ArticleInternational orthopaedics2013
Balloon treatment of posterior shoulder dislocation with reverse Hill-Sachs injury: description of a new technique.
Article in International orthopaedics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 17 citations in OpenAlex.
- Surgical treatment of locked posterior shoulder dislocations with modified McLaughlin procedure: Case series and review of treatment possibilities of reverse Hill-Sachs defect.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2026Article
- Article
- Arthroscopic Subdeltoid Humeroplasty in the Beach-Chair Position for Reverse Hill-Sachs Lesions.Arthroscopy techniques · 2024Article
- Epidemiology and specific features of shoulder injuries in patients affected by epileptic seizures.Archives of orthopaedic and trauma surgery · 2023Article
- A novel modified McLaughlin surgery for treating locked chronic posterior shoulder dislocation.BMC musculoskeletal disorders · 2023Article
- Arthroscopic reduction and subscapularis remplissage (ARR) of chronic posterior locked shoulder dislocation leads to optimized outcomes and low rate of complications.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- The dual subscapularis procedure: a modified Hawkins' technique for neglected posterior fracture/dislocation of the shoulder.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Article
- Locked posterior dislocation of the shoulder: A systematic review.EFORT open reviews · 2018Article
- Arthroscopic Reduction and Balloon Humeroplasty in the Treatment of Acute Hill-Sachs Lesions.Arthroscopy techniques · 2016Article
- Posterior bone block of chronic locked posterior shoulder dislocations with glenoid augmentation: a retrospective evaluation of ten shoulders.International orthopaedics · 2016Article
- History of shoulder instability surgery.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Article
- Balloon-guided inflation osteoplasty in the treatment of Hill-Sachs lesions of the humeral head: case report of a new technique.Patient safety in surgery · 2016Article
- Experimental study of high-energy fractures delayed operation in promote bone healing.International journal of clinical and experimental medicine · 2015Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePosterior shoulder dislocations are rare, and are usually the result of seizures. Anterior defects of the humeral head known as "reverse Hill-Sachs lesions" may increase the risk of recurrent dislocation and are difficult to treat. We developed a percutaneous technique for reduction of the dislocation or reduction of the anterior impaction fracture, using percutaneous balloon dilatation and cement fixation.
methodsFrom 2009 to 2012, three patients aged 33, 72 and 75 years were admitted to our institution with a posterior shoulder dislocation showing an anterior "reverse Hill-Sachs" impaction fracture. One case was bilateral (four fractures). Patients were operated upon in the sitting position; the humeral head was stabilised by external fixator pins during balloon inflation. Reduction or filling of the defect was obtained in all cases. All patients were followed up and two patients (three fractures) were examined after one year by an independent observer. The clinical results were assessed using the Constant score and the RAND-36 physical components score. A computed tomography (CT) scan was obtained in all patients before and after the operation and at the latest follow-up.
resultsAt three months postoperatively, all patients had resumed work or daily life activities with no limitation. The mean Constant score was 71 and RAND-36 score was 85.5. After one year, the mean Constant score was 73 and the RAND-36 score was 86.4 for the two patients who had sufficient follow-up. On the postoperative radiograph and CT scan, sphericity of the humeral head was restored, and the reverse Hill-Sachs impaction was filled or reduced in all cases. There was no recurrent dislocation.
conclusionBased on this small series, we believe that this technique should be added to our current armamentarium for posterior shoulder dislocations showing a deep impaction fracture of the humeral head that are at risk for recurrent dislocation.
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