Posterior shoulder fracture-dislocation: double approach treatment. Our experience

Posterior shoulder fracture-dislocation: double approach treatment. Our experience

Authors

  • Gennaro Fiorentino Department of Orthopaedics and Traumatology Santa Maria Hospital 43043 Borgo Val di Taro (PR) Italy
  • Riccardo Cepparulo Department of Orthopaedics and Traumatology Santa Maria Hospital 43043 Borgo Val di Taro (PR) Italy
  • Enricomaria Lunini University of Parma
  • Alberto Guardoli Department of Orthopaedics and Traumatology Santa Maria Hospital 43043 Borgo Val di Taro (PR) Italy
  • Luca Berni Department of Orthopaedics and Traumatology Santa Maria Hospital 43043 Borgo Val di Taro (PR) Italy
  • Alberto Fontanarosa Department of Orthopaedics and Traumatology Santa Maria Hospital 43043 Borgo Val di Taro (PR) Italy
  • Aldo Guardoli Department of Orthopaedics and Traumatology Santa Maria Hospital 43043 Borgo Val di Taro (PR) Italy

Keywords:

posterior fracture-dislocation, combined approach, glenohumeral joint

Abstract

Background: About 4% of glenohumeral dislocations are posterior and only 1% is associated with fracture of the humeral head. Most frequent causes are high energy traumas, seizures and electrocution. The fracture and the posterior dislocation, associated with the trauma and capsular lesion can cause an important vascular damage of the humeral head. Methods: We describe 5 cases of posterior fracture-dislocation of the shoulder that required open reduction and internal fixation treated using double approach: posterior approach for reduction humeral head and eventually bone and capsular posterior repair and anterior approach for osteosynthesis. A Clinical examination was performed at one year and follow-up was at two years.Conclusions: This combined approach is less invasive, easier for dislocation reduction of the humeral head, with minimal biological damage that may occur during the reduction maneuvers. Our thought is that the posterior approach reduce vascular and bone damages during humeral head reduction and permit to suture and retention posterior capsula that is often damaged by the trauma. 

Author Biographies

Gennaro Fiorentino, Department of Orthopaedics and Traumatology Santa Maria Hospital 43043 Borgo Val di Taro (PR) Italy

MD,Department of Orthopaedics and Traumatology

Santa Maria Hospital
43043 Borgo Val di Taro (PR) Italy


Riccardo Cepparulo, Department of Orthopaedics and Traumatology Santa Maria Hospital 43043 Borgo Val di Taro (PR) Italy

MD,Department of Orthopaedics and Traumatology

Santa Maria Hospital
43043 Borgo Val di Taro (PR) Italy

 

Enricomaria Lunini, University of Parma

MD,Department of Orthopaedics and Traumatology

University Hospital of Parma

Alberto Guardoli, Department of Orthopaedics and Traumatology Santa Maria Hospital 43043 Borgo Val di Taro (PR) Italy

MD,Department of Orthopaedics and Traumatology

Santa Maria Hospital
43043 Borgo Val di Taro (PR) Italy

 

Luca Berni, Department of Orthopaedics and Traumatology Santa Maria Hospital 43043 Borgo Val di Taro (PR) Italy

MD,Department of Orthopaedics and Traumatology

Santa Maria Hospital
43043 Borgo Val di Taro (PR) Italy

 

Alberto Fontanarosa, Department of Orthopaedics and Traumatology Santa Maria Hospital 43043 Borgo Val di Taro (PR) Italy

MD,Department of Orthopaedics and Traumatology

Santa Maria Hospital
43043 Borgo Val di Taro (PR) Italy

 

Aldo Guardoli, Department of Orthopaedics and Traumatology Santa Maria Hospital 43043 Borgo Val di Taro (PR) Italy

MD,Chief of Surgery, Managing Director,Department of Orthopaedics and Traumatology

Santa Maria Hospital
43043 Borgo Val di Taro (PR) Italy

 

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Published

13-09-2016

How to Cite

1.
Posterior shoulder fracture-dislocation: double approach treatment. Our experience. Acta Biomed [Internet]. 2016 Sep. 13 [cited 2024 Apr. 14];87(2):184-90. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/4593

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