Acute bilateral posterior dislocation of the shoulder: One-stage reconstruction of both humeral heads with cancellous autograft and cartilage preservation
- Resource Type
- Authors
- Marc Soubeyrand; O. Gagey; Matthieu Begin
- Source
- Chirurgie de la Main. 31:34-37
- Subject
- Male
musculoskeletal diseases
Right shoulder
medicine.medical_specialty
Ilium
Humeral Heads
Humans
Medicine
Orthopedic Procedures
Orthopedics and Sports Medicine
business.industry
Shoulder Dislocation
Cartilage
One stage
Posterior shoulder dislocation
General Medicine
Middle Aged
Articular surface
Surgery
Conservative treatment
medicine.anatomical_structure
Humeral Head
Posterior dislocation
business
human activities
- Language
- ISSN
- 1297-3203
We present a case of bilateral posterior shoulder dislocation after an epileptic seizure. The anterior humeral-head impression fracture was 60% of the articular surface on the right shoulder and 30% on the left shoulder. We performed an early one-stage reconstruction of both humeral heads. A cancellous autograft was used on the left side and an iliac cortico-cancellous autograft on the right side, with preservation of the patient's cartilage. Three years later, the clinical and morphological results were excellent. The discussion focuses on surgical options that range from conservative treatment with excision of the damaged cartilage to immediate hemiarthroplasty. This case is original because of the preservation of the patient's cartilage during reconstruction.