Med., 2000, roč. 18, č. 2, s. 189–191.

12. Pokorný, V. Poranění horní končetiny. In: Pokorný, V.: Traumatologie. Praha: Triton, 2002, s. 139–174.

13. Porteous, M., Miller, A. J. Humeral rotation osteotomy for chronic posterior dislocation of the shoulder. J. Bone Joint Surg. (Br), 1990, roč. 72, č. 3, s. 468–469.

14. Pritchett, J. W., Clark, J. M. Prosthetic replacement for chronic unreduced dislocations of the shoulder. Clin. Orthop. Relat. Res., 1987 roč. 216, č. 2, s. 89–93.

15. Randeli, M., Gambrioli, P. L. Chronic posterior dislocation of the shoulder. In: Durpac, J.: Shoulder. Paris: Elsevier, 2003, 55-190-B-10, s. 1–6.

16. Rockwood, Ch. A. Glenohumeral instability. In: Rockwood, Ch. A.: Shoulder. Philadelphia 2004: WB Saunders, 665–790.

17. Rowe, C. R., Zarins, B. Chronic unreduced dislocations of the shoulder. J Bone Point Surg. (Am), 1982, roč. 64, č. 4, s. 494–505.

18. Szyskowicz, R. Humerus proximal. In: Ruedi, T. P., Murphy, W. M.: AO principles of fracture management, Stuttgart: Thyeme, 2001, s. 275–294.

19. Takase, K., Wabanate, A., Yamamoto, K. Chronic posterior dislocation of glenohumeral joint complicated by a fracture proximal humerus: a case report. Journal of Orthopaedic Surgery, 2006, roč. 14, č. 3, s. 204–207.

20. Weber, B. G. Recurent dislocation of the shoulder treatment with subcapital rotationosteotomy. Acta Orthop. Scand., 1974, roč. 45, č.6, s. 986–988.

Labels
Surgery Orthopaedics Trauma surgery
Login
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account