Missed posterior shoulder dislocation and McLaughlin lesion after an electrocution accident
【Abstract】Posterior shoulder dislocation is a rare event that may occur after a direct trauma, an epileptic seizure, electric shock or electroconvulsive therapy. In more than 50% of the cases, posterior dislocations are missed on initial evaluation and often misdiagnosed as frozen shoul-ders wit...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2012-12-01
|
| Series: | Chinese Journal of Traumatology |
| Online Access: | http://www.cjtrauma.com/apps/ojs/index.php/cjt/article/view/345 |
| Summary: | 【Abstract】Posterior shoulder dislocation is a rare
event that may occur after a direct trauma, an epileptic
seizure, electric shock or electroconvulsive therapy. In more
than 50% of the cases, posterior dislocations are missed on
initial evaluation and often misdiagnosed as frozen shoul-ders with unfortunate consequences. We present the case
of a missed posterior subluxation and reverse Hill Sachs
lesion (McLaughlin lesion) in a 40-year-old woman caused
by anelectric shock of 240 V. The patient underwent sur-gery in our institute two weeks after the injury. The humeral
head was reduced and the reverse Hill Sachs lesion was
filled by demineralized bone matrix allograft with
osteoinductive factors. Tendons were repaired and a
temporaneous artrodesis was performed. At the final follow
up of 12 months, we obtained a Costant Score of 93 and the
patient returned to her previous daily activities.
Key words: Shoulder dislocation; Electric injuries;
Bone matrix |
|---|---|
| ISSN: | 1008-1275 |