Surgical Approaches, Pitfalls and Outcomes of Posterior Fracture Dislocations of the Shoulder—A Critical Review
Posterior fracture dislocation of the shoulder is rare injury. Treatment is challenging especially for a complex type fracture dislocation with delayed presentation or a reverse Hill-Sachs lesion. We reviewed the surgical approaches, the reduction and fixation techniques, management of reverse Hill-...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2013-12-01
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| Series: | Journal of Orthopaedics, Trauma and Rehabilitation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2210491713000237 |
| _version_ | 1828397172000817152 |
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| author | Wing-Hang Angela Ho Chor-Yat Stephen Chung Yuen-Fong Ho |
| author_facet | Wing-Hang Angela Ho Chor-Yat Stephen Chung Yuen-Fong Ho |
| author_sort | Wing-Hang Angela Ho |
| collection | DOAJ |
| description | Posterior fracture dislocation of the shoulder is rare injury. Treatment is challenging especially for a complex type fracture dislocation with delayed presentation or a reverse Hill-Sachs lesion. We reviewed the surgical approaches, the reduction and fixation techniques, management of reverse Hill-Sachs lesion, pitfalls, and outcomes. We also shared our experience in treating a short case series of posterior fracture dislocation of the shoulder. There were no major complications such as wound infection, nerve palsy, non-union or avascular necrosis of the humeral head in our patients. All could cope with the original activities and had satisfactory recoveries of shoulder functions. The anterior deltopectoral approach alone had some limitation especially in the delayed cases and with complex fracture dislocation. The Utility approach was noted to be a versatile approach for the chronic or delayed cases. |
| first_indexed | 2024-12-10T08:41:59Z |
| format | Article |
| id | doaj.art-bbc50b09f4304c4d9cf330010aeb3d7f |
| institution | Directory Open Access Journal |
| issn | 2210-4917 |
| language | English |
| last_indexed | 2024-12-10T08:41:59Z |
| publishDate | 2013-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedics, Trauma and Rehabilitation |
| spelling | doaj.art-bbc50b09f4304c4d9cf330010aeb3d7f2022-12-22T01:55:49ZengSAGE PublishingJournal of Orthopaedics, Trauma and Rehabilitation2210-49172013-12-01172616510.1016/j.jotr.2013.05.002Surgical Approaches, Pitfalls and Outcomes of Posterior Fracture Dislocations of the Shoulder—A Critical ReviewWing-Hang Angela HoChor-Yat Stephen ChungYuen-Fong HoPosterior fracture dislocation of the shoulder is rare injury. Treatment is challenging especially for a complex type fracture dislocation with delayed presentation or a reverse Hill-Sachs lesion. We reviewed the surgical approaches, the reduction and fixation techniques, management of reverse Hill-Sachs lesion, pitfalls, and outcomes. We also shared our experience in treating a short case series of posterior fracture dislocation of the shoulder. There were no major complications such as wound infection, nerve palsy, non-union or avascular necrosis of the humeral head in our patients. All could cope with the original activities and had satisfactory recoveries of shoulder functions. The anterior deltopectoral approach alone had some limitation especially in the delayed cases and with complex fracture dislocation. The Utility approach was noted to be a versatile approach for the chronic or delayed cases.http://www.sciencedirect.com/science/article/pii/S2210491713000237surgical approachposterior fracture dislocationshoulder |
| spellingShingle | Wing-Hang Angela Ho Chor-Yat Stephen Chung Yuen-Fong Ho Surgical Approaches, Pitfalls and Outcomes of Posterior Fracture Dislocations of the Shoulder—A Critical Review Journal of Orthopaedics, Trauma and Rehabilitation surgical approach posterior fracture dislocation shoulder |
| title | Surgical Approaches, Pitfalls and Outcomes of Posterior Fracture Dislocations of the Shoulder—A Critical Review |
| title_full | Surgical Approaches, Pitfalls and Outcomes of Posterior Fracture Dislocations of the Shoulder—A Critical Review |
| title_fullStr | Surgical Approaches, Pitfalls and Outcomes of Posterior Fracture Dislocations of the Shoulder—A Critical Review |
| title_full_unstemmed | Surgical Approaches, Pitfalls and Outcomes of Posterior Fracture Dislocations of the Shoulder—A Critical Review |
| title_short | Surgical Approaches, Pitfalls and Outcomes of Posterior Fracture Dislocations of the Shoulder—A Critical Review |
| title_sort | surgical approaches pitfalls and outcomes of posterior fracture dislocations of the shoulder a critical review |
| topic | surgical approach posterior fracture dislocation shoulder |
| url | http://www.sciencedirect.com/science/article/pii/S2210491713000237 |
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