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European Journal of Orthopaedic Surgery & Traumatology

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01-05-2019 | Osteoarthrosis | Up-to date Review and Case Report • SHOULDER - TRAUMA

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

Authors: Manuel Zafra, Pilar Uceda, Carmen Ruiz-Bonilla

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 4/2019

Abstract

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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Title: Subtraction osteotomy of the humeral head in posterior shoulder dislocation: a case report
Authors: Manuel Zafra
Pilar Uceda
Carmen Ruiz-Bonilla
Publication date: 01-05-2019
Publisher: Springer Paris
Keywords: Osteoarthrosis
Bone Defect
Osteoarthrosis
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 4/2019
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-019-02388-5

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

Abstract

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