Successful Treatment of Chronic, Locked Posterior Shoulder Dislocations in Young Trauma Patients with the Modified McLaughlin Procedure

2006 ◽  
Vol 32 (2) ◽  
pp. 179-184 ◽  
Author(s):  
Christopher M. Burkett ◽  
Craig S. Roberts ◽  
Glen A. Franklin
Keyword(s):  
Successful Treatment ◽  
Trauma Patients ◽  
Posterior Shoulder ◽  
Mclaughlin Procedure ◽  
Modified Mclaughlin Procedure

scholarly journals Posterior shoulder dislocation with reverse Hill-Sachs lesion. A technical note and report of two cases

SICOT-J ◽  
2021 ◽  
Vol 7 ◽  
pp. 24
Author(s):  
Konstantinos Kazamias ◽  
Vasiliki Bisbinas ◽  
George Markopoulos ◽  
Stavros Pellios ◽  
Ilias Bisbinas
Keyword(s):  
Surgical Treatment ◽  
Shoulder Dislocation ◽  
Early Mobilization ◽  
Technical Note ◽  
Posterior Shoulder Dislocation ◽  
Rare Injury ◽  
Posterior Shoulder ◽  
Mclaughlin Procedure ◽  
Modified Mclaughlin Procedure

Posterior shoulder dislocation (PSD) with a reverse Hill-Sachs lesion is a rare injury with challenging management. This article is a technical note, describing the combination of both, modified McLaughlin procedure with posterior Bankart repair, for the surgical treatment of traumatic PSD associated with a substantial reverse Hill-Sachs lesion. Two patients with mid-term follow-up are presented. Approaching and repairing both sides of the joint, balance and congruency are restored, the humeral head is centralized in the glenoid and the patient starts early mobilization and rehabilitation safely.

scholarly journals Discussion on the Key Factors for the Treatment of Extremely High-risk Abdominal Trauma Patients With Partial Full-thickness Abdominal Wall Defects

2021 ◽  
Author(s):  
JiaQing Gong ◽  
MingHui Pang ◽  
Wei Li ◽  
GuoDe Luo ◽  
ZhiBing Yuan ◽  
...  
Keyword(s):  
High Risk ◽  
Abdominal Wall ◽  
Abdominal Trauma ◽  
Successful Treatment ◽  
Damage Control ◽  
Damage Control Surgery ◽  
Abdominal Wall Defects ◽  
Trauma Patients ◽  
Full Thickness ◽  
Key Factors

Abstract BackgroundPatients with extremely high-risk abdominal trauma and full-thickness necrosis and defects of the partial abdominal wall are clinically rare, and the treatments for these patients are very difficult and complex . In this study, we will explore the key factors for successful treatment of these patients . MethodsThree patients with extremely high-risk abdominal trauma and partial full-thickness abdominal wall defects were involved in this retrospective study, and one representative case was emphatically reviewed. According to the theory of damage control surgery,the consultation and coordinated treatment of multidisciplinary team(MDT) were involved firstly, then, stepped multiple operations,such as partial perforated small bowel resection, full-thickness abdominal wall defects repair, vacuum sealing drainage (VSD), and wounds skin grafts, were performed, meanwhile, systemic life resuscitation was strengthened. ResultsTwo patients were cured and discharged after 3 and 9 operations respectively. One patient suffered 2 operations and eventually died of lung infection and respiratory failure. ConclusionThe determination and responsibility of surgeons, rational use of damage control theory and multidisciplinary cooperation should be the keys for successful treatment.

scholarly journals All-Arthroscopic McLaughlin's Procedure in Patients with Reverse Hill–Sachs Lesion Caused by Locked Posterior Shoulder Dislocation

Joints ◽  
2019 ◽  
Author(s):  
Emmanouil Brilakis ◽  
Michael-Alexander Malahias ◽  
Maria Patramani ◽  
Grigoris Avramidis ◽  
Dimitrios Gerogiannis ◽  
...  
Keyword(s):  
Shoulder Dislocation ◽  
External Rotation ◽  
The Body ◽  
Posterior Shoulder Dislocation ◽  
Locked Posterior Shoulder Dislocation ◽  
Posterior Shoulder ◽  
Retrospective Clinical Study ◽  
Clinical Series ◽  
Mclaughlin Procedure

Abstract Purpose This study aims to investigate the clinical and functional outcomes of the all-arthroscopic McLaughlin procedure in a clinical series of patients suffering by neglected locked posterior shoulder dislocation. Methods A retrospective clinical study based on prospectively collected data was conducted in a single center regarding 10 patients with neglected locked posterior shoulder dislocation and concomitant reverse Hill–Sachs lesion, who were treated with the all-arthroscopic Mclaughlin procedure. The average humeral bone defect was 39 ± 7% according to the preoperative computed tomography evaluation. The mean time of follow-up was 77 ± 16 months (range, 63–104 months). Results No patient had suffered a new dislocation, whereas all of them were satisfied with the surgical outcome and returned to their previous activities of daily living. External rotation was restored to every patient studied from 0 degrees at the baseline. At the last follow-up, the median external rotation beside the body was 90 degrees (range, 50–90 degrees; p < 0.01) and the respective measurement at 90 degrees of abduction was 90 degrees (range, 80–90 degrees; p < 0.01). The active forward flexion was increased (p < 0.01), from 60 degrees (range, 30–180 degrees) at the baseline to 180 degrees (range, 160–180 degrees) at the last follow-up and the internal rotation was gained (p < 0.01) from the level of buttock (range, lateral thigh–T12) at the baseline to the T11 level (range, T7–L3) at the last follow-up. The median UCLA score was increased from 8 (range, 4–22) to 35 (range, 33–35; p < 0.01) and the Oxford instability score from 5 (range, 3–16) to 46 (range, 43–48; p < 0.01), respectively. Conclusion The arthroscopic McLaughlin procedure in substantial reverse Hills–Sachs lesion caused by locked posterior dislocation leads to excellent clinical and functional results in the long-term follow-up. Level of Evidence This is a therapeutic study, case series with no comparison group, Level IV.

scholarly journals Arthroscopic Knotless Modified McLaughlin Procedure for Reverse Hill–Sachs Lesions

2020 ◽  
Vol 9 (1) ◽  
pp. e65-e70
Author(s):  
David L. Bernholt ◽  
Lucca Lacheta ◽  
Brandon T. Goldenberg ◽  
Peter J. Millett
Keyword(s):  
Mclaughlin Procedure ◽  
Modified Mclaughlin Procedure

scholarly journals EXPERIENCE IN USE OF MODIFIED MCLAUGHLIN PROCEDURE FOR NEGLECTED LOCKED POSTERIOR SUBLUXATION OF THE HUMERAL HEAD

2017 ◽  
pp. 46-50
Author(s):  
E. A. Belyak ◽  
A. P. Prizov ◽  
M. F. Lazko ◽  
I. V. Grigor’ev ◽  
N. V. Zagorodniy ◽  
...  
Keyword(s):  
Humeral Head ◽  
Shoulder Joint ◽  
Open Reduction ◽  
Surgical Intervention ◽  
External Rotation ◽  
Treatment Results ◽  
Defect Zone ◽  
Posterior Subluxation ◽  
Mclaughlin Procedure ◽  
Modified Mclaughlin Procedure

Treatment results for 7 patients who were operated on for neglected locked posterior subluxation of the humeral head with reverse Hill-Sachs lesion during 2013-2016 are presented. Surgical intervention included the open reduction of subluxation and transposition of thelesser tubercle of the humerusto a defect zone. Mean followup period was 14±3 months. Range of motion in shoulder joint and its function were restored almost completely with only small restriction in external rotation. No recurrence of subluxation was observed. All patients returned to professional and day-to-day activity. 

scholarly journals Experience in Use of Modified McLaughlin Procedure for Neglected Locked Posterior Subluxation of the Humeral Head

2017 ◽  
Vol 24 (3) ◽  
pp. 46-50
Author(s):  
Evgeniy A. Belyak ◽  
A. P Prizov ◽  
M. F Lazko ◽  
I. V Grigor’ev ◽  
N. V Zagorodniy ◽  
...  
Keyword(s):  
Humeral Head ◽  
Shoulder Joint ◽  
Open Reduction ◽  
Surgical Intervention ◽  
External Rotation ◽  
Treatment Results ◽  
Defect Zone ◽  
Posterior Subluxation ◽  
Mclaughlin Procedure ◽  
Modified Mclaughlin Procedure

Treatment results for 7 patients who were operated on for neglected locked posterior subluxation of the humeral head with reverse Hill-Sachs lesion during 2013-2016 are presented. Surgical intervention included the open reduction of subluxation and transposition of thelesser tubercle of the humerusto a defect zone. Mean followup period was 14±3 months. Range of motion in shoulder joint and its function were restored almost completely with only small restriction in external rotation. No recurrence of subluxation was observed. All patients returned to professional and day-to-day activity.

scholarly journals Modified Mclaughlin procedure for neglected posterior dislocation of shoulder: short-term results

2021 ◽  
Vol 7 (3) ◽  
pp. 654
Author(s):  
Shreekantha Koteshwara Surendra Rao ◽  
Deepak Malik ◽  
Gowthama Pradhaban ◽  
Mohammed Usman
Keyword(s):  
Constant Score ◽  
Tertiary Care ◽  
Case Series ◽  
Vital Role ◽  
Posterior Dislocation ◽  
Short Term ◽  
Tertiary Care Centre ◽  
Mclaughlin Procedure ◽  
Prospective Case Series ◽  
Modified Mclaughlin Procedure

<p>Between 2017 to 2020, A prospective case series for assessment of short-term outcomes was carried out on 10 shoulders with 3 being bilateral cases and diagnosed as neglected posterior dislocation of shoulder at a tertiary care centre and treated with the Modified Mclaughlin procedure. All patients had articular defect ranging from 27-46% as confirmed with computerised tomography. All the surgeries were carried out by a single team of surgeons. After 24 weeks follow up of 10 shoulders with mean age 32 years, all patients were found to have excellent results in terms of ROWE and constant score. Patients had significant reduction in VAS score. Timely diagnosis of articular involvement plays a vital role in management for which computed tomography has a pivotal role. Depending upon the articular involvement, line of management is to be decided. So, it can be concluded that, in cases of articular defect &gt;25% following posterior dislocation of shoulder, better outcomes can be achieved with modified Mclaughlin procedure in terms of radiographic union and clinical scoring.</p>

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