JBJS | A Modification of the McLaughlin Procedure as Salvage for Missed Locked Posterior Fracture-Dislocation of the Humeral Head : A Case Report

The Journal of Bone & Joint Surgery, Volume 84, Issue 5

Case Reports | May 01, 2002

A Modification of the McLaughlin Procedure as Salvage for Missed Locked Posterior Fracture-Dislocation of the Humeral Head : A Case Report

Geoffrey F. Dervin, MD, FRCSC; Jacques A. Brunet, MD, FRCSC; David C. Healey, MD, FRCSC

The Journal of Bone & Joint Surgery. 2002; 84:804-807

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The management of posterior dislocation of the shoulder after delayed diagnosis is complicated ^1-5 . Associated fractures, particularly of the humeral head, are frequently encountered. Anterior impression fractures (reverse Hill-Sachs fractures ⁶ ) are most common and have been treated with a variety of methods ^4,7-11 . Other humeral head fractures have been infrequently reported. Richards and Clarke ¹² apparently first described a complete humeral head fracture associated with posterior dislocation, and Swamy and Schemitsch ¹³ also described a completely displaced humeral head fracture. These injuries were recognized and treated acutely with open reduction and internal fixation of the humeral head fragment. We describe a similar case of a missed posterior fracture-dislocation of the humeral head that required treatment.

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Topics

humeral head fracture-dislocation ; subscapularis tendon transfer ; humerus head ; fracture ; dislocations ; shoulder region

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These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

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