POSTERIOR DISLOCATION OF THE SHOULDER

¹ Department of Orthopaedic Surgery, College of Physicians and Surgeons, and the Fracture Service, New York Orthopaedic Hospital, Columbia-Presbyterian Medical Center, New York

Posterior dislocation of the humerus is a diagnostic trap. Clinical and roentgenographic evidence of this lesion is always present, but usually escapes notice unless educed. Recent lesions, recognized and treated at once, respond rapidly and well to simple measures. Recurrent or unreduced lesions require operative treatment. Irreparable damage to the glenohumeral articulation does not always require arthrodesis. The most common actual and serious potential complication of posterior dislocation of the humerus is the failure to arrive at the correct diagnosis prior to commencing treatment. Some failures of surgical treatment for habitual anterior dislocation of the humeral head result from the fact that the recurrent episodes were in reality posterior subluxations of the humerus.

CiteULike    Connotea    Del.icio.us    Technorati    What's this?

This article has been cited by other articles:

				D. T. Sahajpal and J. D. Zuckerman Chronic Glenohumeral Dislocation J. Am. Acad. Ortho. Surg., July 1, 2008; 16(7): 385 - 398. [Abstract] [Full Text] [PDF]

				J. P. Bradley, C. L. Baker III, A. J. Kline, D. R. Armfield, and A. Chhabra Arthroscopic Capsulolabral Reconstruction for Posterior Instability of the Shoulder: A Prospective Study of 100 Shoulders Am. J. Sports Med., July 1, 2006; 34(7): 1061 - 1071. [Abstract] [Full Text] [PDF]

				L. J. Bisson Thermal Capsulorrhaphy for Isolated Posterior Instability of the Glenohumeral Joint Without Labral Detachment Am. J. Sports Med., December 1, 2005; 33(12): 1898 - 1904. [Abstract] [Full Text] [PDF]

				C. M. Robinson and J. Aderinto Recurrent Posterior Shoulder Instability J. Bone Joint Surg. Am., April 1, 2005; 87(4): 883 - 892. [Abstract] [Full Text] [PDF]

				T. Karachalios, K. Bargiotas, A. Papachristos, and K.N. Malizos Reconstruction of a Neglected Posterior Dislocation of the Shoulder Through a Limited Posterior Deltoid-Splitting Approach. A Case Report J. Bone Joint Surg. Am., March 1, 2005; 87(3): 630 - 634. [Full Text] [PDF]

				G. F. Dervin, J. A. Brunet, and D. C. Healey A Modification of the McLaughlin Procedure as Salvage for Missed Locked Posterior Fracture-Dislocation of the Humeral Head : A Case Report J. Bone Joint Surg. Am., May 1, 2002; 84(5): 804 - 807. [Full Text] [PDF]

				C. GERBER and S. M. LAMBERT Allograft Reconstruction of Segmental Defects of the Humeral Head for the Treatment of Chronic Locked Posterior Dislocation of the Shoulder J. Bone Joint Surg. Am., March 1, 1996; 78(3): 376 - 82. [Abstract] [Full Text]

				M. A. WIRTH, G. BLATTER, and C. A. ROCKWOOD JR. The Capsular Imbrication Procedure for Recurrent Anterior Instability of the Shoulder*{{dagger}} J. Bone Joint Surg. Am., February 1, 1996; 78(2): 246 - 60. [Abstract] [Full Text]

				L. A. Norwood and G. C. Terry Shoulder posterior subluxation Am. J. Sports Med., January 1, 1984; 12(1): 25 - 30. [Abstract] [PDF]

				J. E. Tibone, C. Prietto, F. W. Jobe, R. W. Kerlan, V. S. Carter, C. L. Shields JR., S. J. Lombardo, H. R. Collins, and L. A. Yocum Staple capsulorrhaphy for recurrent posterior shoulder dislocation Am. J. Sports Med., June 1, 1981; 9(3): 135 - 139. [Abstract] [PDF]