Posterior shoulder dislocation with associated reverse Hill-Sachs lesion: treatment options and functional outcome after a 5-year follow up

BMC Musculoskeletal Disorders

Research Article

Patrick Ziegler¹  Ulrich Stoeckle¹  Markus Guehring¹  Simon Lambert² 

[1] Department for Traumatology and Reconstructive Surgery, BG Trauma Center Tübingen, University of Tübingen, Schnarrenbergstr 95, 72076, Tuebingen, Germany;Shoulder and Elbow Service, Royal National Orthopaedic Hospital, HA7 4LP, Stanmore, UK;

关键词: Posterior shoulder dislocation;    Defect size;    Osteosynthesis;    Outcome;   

DOI  :  10.1186/s12891-017-1808-6

 received in 2017-07-02, accepted in 2017-11-06,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe current study describes several surgical techniques for the treatment of the reverse Hill - Sachs lesion after posterior shoulder dislocation; we also aimed to present long term results followed for a minimum of five years.MethodsThis study is a prospective case series of 17 patients who were treated in our clinic between 2008 and 2011. Patients with a defect size smaller than 25% of the articular surface were treated conservatively. An endoprosthesis of the glenohumeral joint was implanted in patients with a defect size bigger than 40%. All remaining patients were treated by a variety of operative techniques, depending on the quality of the bone and size of the defect.ResultsTwelve of seventeen patients had a defect size of the humeral articular surface between 25% and 40% with a mean age of 39 years. Depending on the defect size these patients were treated with retrograde chondral elevation, antegrade cylindrical graft or a graft of the iliac bone crest with an open approach. All the procedures showed fair results, e.g. the open approach with a graft of the iliac bone crest (2010: Dash 3.89, Constant 90.33, Rowe 86.67; 2015: Dash 2.22, Constant 92.00, Rowe 93.33).ConclusionThe open approach is not a disadvantage for the functional outcome. The treatment algorithm should involve the superficial size of the defect as well as the depth of the defect and the time interval between the dislocation and the surgical treatment.Trial registration223/2012BO2, 02 August 2010.

【 授权许可】

CC BY   
© The Author(s). 2017