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Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 10/2017

23.06.2016 | Shoulder

Posterior shoulder dislocation with a reverse Hill–Sachs lesion treated with frozen femoral head bone allograft combined with osteochondral autograft transfer

verfasst von: Dimitrios S. Mastrokalos, Georgios N. Panagopoulos, Ioannis P. Galanopoulos, Panayiotis J. Papagelopoulos

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 10/2017

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Abstract

Management of a posterior shoulder dislocation with an associated reverse Hill–Sachs lesion is challenging, both diagnostically and therapeutically. Diagnosis is frequently delayed or missed, whereas the resulting humeral head defect is often larger and more difficult to salvage than in anterior shoulder dislocations. This report presents the case of a 29-year-old male with a recurrent posterior shoulder dislocation associated with a large reverse Hill–Sachs defect, treated with bone augmentation of the lesion with a combination of fresh femoral head allograft and a locally harvested humeral head autograft transfer, with a successful outcome.
Level of evidence V.
Literatur
1.
Zurück zum Zitat Argintar E, Heckmann N, Wang L, Tibone JE, Lee TQ (2016) The biomechanical effect of shoulder remplissage combined with Bankart repair for the treatment of engaging Hill–Sachs lesions. Knee Surg Sports Traumatol Arthrosc 24(2):585–592CrossRefPubMed Argintar E, Heckmann N, Wang L, Tibone JE, Lee TQ (2016) The biomechanical effect of shoulder remplissage combined with Bankart repair for the treatment of engaging Hill–Sachs lesions. Knee Surg Sports Traumatol Arthrosc 24(2):585–592CrossRefPubMed
2.
Zurück zum Zitat Armitage MS, Faber KJ, Drosdowech DS, Litchfield RB, Athwal GS (2010) Humeral head bone defects: remplissage, allograft, and arthroplasty. Orthop Clin N Am 41(3):417–425CrossRef Armitage MS, Faber KJ, Drosdowech DS, Litchfield RB, Athwal GS (2010) Humeral head bone defects: remplissage, allograft, and arthroplasty. Orthop Clin N Am 41(3):417–425CrossRef
3.
4.
Zurück zum Zitat Hawkins RJ, Neer CS 2nd, Pianta RM, Mendoza FX (1987) Locked posterior dislocation of the shoulder. J Bone Joint Surg Am 69(1):9–18CrossRefPubMed Hawkins RJ, Neer CS 2nd, Pianta RM, Mendoza FX (1987) Locked posterior dislocation of the shoulder. J Bone Joint Surg Am 69(1):9–18CrossRefPubMed
5.
Zurück zum Zitat 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(4):286–292CrossRefPubMed 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(4):286–292CrossRefPubMed
6.
Zurück zum Zitat Kowalsky MS, Levine WN (2008) Traumatic posterior glenohumeral dislocation: classification, pathoanatomy, diagnosis, and treatment. Orthop Clin N Am 39(4):519–533CrossRef Kowalsky MS, Levine WN (2008) Traumatic posterior glenohumeral dislocation: classification, pathoanatomy, diagnosis, and treatment. Orthop Clin N Am 39(4):519–533CrossRef
7.
Zurück zum Zitat Krackhardt T, Schewe B, Albrecht D, Weise K (2006) Arthroscopic fixation of the subscapularis tendon in the reverse Hill–Sachs lesion for traumatic unidirectional posterior dislocation of the shoulder. Arthroscopy 22(2):227.e1–227.e6CrossRef Krackhardt T, Schewe B, Albrecht D, Weise K (2006) Arthroscopic fixation of the subscapularis tendon in the reverse Hill–Sachs lesion for traumatic unidirectional posterior dislocation of the shoulder. Arthroscopy 22(2):227.e1–227.e6CrossRef
8.
Zurück zum Zitat Matsen F, Lippitt S, Bertlesen A, Rockwood C, Wirth M (2009) Glenohumeral instability. In: Rockwood C, Matsen F, Wirth M, Lippitt S, Fehringer E, Sperling J (eds) The shoulder, 4th edn. Saunders Elsevier, Philadelphia, pp 617–770 Matsen F, Lippitt S, Bertlesen A, Rockwood C, Wirth M (2009) Glenohumeral instability. In: Rockwood C, Matsen F, Wirth M, Lippitt S, Fehringer E, Sperling J (eds) The shoulder, 4th edn. Saunders Elsevier, Philadelphia, pp 617–770
9.
Zurück zum Zitat McLaughlin H (1952) Posterior dislocation of the shoulder. J Bone Joint Surg Am 24 A(3):584–590CrossRefPubMed McLaughlin H (1952) Posterior dislocation of the shoulder. J Bone Joint Surg Am 24 A(3):584–590CrossRefPubMed
10.
Zurück zum Zitat Provencher MT, Frank RM, Leclere LE, Metzger PD, Ryu JJ, Bernhardson A, Romeo AA (2012) The Hill–Sachs lesion: diagnosis, classification, and management. J Am Acad Orthop Surg 20(4):242–252CrossRefPubMed Provencher MT, Frank RM, Leclere LE, Metzger PD, Ryu JJ, Bernhardson A, Romeo AA (2012) The Hill–Sachs lesion: diagnosis, classification, and management. J Am Acad Orthop Surg 20(4):242–252CrossRefPubMed
11.
Zurück zum Zitat Robinson CM, Aderinto J (2005) Posterior shoulder dislocations and fracture-dislocations. J Bone Joint Surg Am 87(3):639–650CrossRefPubMed Robinson CM, Aderinto J (2005) Posterior shoulder dislocations and fracture-dislocations. J Bone Joint Surg Am 87(3):639–650CrossRefPubMed
12.
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(17):1605–1613CrossRefPubMed 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(17):1605–1613CrossRefPubMed
13.
Zurück zum Zitat Rouleau DM, Hebert-Davies J (2012) Incidence of associated injury in posterior shoulder dislocation: systematic review of the literature. J Orthop Trauma 26(4):246–251CrossRefPubMed Rouleau DM, Hebert-Davies J (2012) Incidence of associated injury in posterior shoulder dislocation: systematic review of the literature. J Orthop Trauma 26(4):246–251CrossRefPubMed
14.
Zurück zum Zitat Rouleau DM, Hebert-Davies J, Robinson CM (2014) Acute traumatic posterior shoulder dislocation. J Am Acad Orthop Surg 22(3):145–152CrossRefPubMed Rouleau DM, Hebert-Davies J, Robinson CM (2014) Acute traumatic posterior shoulder dislocation. J Am Acad Orthop Surg 22(3):145–152CrossRefPubMed
15.
Zurück zum Zitat Rowe CR, Zarins B (1982) Chronic unreduced dislocations of the shoulder. J Bone Joint Surg Am 64(4):494–505CrossRefPubMed Rowe CR, Zarins B (1982) Chronic unreduced dislocations of the shoulder. J Bone Joint Surg Am 64(4):494–505CrossRefPubMed
16.
Zurück zum Zitat Saupe N, White LM, Bleakney R, Schweitzer ME, Recht MP, Jost B, Zanetti M (2008) Acute traumatic posterior shoulder dislocation: MR findings. Radiology 248(1):185–193CrossRefPubMed Saupe N, White LM, Bleakney R, Schweitzer ME, Recht MP, Jost B, Zanetti M (2008) Acute traumatic posterior shoulder dislocation: MR findings. Radiology 248(1):185–193CrossRefPubMed
Metadaten
Titel
Posterior shoulder dislocation with a reverse Hill–Sachs lesion treated with frozen femoral head bone allograft combined with osteochondral autograft transfer
verfasst von
Dimitrios S. Mastrokalos
Georgios N. Panagopoulos
Ioannis P. Galanopoulos
Panayiotis J. Papagelopoulos
Publikationsdatum
23.06.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 10/2017
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-016-4220-0

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