Glena-humeral dislocation is rare. More than the half of those dislocations is unremarked because the diagnostic is not an emergency. A delayed diagnostic alters the functional prognostic and sometimes forces to do a complex surgery with complications whose success rate remains uncertain. We report a case of inveterate posterior shoulder dislocation on a 42-year-old adult occurred during a sport accident and treated by sub-scapulars transfer (modified Mac Laughlin’s technical). The aim of this article is to highlight this pathology to ameliorate its diagnostic rate indeed prognostic. Our diagnostic approach and injury, noticed during surgery and therapeutic propositions, are described at the light of literature data on this subject.
References
[1]
Augereau, B., Leyder, P. and Et Apoil, A. (1983) Treatment of Inveterate Posterior Shoulder Dislocation by Double Approach and Retro-Glenoid Bone Abutment. Revue de Chirurgie Orthopedique, 69, 289-290.
[2]
Khiami, F. and Rolland, E. (2006) Surgical Treatment of Inveterate Posterior Shoulder Dislocation. Journal de Traumatologie du Sport, 23, 164-169.
[3]
Cunningham, G. and Hoffmeyer, P. (2011) Development, Posterior Shoulder Dislocation, Diagnostic and Therapeutic Challenges. Revue Médicale Suisse, 7, 2489-2493.
[4]
Christopher, R., et al. (2008) A Review of the Constant Score: Modifications and Guidelines for Its use. Journal of Shoulder and Elbow Surgery, 17, 355-361. https://doi.org/10.1016/j.jse.2007.06.022
[5]
El Aaoui, A., Rabhi, I., Bah, A., et al. (2015) Posterior Dislocation of the Shoulder in an Athlete Treated by the Sub-Scapular Pedicle Transfer. Pan African Medical Journal, 22, 353.
[6]
Cave, E.F., Burke, J.F. and Boyd, R.J. (1974) Trauma Management. Year Book Medical Publishers, Incorporated.
[7]
Rowe, C.R. and Zarins, B. (1982) Chronic Unreduced Dislocations of the Shoulder. The Journal of Bone and Joint Surgery, American Volume, 64, 494-505. https://doi.org/10.2106/00004623-198264040-00004
[8]
Mestdagh, H., et al. (1994) Traumatic Posterior Dislocation of the Shoulder in Adults. Apropos of 25 Cases. Annales de Chirurgie, 48, 355-363.
[9]
Robinson, C.M., Seah, M. and Akhtar, M.A. (2011) The Epidemiology, Risk of Recurrence, and Functional Outcome after an Acute Traumatic Posterior Dislocation of the Shoulder. The Journal of Bone and Joint Surgery, American Volume, 93, 1605-1613. https://doi.org/10.2106/JBJS.J.00973
[10]
Aldebeyan, S., Aoude, A. and Van Lancker, H. (2015) Traumatic Posterior Shoulder Dislocation with a Large Engaging Hill-Sachs Lesion: A Case Report and a Novel Splinting Technique. American Journal of Emergency Medicine, 26.
[11]
Randelli, M. and Gambrioli, P.L. (1986) Glenohumeral Osteometry by Computed Tomography in Normal and Unstable Shoulders. Clinical Orthopaedics, 208, 151-156.
[12]
Mac Laughlin, H.L. (1952) Posterior Dislocation of the Shoulder. The Journal of Bone and Joint Surgery, American Volume, 34-A, 584-590. https://doi.org/10.2106/00004623-195234030-00011
[13]
Hawkins, R.J., Neer, C.S., Pianta, R.M. and Mendoza, F.X. (1987) Locked Posterior Dislocation of the Shoulder. The Journal of Bone and Joint Surgery, American Volume, 69, 9-18. https://doi.org/10.2106/00004623-198769010-00003
[14]
Schliemann, B., Muder, D., Gessmann, J., et al. (2011) Locked Posterior Shoulder Dislocation: Treatment Options and Clinical Outcomes. Archives of Orthopaedic and Trauma Surgery, 131, 1727-1734.
