Management of a posterior locked fracture dislocation
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A 55 year old triathlete fell while bike riding, landing on his outstretched left hand. He developed posterior instability that was treated with a posterior arthroscopic stabilization at an outside facility. Subsequently it was noted that he had developed a locked posterior fracture dislocation with both an anterior humeral and a posterior glenoid defect as shown by the images below.
He elected an open reduction and humeral hemiarthroplasty with an anteriorly eccentric humeral head and a posterior glenoid bone graft using part of the resected humeral head. At surgery his shoulder was very stable under vigorous posterior loading.
The postoperative films are shown below
The plan is for external rotation isometrics and 6 weeks immobilization in a neutral rotation brace.
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Consultation for those who live a distance away from Seattle.
Click here to see the new Shoulder Arthritis Book.
Click here to see the new Rotator Cuff Book
Information about shoulder exercises can be found at this link.
Use the "Search" box to the right to find other topics of interest to you.
You may be interested in some of our most visited web pages including:shoulder arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'
See from which cities our patients come.
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He elected an open reduction and humeral hemiarthroplasty with an anteriorly eccentric humeral head and a posterior glenoid bone graft using part of the resected humeral head. At surgery his shoulder was very stable under vigorous posterior loading.
The postoperative films are shown below
The plan is for external rotation isometrics and 6 weeks immobilization in a neutral rotation brace.
====
The reader may also be interested in these posts:
Consultation for those who live a distance away from Seattle.
Click here to see the new Shoulder Arthritis Book.
Click here to see the new Rotator Cuff Book
Information about shoulder exercises can be found at this link.
Use the "Search" box to the right to find other topics of interest to you.
You may be interested in some of our most visited web pages including:shoulder arthritis, total shoulder, ream and run, reverse total shoulder, CTA arthroplasty, and rotator cuff surgery as well as the 'ream and run essentials'
See from which cities our patients come.
See the countries from which our readers come on this post.
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