Transfer of the lesser tuberosity for reverse Hill-Sachs lesions after neglected posterior dislocations of the shoulder: A retrospective clinical study of 13 cases
Objective: This study aimed to present middle-term functional and radiological outcomes of the transfer of the lesser tuberosity in the management of reverse Hill-Sachs lesions following posterior dislocations of the shoulder. Patients and methods: With a diagnosis of neglected posterior shoulder di...
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| Format: | Article |
| Language: | English |
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AVES
2017-10-01
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| Series: | Acta Orthopaedica et Traumatologica Turcica |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1017995X17301736 |
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| author | Mehmet Demirel Ali Erşen Gökhan Karademir Ata Can Atalar Mehmet Demirhan |
| author_facet | Mehmet Demirel Ali Erşen Gökhan Karademir Ata Can Atalar Mehmet Demirhan |
| author_sort | Mehmet Demirel |
| collection | DOAJ |
| description | Objective: This study aimed to present middle-term functional and radiological outcomes of the transfer of the lesser tuberosity in the management of reverse Hill-Sachs lesions following posterior dislocations of the shoulder. Patients and methods: With a diagnosis of neglected posterior shoulder dislocation (8 locked, 5 recurrent), 13 male patients (age range: 28–72; mean age: 39.3 years) who underwent the transfer of the lesser tuberosity due to reverse Hill-Sachs lesions, were retrospectively reviewed based on functional and radiological data. The etiologies were: epilepsy in 9 patients, a traffic accident in 2 patients, and fall in 2 patients. To assess the patients' functional level, American Shoulder and Elbow Surgeons (ASES) and Constant Scores were used, and the patients' range of motion at the last follow-up was measured. To evaluate the development of arthrosis, the final follow-up control plain radiographs were examined. The average size of the defects calculated from the axial computed tomography sets was 27% (range: 20%–40%). Results: The average length of follow-up was 30 months (range: 12–67 months). At the last follow-up visit, the main ASES and Constant Scores were 78 and 85, respectively, and the average degrees of flexion, abduction, and external rotation were 163°, 151°, and 70° respectively. The concentric reduction was observed postoperatively. Conclusion: McLaughlin procedure appears to be a safe and effective method in the treatment of neglected posterior shoulder dislocations with reverse Hill-Sachs lesion. Level of Evidence: Level IV, Therapeutic study. Keywords: Posterior shoulder dislocation, Reverse Hill-Sachs lesion, McLaughlin procedure, Transfer of the lesser tuberosity |
| first_indexed | 2024-04-10T14:01:51Z |
| format | Article |
| id | doaj.art-1e2ea2412da346f8845a2e4a5240df5c |
| institution | Directory Open Access Journal |
| issn | 1017-995X |
| language | English |
| last_indexed | 2024-04-10T14:01:51Z |
| publishDate | 2017-10-01 |
| publisher | AVES |
| record_format | Article |
| series | Acta Orthopaedica et Traumatologica Turcica |
| spelling | doaj.art-1e2ea2412da346f8845a2e4a5240df5c2023-02-15T16:10:13ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2017-10-01515362366Transfer of the lesser tuberosity for reverse Hill-Sachs lesions after neglected posterior dislocations of the shoulder: A retrospective clinical study of 13 casesMehmet Demirel0Ali Erşen1Gökhan Karademir2Ata Can Atalar3Mehmet Demirhan4Istanbul University, Istanbul Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul, Turkey; Corresponding author. Fax: +90 212 410 15 00.Istanbul University, Istanbul Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul, TurkeyIstanbul University, Istanbul Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul, TurkeyIstanbul University, Istanbul Faculty of Medicine, Department of Orthopedics and Traumatology, Istanbul, TurkeyKoç University, School of Medicine, Department of Orthopedics and Traumatology, Istanbul, TurkeyObjective: This study aimed to present middle-term functional and radiological outcomes of the transfer of the lesser tuberosity in the management of reverse Hill-Sachs lesions following posterior dislocations of the shoulder. Patients and methods: With a diagnosis of neglected posterior shoulder dislocation (8 locked, 5 recurrent), 13 male patients (age range: 28–72; mean age: 39.3 years) who underwent the transfer of the lesser tuberosity due to reverse Hill-Sachs lesions, were retrospectively reviewed based on functional and radiological data. The etiologies were: epilepsy in 9 patients, a traffic accident in 2 patients, and fall in 2 patients. To assess the patients' functional level, American Shoulder and Elbow Surgeons (ASES) and Constant Scores were used, and the patients' range of motion at the last follow-up was measured. To evaluate the development of arthrosis, the final follow-up control plain radiographs were examined. The average size of the defects calculated from the axial computed tomography sets was 27% (range: 20%–40%). Results: The average length of follow-up was 30 months (range: 12–67 months). At the last follow-up visit, the main ASES and Constant Scores were 78 and 85, respectively, and the average degrees of flexion, abduction, and external rotation were 163°, 151°, and 70° respectively. The concentric reduction was observed postoperatively. Conclusion: McLaughlin procedure appears to be a safe and effective method in the treatment of neglected posterior shoulder dislocations with reverse Hill-Sachs lesion. Level of Evidence: Level IV, Therapeutic study. Keywords: Posterior shoulder dislocation, Reverse Hill-Sachs lesion, McLaughlin procedure, Transfer of the lesser tuberosityhttp://www.sciencedirect.com/science/article/pii/S1017995X17301736 |
| spellingShingle | Mehmet Demirel Ali Erşen Gökhan Karademir Ata Can Atalar Mehmet Demirhan Transfer of the lesser tuberosity for reverse Hill-Sachs lesions after neglected posterior dislocations of the shoulder: A retrospective clinical study of 13 cases Acta Orthopaedica et Traumatologica Turcica |
| title | Transfer of the lesser tuberosity for reverse Hill-Sachs lesions after neglected posterior dislocations of the shoulder: A retrospective clinical study of 13 cases |
| title_full | Transfer of the lesser tuberosity for reverse Hill-Sachs lesions after neglected posterior dislocations of the shoulder: A retrospective clinical study of 13 cases |
| title_fullStr | Transfer of the lesser tuberosity for reverse Hill-Sachs lesions after neglected posterior dislocations of the shoulder: A retrospective clinical study of 13 cases |
| title_full_unstemmed | Transfer of the lesser tuberosity for reverse Hill-Sachs lesions after neglected posterior dislocations of the shoulder: A retrospective clinical study of 13 cases |
| title_short | Transfer of the lesser tuberosity for reverse Hill-Sachs lesions after neglected posterior dislocations of the shoulder: A retrospective clinical study of 13 cases |
| title_sort | transfer of the lesser tuberosity for reverse hill sachs lesions after neglected posterior dislocations of the shoulder a retrospective clinical study of 13 cases |
| url | http://www.sciencedirect.com/science/article/pii/S1017995X17301736 |
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