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TRAUMATOLOGY
Year : 2006  |  Volume : 40  |  Issue : 1  |  Page : 24-28

Posterior dislocation of the shoulder joint


1 Department of Orthopaedics, BJ Medical College & Civil Hospital, Ahmedabad, India
2 Consulting Orthopedic Surgeon, Dr Dinubhai Patel Orthopaedic Hospital & Research Center, Ahmedabad, India

Correspondence Address:
Tejas H Thakker
28, Shantikunj Society, Ramnagar, Sabarmati, Ahmedabad
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.34070

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Background: Posterior dislocation of shoulder is a rather uncommon injury that is often not diagnosed at the initial examination. However certain constant clinical signs may lead the examiner to suspect the presence of this condition. Even the routine antero-posterior roentgenogram may provide a few clues to diagnosis but the axillary view is mandatory to verify diagnosis. Material and methods : We report a series of 15 shoulders (14 patients) with a locked posterior dislocation. Electric shock (7 patients), vehicular accident (4 patients) and epileptic seizure (3 patients) was causes of dislocation in these patients. The diagnosis was missed initially in 10 cases. An axillary radiograph confirmed the diagnosis in all. Treatment consisted of closed reduction, which was successful in 5, Neer's modification of McLaughlin procedure (transfer of subscapularis) in 6, hemireplacement arthroplasty in one shoulder and tuberosity fixation in one patient. Results : Follow-up ranged from 1 year to 4 years. Five patients had excellent, five good, two poor and one had fair result. Conclusion : Key to diagnosis is a high index of suspicion. The prognosis became less favorable and the therapeutic difficulties were found to be increased in direct proportion to the length of time, these lesions remain undiagnosed. With early recognisition of dislocation, prompt reduction is relatively easy. Surgical intervention is necessary for old unreduced posterior dislocations.


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