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Reconstruction of a Neglected Posterior Dislocation of the Shoulder Through a Limited Posterior Deltoid-Splitting ApproachA Case Report
T. Karachalios, MD1; K. Bargiotas, MD1; A. Papachristos, MD1; K.N. Malizos, MD1
1 Department of Orthopaedic Surgery, University Hospital of Larissa, Larissa, Hellenic Republic, Greece. E-mail address for T. Karachalios: kar@med.uth.gr. E-mail address for K. Bargiotas: bargio@otenet.gr
The Journal of Bone & Joint Surgery.  2005; 87:630-634  doi:10.2106/JBJS.D.01942
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Traumatic posterior dislocation of the shoulder is frequently missed, and treatment is often delayed. Neglected posterior dislocations are difficult to treat, and their clinical outcome is often suboptimal1.A variety of extensile anterior deltopectoral and superior approaches for the late reduction and reconstruction of posterior dislocations have been reported1-3. Surprisingly, to the best of our knowledge, direct posterior reconstruction of such injuries has not been reported in the literature. We present the case of a patient with a neglected posterior dislocation of the shoulder who was treated with open reduction and direct anatomic repair of the posterior capsule through a posterior deltoid-splitting approach. The patient was informed that data concerning the case would be submitted for publication.
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