Treatment of Chronic Locked Posterior Dislocation of the Shoulder with the modified McLaughlin procedure

Author(s):  
Marcio Theo Cohen ◽  
Raphael Fonseca ◽  
Marcus Vinicius Galvão Amaral ◽  
Martim Teixeira Monteiro ◽  
Geraldo Rocha Motta Filho
Author(s):  
Shreekantha Koteshwara Surendra Rao ◽  
Deepak Malik ◽  
Gowthama Pradhaban ◽  
Mohammed Usman

<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>


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

Author(s):  
E. A. Belyak ◽  
A. P. Prizov ◽  
M. F. Lazko ◽  
I. V. Grigor’ev ◽  
N. V. Zagorodniy ◽  
...  

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. 


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 ◽  
...  

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.


2018 ◽  
Vol 8 (2) ◽  
pp. 447-452
Author(s):  
Gökhan Bulent Sever ◽  
Mehmet Cenk Cankus ◽  
Faruk Aykanat ◽  
Mehmet Dokur ◽  
Zekiye Ipek Katırcı Kirmaci

SICOT-J ◽  
2021 ◽  
Vol 7 ◽  
pp. 24
Author(s):  
Konstantinos Kazamias ◽  
Vasiliki Bisbinas ◽  
George Markopoulos ◽  
Stavros Pellios ◽  
Ilias Bisbinas

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.


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