Chronic locked posterior shoulder dislocation with severe head involvement

Arthroplasty is the treatment of choice for severely damaged humeral heads in chronic locked posterior dislocation of the shoulder. We retrospectively reviewed the results of 12 shoulder arthroplasties (11 patients) between 1999 and 2005. Mean follow-up was 37.4 ± 16.8 months. Mean postoperative Con...

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Veröffentlicht in:International orthopaedics 2010-01, Vol.34 (1), p.79-84
Hauptverfasser: Gavriilidis, Iosif, Magosch, Petra, Lichtenberg, Sven, Habermeyer, Peter, Kircher, Jörn
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container_issue 1
container_start_page 79
container_title International orthopaedics
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creator Gavriilidis, Iosif
Magosch, Petra
Lichtenberg, Sven
Habermeyer, Peter
Kircher, Jörn
description Arthroplasty is the treatment of choice for severely damaged humeral heads in chronic locked posterior dislocation of the shoulder. We retrospectively reviewed the results of 12 shoulder arthroplasties (11 patients) between 1999 and 2005. Mean follow-up was 37.4 ± 16.8 months. Mean postoperative Constant score (CS) was 59.4 ± 21.6 (normative age and gender-related CS 67.1 ± 24). There was a significant improvement in range of motion for flexion, abduction and external rotation. There was negative correlation (Pearson’s coefficient) between the related CS and number of previous operations, pain and duration of symptoms. One patient underwent revision surgery 36 months postoperatively with polyethylene insert exchange. There were two patients with mild and one with severe migration of the humeral head. Shoulder arthroplasty resulted in good midterm results for this patient group with benefits for range of motion, pain and patient satisfaction.
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subjects Adult
Arthroplasty - adverse effects
Arthroplasty - methods
Female
Humans
Humerus - injuries
Humerus - pathology
Humerus - surgery
Male
Medicine
Medicine & Public Health
Middle Aged
Movement
Original Paper
Orthopedics
Pain
Patient Satisfaction
Postoperative Complications - etiology
Postoperative Complications - surgery
Range of Motion, Articular
Reoperation
Retrospective Studies
Rotation
Shoulder Dislocation - pathology
Shoulder Dislocation - surgery
Shoulder Joint - pathology
Shoulder Joint - physiopathology
Shoulder Joint - surgery
Treatment Outcome
title Chronic locked posterior shoulder dislocation with severe head involvement
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