A Modified Reverse Remplissage Procedure for Management of a Locked Posterior Shoulder Dislocation
Posterior shoulder dislocation is rare and often represents a diagnostic and therapeutic challenge. An impaction fracture of the anteroinferior aspect of the humeral head (called a reverse Hill-Sachs (RHS) fracture) is always present in case of chronic locked posterior dislocation. Surgical manageme...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2020/8625368 |
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| author | Xavier Zwiebel Stéphane Pelet Alexandre Leclerc |
| author_facet | Xavier Zwiebel Stéphane Pelet Alexandre Leclerc |
| author_sort | Xavier Zwiebel |
| collection | DOAJ |
| description | Posterior shoulder dislocation is rare and often represents a diagnostic and therapeutic challenge. An impaction fracture of the anteroinferior aspect of the humeral head (called a reverse Hill-Sachs (RHS) fracture) is always present in case of chronic locked posterior dislocation. Surgical management is required and decided on the delay between the trauma and the diagnosis and the importance of the RHS (in percentage). The authors present a chronic locked posterior shoulder dislocation in a 32-year-old active male with a reverse Hill-Sachs lesion of more than 40%. An open reduction was required, and stabilization was achieved with a modified remplissage technique with detachment of the upper quarter of the subscapularis tendon. Three years after the surgery, the patient recovered an excellent functional level with a stable shoulder. |
| format | Article |
| id | doaj-art-5b12179e250944e09f5d5aad86ab471a |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-5b12179e250944e09f5d5aad86ab471a2025-02-03T01:27:03ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/86253688625368A Modified Reverse Remplissage Procedure for Management of a Locked Posterior Shoulder DislocationXavier Zwiebel0Stéphane Pelet1Alexandre Leclerc2Université Laval, Pavillon Ferdinand-Vandry, 1050 Avenue de la Médecine, Quebec City, QC, G1V 0A6, CanadaDepartment of Orthopaedic Surgery, CHU de Québec–Hopital de l’Enfant-Jésus, 1401, 18ème Rue, Quebec City, QC, G1J 1Z4, CanadaDepartment of Orthopaedic Surgery, CHU de Québec–Centre Hospitalier de l’Université Laval (CHUL), 2705 Laurier Boulevard, Quebec City, QC, G1V 4G2, CanadaPosterior shoulder dislocation is rare and often represents a diagnostic and therapeutic challenge. An impaction fracture of the anteroinferior aspect of the humeral head (called a reverse Hill-Sachs (RHS) fracture) is always present in case of chronic locked posterior dislocation. Surgical management is required and decided on the delay between the trauma and the diagnosis and the importance of the RHS (in percentage). The authors present a chronic locked posterior shoulder dislocation in a 32-year-old active male with a reverse Hill-Sachs lesion of more than 40%. An open reduction was required, and stabilization was achieved with a modified remplissage technique with detachment of the upper quarter of the subscapularis tendon. Three years after the surgery, the patient recovered an excellent functional level with a stable shoulder.http://dx.doi.org/10.1155/2020/8625368 |
| spellingShingle | Xavier Zwiebel Stéphane Pelet Alexandre Leclerc A Modified Reverse Remplissage Procedure for Management of a Locked Posterior Shoulder Dislocation Case Reports in Orthopedics |
| title | A Modified Reverse Remplissage Procedure for Management of a Locked Posterior Shoulder Dislocation |
| title_full | A Modified Reverse Remplissage Procedure for Management of a Locked Posterior Shoulder Dislocation |
| title_fullStr | A Modified Reverse Remplissage Procedure for Management of a Locked Posterior Shoulder Dislocation |
| title_full_unstemmed | A Modified Reverse Remplissage Procedure for Management of a Locked Posterior Shoulder Dislocation |
| title_short | A Modified Reverse Remplissage Procedure for Management of a Locked Posterior Shoulder Dislocation |
| title_sort | modified reverse remplissage procedure for management of a locked posterior shoulder dislocation |
| url | http://dx.doi.org/10.1155/2020/8625368 |
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