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Introduction Locked posterior dislocation of the shoulder (LPDS) is an uncommon condition that is often misdiagnosed and becomes chronic due to an inadequate physical examination. LPDS cases include actual fracture-dislocations, impression
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findings and this results as a posteriorly locked humeral head. Due to the low number of the patients with locked posterior shoulder dislocations, there is not a large patient cohort and it is not possible to conclude an evidence-based treatment strategy
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accidents, generating forced internal rotation, flexion, and adduction of the shoulder, resulting in locked posterior dislocation which, if left untreated, turns into a chronic condition ( 29 , 30 ). Type C2 might also occur as a progression of an acute
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, climbers, and weightlifters, its incidence can be much higher, representing up to 24% of all young and active patients that are treated surgically for shoulder instability ( 2 , 3 , 4 ). The structural and biomechanical characteristics of posterior
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all posterior fracture dislocations are physeal separations. 65 , 66 Although various reduction techniques have been described, the principles include hyperextension of the shoulder of the involved side either on a padded wedge or the surgeon
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School of Surgery, University of Western Australia, Perth, Australia
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’Appareil Moteur 1987 73 609 – 616 . 17 Craig EV . The posterior mechanism of acute anterior shoulder dislocations . Clinical Orthopaedics and Related Research 1984 ( 190 ) 212 – 216 . ( https://doi.org/10.1097/00003086-198411000-00034 ) 18 Domos P
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; b) axial view of a CT scan of the shoulder showing 35° of retroversion; c) AP radiograph of the shoulder treated with RTSA without bone grafting. Chronic locked glenohumeral joint dislocation Chronic locked glenohumeral dislocation
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Faculty of Medicine, University of Geneva, Geneva, Switzerland
Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland
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, unreduced posterior dislocation of the shoulder . Knee Surg Sports Traumatol Arthrosc 2005 ; 13 : 151 – 155 . 59. Banerjee M Balke M Bouillon B et al. Excellent results of lesser tuberosity transfer in acute locked
Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
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Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia
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Division of Orthopaedics and Trauma Surgery, Department of Surgery, Geneva University Hospitals, Geneva, Switzerland
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years using revision as the end point. 36 Fig. 1 (a) Transthoracic view of a patient with bilateral reverse shoulder arthroplasty (RSA) glenoid migration and prosthetic dislocation. (b) Antero-posterior view of right shoulder showing loosening
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. The main culprit for this difficulty is the unique complexity of glenohumeral joint stability. Three different instability forms were reported according to the direction of the dislocation: anteroinferior dislocation accompanying posterior