Skip to main content
Erschienen in: MUSCULOSKELETAL SURGERY 3/2013

01.12.2013 | Case Report

Massive rotator cuff tear associated with acute traumatic posterior shoulder dislocation: report of two cases and literature review

verfasst von: Suriya Luenam, Arkaphat Kosiyatrakul

Erschienen in: MUSCULOSKELETAL SURGERY | Ausgabe 3/2013

Einloggen, um Zugang zu erhalten

Abstract

A massive rotator cuff tear in association with acute traumatic posterior glenohumeral dislocation is rare. To our knowledge, only four documented cases have been reported in the literature. We present two additional cases of such injury secondary to the traffic accident. The first patient had an unsuccessful closed reduction due to the posterior instability while the second developed the profound shoulder weakness following the reduction. From the findings of our cases together with the previous reports, every patient had a unique injury mechanism of high-energy directed axial loading on an outstretched, adducted, and internally rotated arm. The glenohumeral capsule and rotator cuff were uniformly avulsed from the humeral attachment, and the supraspinatus and infraspinatus were always involved. However, the clinical presentations were variable based on the severity of the associated rotator cuff tear. The outcomes of operative treatment in this type of injury with the open repair were favorable.
Literatur
1.
Zurück zum Zitat McLaughlin HL (1952) Posterior dislocation of the shoulder. J Bone Joint Surg Am 24:584–590PubMed McLaughlin HL (1952) Posterior dislocation of the shoulder. J Bone Joint Surg Am 24:584–590PubMed
2.
Zurück zum Zitat Matsen FA, Lippitt SB, Bertlesen A, Rockwood CA, Wirth MA (2009) Glenohumeral instability. In: Rockwood CA, Matsen FA (eds) The shoulder, 4th edn. Saunders Elsevier, Philadelphia, pp 617–770 Matsen FA, Lippitt SB, Bertlesen A, Rockwood CA, Wirth MA (2009) Glenohumeral instability. In: Rockwood CA, Matsen FA (eds) The shoulder, 4th edn. Saunders Elsevier, Philadelphia, pp 617–770
4.
Zurück zum Zitat Robinson CM, Seah M, Akhtar MA (2011) The epidemiology, risk of recurrence, and functional outcome after an acute traumatic posterior dislocation of the shoulder. J Bone Joint Surg Am 93:1605–1613PubMedCrossRef Robinson CM, Seah M, Akhtar MA (2011) The epidemiology, risk of recurrence, and functional outcome after an acute traumatic posterior dislocation of the shoulder. J Bone Joint Surg Am 93:1605–1613PubMedCrossRef
5.
Zurück zum Zitat Tung GA, Hou DD (2003) MR arthrography of the posterior labrocapsular complex: relationship with glenohumeral joint alignment and clinical posterior instability. AJR Am J Roentgenol 180:369–375PubMedCrossRef Tung GA, Hou DD (2003) MR arthrography of the posterior labrocapsular complex: relationship with glenohumeral joint alignment and clinical posterior instability. AJR Am J Roentgenol 180:369–375PubMedCrossRef
7.
Zurück zum Zitat Moeller JC (1975) Compound posterior dislocation of the glenohumeral joint: case report. J Bone Joint Surg Am 57:1006–1007PubMed Moeller JC (1975) Compound posterior dislocation of the glenohumeral joint: case report. J Bone Joint Surg Am 57:1006–1007PubMed
8.
Zurück zum Zitat Steinitz DK, Harvey EJ, Lenczner EM (2003) Traumatic posterior dislocation of the shoulder associated with a massive rotator cuff tear: a case report. Am J Sports Med 31:1010–1012PubMed Steinitz DK, Harvey EJ, Lenczner EM (2003) Traumatic posterior dislocation of the shoulder associated with a massive rotator cuff tear: a case report. Am J Sports Med 31:1010–1012PubMed
10.
Zurück zum Zitat Bhatia DN, de Beer JF, van Rooyen KS, du Toit DF (2007) The reverse terrible triad of the shoulder: circumferential glenohumeral musculoligamentous disruption and neurologic injury associated with posterior shoulder dislocation. J Shoulder Elbow Surg 16:e13–e17. doi:10.1016/j.jse.2006.07.013 PubMedCrossRef Bhatia DN, de Beer JF, van Rooyen KS, du Toit DF (2007) The reverse terrible triad of the shoulder: circumferential glenohumeral musculoligamentous disruption and neurologic injury associated with posterior shoulder dislocation. J Shoulder Elbow Surg 16:e13–e17. doi:10.​1016/​j.​jse.​2006.​07.​013 PubMedCrossRef
11.
Zurück zum Zitat Norwood LA, Matiko JA, Terry GC (1985) Posterior shoulder approach. Clin Orthop Relat Res 201:167–172PubMed Norwood LA, Matiko JA, Terry GC (1985) Posterior shoulder approach. Clin Orthop Relat Res 201:167–172PubMed
13.
Zurück zum Zitat Pevny T, Hunter RE, Freeman JR (1998) Primary traumatic anterior shoulder dislocation in patients 40 years of age and older. Arthroscopy 14:289–294PubMedCrossRef Pevny T, Hunter RE, Freeman JR (1998) Primary traumatic anterior shoulder dislocation in patients 40 years of age and older. Arthroscopy 14:289–294PubMedCrossRef
14.
Zurück zum Zitat Neviaser RJ, Neviaser TJ, Neviaser JS (1988) Concurrent rupture of the rotator cuff and anterior dislocation of the shoulder in the older patient. J Bone Joint Surg Am 70:1308–1311PubMed Neviaser RJ, Neviaser TJ, Neviaser JS (1988) Concurrent rupture of the rotator cuff and anterior dislocation of the shoulder in the older patient. J Bone Joint Surg Am 70:1308–1311PubMed
15.
Zurück zum Zitat Toolanen G, Hildingsson C, Hedlund T, Knibestöl M, Oberg L (1993) Early complications after anterior dislocation of the shoulder in patients over 40 years. An ultrasonographic and electromyographic study. Acta Orthop Scand 64:549–552PubMedCrossRef Toolanen G, Hildingsson C, Hedlund T, Knibestöl M, Oberg L (1993) Early complications after anterior dislocation of the shoulder in patients over 40 years. An ultrasonographic and electromyographic study. Acta Orthop Scand 64:549–552PubMedCrossRef
16.
Zurück zum Zitat Van Tongel A, Karelse A, Berghs B, Verdonk R, De Wilde L (2011) Posterior shoulder instability: current concepts review. Knee Surg Sports Traumatol Arthrosc 19:1547–1553PubMedCrossRef Van Tongel A, Karelse A, Berghs B, Verdonk R, De Wilde L (2011) Posterior shoulder instability: current concepts review. Knee Surg Sports Traumatol Arthrosc 19:1547–1553PubMedCrossRef
19.
Zurück zum Zitat Ovesen J, Sojbjerg JO (1986) Posterior shoulder dislocation. Muscle and capsular lesions in cadaver experiments. Acta Orthop Scand 57:535–536PubMedCrossRef Ovesen J, Sojbjerg JO (1986) Posterior shoulder dislocation. Muscle and capsular lesions in cadaver experiments. Acta Orthop Scand 57:535–536PubMedCrossRef
20.
Zurück zum Zitat Hottya GA, Tirman PF, Bost FW, Montgomery WH, Wolf EM, Genant HK (1998) Tear of the posterior shoulder stabilizers after posterior dislocation: MR imaging and MR arthrographic findings with arthroscopic correlation. AJR Am J Roentgenol 171:763–768PubMedCrossRef Hottya GA, Tirman PF, Bost FW, Montgomery WH, Wolf EM, Genant HK (1998) Tear of the posterior shoulder stabilizers after posterior dislocation: MR imaging and MR arthrographic findings with arthroscopic correlation. AJR Am J Roentgenol 171:763–768PubMedCrossRef
Metadaten
Titel
Massive rotator cuff tear associated with acute traumatic posterior shoulder dislocation: report of two cases and literature review
verfasst von
Suriya Luenam
Arkaphat Kosiyatrakul
Publikationsdatum
01.12.2013
Verlag
Springer Milan
Erschienen in
MUSCULOSKELETAL SURGERY / Ausgabe 3/2013
Print ISSN: 2035-5106
Elektronische ISSN: 2035-5114
DOI
https://doi.org/10.1007/s12306-012-0211-6

Weitere Artikel der Ausgabe 3/2013

MUSCULOSKELETAL SURGERY 3/2013 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.