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...

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Main Authors: Rodia Fabio, Ventura Angelo, Touloupakis Georgios, Theodorakis Emmanouil, Ceretti Marco
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
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author Rodia Fabio
Ventura Angelo
Touloupakis Georgios
Theodorakis Emmanouil
Ceretti Marco
author_facet Rodia Fabio
Ventura Angelo
Touloupakis Georgios
Theodorakis Emmanouil
Ceretti Marco
author_sort Rodia Fabio
collection DOAJ
description 【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
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spelling doaj.art-d0d5bdc5f7c34bb3943a64d48a21b3de2022-12-22T00:47:47ZengElsevierChinese Journal of Traumatology1008-12752012-12-01156376378192Missed posterior shoulder dislocation and McLaughlin lesion after an electrocution accidentRodia FabioVentura AngeloTouloupakis GeorgiosTheodorakis EmmanouilCeretti Marco【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 matrixhttp://www.cjtrauma.com/apps/ojs/index.php/cjt/article/view/345
spellingShingle Rodia Fabio
Ventura Angelo
Touloupakis Georgios
Theodorakis Emmanouil
Ceretti Marco
Missed posterior shoulder dislocation and McLaughlin lesion after an electrocution accident
Chinese Journal of Traumatology
title Missed posterior shoulder dislocation and McLaughlin lesion after an electrocution accident
title_full Missed posterior shoulder dislocation and McLaughlin lesion after an electrocution accident
title_fullStr Missed posterior shoulder dislocation and McLaughlin lesion after an electrocution accident
title_full_unstemmed Missed posterior shoulder dislocation and McLaughlin lesion after an electrocution accident
title_short Missed posterior shoulder dislocation and McLaughlin lesion after an electrocution accident
title_sort missed posterior shoulder dislocation and mclaughlin lesion after an electrocution accident
url http://www.cjtrauma.com/apps/ojs/index.php/cjt/article/view/345
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AT venturaangelo missedposteriorshoulderdislocationandmclaughlinlesionafteranelectrocutionaccident
AT touloupakisgeorgios missedposteriorshoulderdislocationandmclaughlinlesionafteranelectrocutionaccident
AT theodorakisemmanouil missedposteriorshoulderdislocationandmclaughlinlesionafteranelectrocutionaccident
AT cerettimarco missedposteriorshoulderdislocationandmclaughlinlesionafteranelectrocutionaccident