Skip to main content
Top
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 12/2013

01-12-2013 | Shoulder

Excellent results of lesser tuberosity transfer in acute locked posterior shoulder dislocation

Authors: Marc Banerjee, Maurice Balke, Bertil Bouillon, Arasch Wafaisade, Philip Helm, Ralf Akoto, Sven Shafizadeh

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 12/2013

Login to get access

Abstract

Purpose

The aim of the present study was to evaluate the clinical and radiological results of lesser tuberosity transfer in acute locked posterior shoulder dislocation with a humeral head defect between 25 and 45 %.

Methods

Clinical and radiological results of seven patients with locked posterior shoulder dislocation with a humeral head defect between 25 and 45 % which were managed with a modification of the McLaughlin procedure within 14 days after injury were evaluated retrospectively after a mean follow-up of 41 months.

Results

All shoulders remained stable. The results were good in one and excellent in six patients with a median absolute Constant score of 92 (range 80–98). Mean active pain-free abduction was 171.4° (SD 6.4), mean flexion was 175.7° (SD 4.9), and mean external rotation was 54.3° (SD 17.6). Internal rotation was restricted in all patients. There were no radiological signs of osteoarthritis.

Conclusions

Lesser tuberosity transfer shows excellent clinical and radiographic mid-term results in acute cases of locked posterior shoulder dislocation with a reverse Hill-Sachs lesion between 25 and 45 %.

Level of evidence

Case series with no comparison group, Level IV.
Literature
1.
go back to reference Assom M, Castoldi F, Rossi R, Blonna D, Rossi P (2006) Humeral head impression fracture in acute posterior shoulder dislocation: new surgical technique. Knee Surg Sports Traumatol Arthrosc 14:668–672PubMedCrossRef Assom M, Castoldi F, Rossi R, Blonna D, Rossi P (2006) Humeral head impression fracture in acute posterior shoulder dislocation: new surgical technique. Knee Surg Sports Traumatol Arthrosc 14:668–672PubMedCrossRef
2.
go back to reference Bock P, Kluger R, Hintermann B (2007) Anatomical reconstruction for reverse Hill-Sachs lesions after posterior locked dislocation fracture: a case series of six patients. Arch Orthop Trauma Surg 127:543–548PubMedCrossRef Bock P, Kluger R, Hintermann B (2007) Anatomical reconstruction for reverse Hill-Sachs lesions after posterior locked dislocation fracture: a case series of six patients. Arch Orthop Trauma Surg 127:543–548PubMedCrossRef
4.
go back to reference Checchia SL, Santos PD, Miyazaki AN (1998) Surgical treatment of acute and chronic posterior fracture-dislocation of the shoulder. J Shoulder Elbow Surg 7:53–65PubMedCrossRef Checchia SL, Santos PD, Miyazaki AN (1998) Surgical treatment of acute and chronic posterior fracture-dislocation of the shoulder. J Shoulder Elbow Surg 7:53–65PubMedCrossRef
5.
go back to reference Connor PM, Boatright JR, D’Alessandro DF (1997) Posterior fracture-dislocation of the shoulder: treatment with acute osteochondral grafting. J Shoulder Elbow Surg 6:480–485PubMedCrossRef Connor PM, Boatright JR, D’Alessandro DF (1997) Posterior fracture-dislocation of the shoulder: treatment with acute osteochondral grafting. J Shoulder Elbow Surg 6:480–485PubMedCrossRef
6.
go back to reference Constant CR, Gerber C, Emery RJ, Sojbjerg JO, Gohlke F, Boileau P (2008) A review of the constant score: modifications and guidelines for its use. J Shoulder Elbow Surg 17:355–361PubMedCrossRef Constant CR, Gerber C, Emery RJ, Sojbjerg JO, Gohlke F, Boileau P (2008) A review of the constant score: modifications and guidelines for its use. J Shoulder Elbow Surg 17:355–361PubMedCrossRef
7.
go back to reference Delcogliano A, Caporaso A, Chiossi S, Menghi A, Cillo M, Delcogliano M (2005) Surgical management of chronic, unreduced posterior dislocation of the shoulder. Knee Surg Sports Traumatol Arthrosc 13:151–155PubMedCrossRef Delcogliano A, Caporaso A, Chiossi S, Menghi A, Cillo M, Delcogliano M (2005) Surgical management of chronic, unreduced posterior dislocation of the shoulder. Knee Surg Sports Traumatol Arthrosc 13:151–155PubMedCrossRef
8.
go back to reference Diklic ID, Ganic ZD, Blagojevic ZD, Nho SJ, Romeo AA (2010) Treatment of locked chronic posterior dislocation of the shoulder by reconstruction of the defect in the humeral head with an allograft. J Bone Joint Surg-Br 92:71–76PubMedCrossRef Diklic ID, Ganic ZD, Blagojevic ZD, Nho SJ, Romeo AA (2010) Treatment of locked chronic posterior dislocation of the shoulder by reconstruction of the defect in the humeral head with an allograft. J Bone Joint Surg-Br 92:71–76PubMedCrossRef
9.
go back to reference Duralde XA, Fogle E (2006) The success of closed reduction in acute locked posterior fracture-dislocations of the shoulder. J Shoulder Elbow Surg 15:701–706PubMedCrossRef Duralde XA, Fogle E (2006) The success of closed reduction in acute locked posterior fracture-dislocations of the shoulder. J Shoulder Elbow Surg 15:701–706PubMedCrossRef
10.
go back to reference Finkelstein JA, Waddell JP, O’Driscoll SW, Vincent G (1995) Acute posterior fracture dislocations of the shoulder treated with the Neer modification of the McLaughlin procedure. J Orthop Trauma 9:190–193PubMedCrossRef Finkelstein JA, Waddell JP, O’Driscoll SW, Vincent G (1995) Acute posterior fracture dislocations of the shoulder treated with the Neer modification of the McLaughlin procedure. J Orthop Trauma 9:190–193PubMedCrossRef
11.
go back to reference Gerber C, Lambert SM (1996) Allograft reconstruction of segmental defects of the humeral head for the treatment of chronic locked posterior dislocation of the shoulder. J Bone Joint Surg-A 78:376–382 Gerber C, Lambert SM (1996) Allograft reconstruction of segmental defects of the humeral head for the treatment of chronic locked posterior dislocation of the shoulder. J Bone Joint Surg-A 78:376–382
12.
go back to reference Hawkins RJ, Neer CS, Pianta RM, Mendoza FX (1987) Locked posterior dislocation of the shoulder. J Bone Joint Surg-A 69:9–18 Hawkins RJ, Neer CS, Pianta RM, Mendoza FX (1987) Locked posterior dislocation of the shoulder. J Bone Joint Surg-A 69:9–18
13.
go back to reference Ianotti JP, Bernot MP, Kuhlmann JR, Kelley MJ, Williams GR (1996) Postoperative assessment of shoulder function: a prospective study of full-thickness rotator cuff tears. J Shoulder Elbow Surg 5:449–457CrossRef Ianotti JP, Bernot MP, Kuhlmann JR, Kelley MJ, Williams GR (1996) Postoperative assessment of shoulder function: a prospective study of full-thickness rotator cuff tears. J Shoulder Elbow Surg 5:449–457CrossRef
14.
go back to reference Keppler P, Holz U, Thielemann FW, Meinig R (1994) Locked posterior dislocation of the shoulder: treatment using rotational osteotomy of the humerus. J Orthop Trauma 8:286–292PubMedCrossRef Keppler P, Holz U, Thielemann FW, Meinig R (1994) Locked posterior dislocation of the shoulder: treatment using rotational osteotomy of the humerus. J Orthop Trauma 8:286–292PubMedCrossRef
15.
go back to reference Khayal T, Wild M, Windolf J (2009) Reconstruction of the articular surface of the humeral head after locked posterior shoulder dislocation: a case report. Arch Orthop Trauma Surg 129:515–519PubMedCrossRef Khayal T, Wild M, Windolf J (2009) Reconstruction of the articular surface of the humeral head after locked posterior shoulder dislocation: a case report. Arch Orthop Trauma Surg 129:515–519PubMedCrossRef
16.
go back to reference McLaughlin HL (1952) Posterior dislocation of the shoulder. J Bone Joint Surg-A 34:584–590 McLaughlin HL (1952) Posterior dislocation of the shoulder. J Bone Joint Surg-A 34:584–590
17.
go back to reference Modi CS, Wicks L, Srinivasan K (2009) Reconstruction of humeral head defect for locked posterior shoulder dislocation. Orthopedics 32:111–114CrossRef Modi CS, Wicks L, Srinivasan K (2009) Reconstruction of humeral head defect for locked posterior shoulder dislocation. Orthopedics 32:111–114CrossRef
18.
go back to reference Nicola FG, Ellman H, Eckardt J, Finerman G (1981) Bilateral posterior fracture-dislocation of the shoulder treated with a modification of the McLaughlin procedure. A case report. J Bone Joint Surg-A 63:1175–1177 Nicola FG, Ellman H, Eckardt J, Finerman G (1981) Bilateral posterior fracture-dislocation of the shoulder treated with a modification of the McLaughlin procedure. A case report. J Bone Joint Surg-A 63:1175–1177
19.
go back to reference Porteous MJ, Miller AJ (1990) Humeral rotation osteotomy for chronic posterior dislocation of the shoulder. J Bone Joint Surg-Br 72:468–469PubMed Porteous MJ, Miller AJ (1990) Humeral rotation osteotomy for chronic posterior dislocation of the shoulder. J Bone Joint Surg-Br 72:468–469PubMed
20.
go back to reference Richards RR, An KN, Bigliani LU, Friedman RJ, Gartsman GM, Gristina AG et al (1994) A standardized method for the assessment of shoulder function. J Shoulder Elbow Surg 3:347–352PubMedCrossRef Richards RR, An KN, Bigliani LU, Friedman RJ, Gartsman GM, Gristina AG et al (1994) A standardized method for the assessment of shoulder function. J Shoulder Elbow Surg 3:347–352PubMedCrossRef
21.
go back to reference Rowe C, Zarins B (1982) Chronic unreduced dislocation of the shoulder. J Bone Joint Surg-A 64:494–505 Rowe C, Zarins B (1982) Chronic unreduced dislocation of the shoulder. J Bone Joint Surg-A 64:494–505
22.
go back to reference Samilson RL, Prieto V (1983) Dislocation arthropathy of the shoulder. J Bone Joint Surg-A 65:456–460 Samilson RL, Prieto V (1983) Dislocation arthropathy of the shoulder. J Bone Joint Surg-A 65:456–460
23.
go back to reference Schliemann B, Muder D, Geßmann J, Schildhauer TA, Seybold D (2011) Locked posterior shoulder dislocation: treatment options and clinical outcomes. Arch Orthop Trauma Surg 131:1127–1134PubMedCrossRef Schliemann B, Muder D, Geßmann J, Schildhauer TA, Seybold D (2011) Locked posterior shoulder dislocation: treatment options and clinical outcomes. Arch Orthop Trauma Surg 131:1127–1134PubMedCrossRef
24.
go back to reference Yian EH, Ramappa AJ, Arneberg O, Gerber C (2005) The constant score in normal shoulders. J Shoulder Elbow Surg 14:128–133PubMedCrossRef Yian EH, Ramappa AJ, Arneberg O, Gerber C (2005) The constant score in normal shoulders. J Shoulder Elbow Surg 14:128–133PubMedCrossRef
Metadata
Title
Excellent results of lesser tuberosity transfer in acute locked posterior shoulder dislocation
Authors
Marc Banerjee
Maurice Balke
Bertil Bouillon
Arasch Wafaisade
Philip Helm
Ralf Akoto
Sven Shafizadeh
Publication date
01-12-2013
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 12/2013
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-012-2217-x

Other articles of this Issue 12/2013

Knee Surgery, Sports Traumatology, Arthroscopy 12/2013 Go to the issue