Neglected Posterior Shoulder Dislocation with a Large Bone Defect in a young Active Patient Treated with Osteochondral Allograft Volume 4 - Issue 2

Gatti A^1,2*, Primavera M^1,2, Casamassima D^1,2, Emanuele G^1,2 and Tarantino U^1,2*

• ¹Department of Clinical Science and Translational Medicine, University of Rome, Italy
• ²Department of Orthopedics and Traumatology, Italy

Received: May 17, 2020;   Published: June 15, 2020

Corresponding author: Gatti A, Department of Clinical Science and Translational Medicine, University of Rome, Italy Department of Orthopedics and Traumatology, Italy

DOI: 10.32474/OSMOAJ.2020.04.000182

 

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Abstract

Background: Posterior glenohumeral joint dislocation is a rare injury. Despite positive clinical signs is often underdiagnosed and undertreated. The presence of a large bone humeral defect could worsen the outcome.

Case Report: We report a case of 45 years-old man with a neglected posterior shoulder dislocation with a large segmental bone defect involving 40% of the articular surface of the humeral head. We decided to treat the patient with an open reduction of the shoulder dislocation and reconstruction of the articular surface with fresh-frozen humeral head allograft. Our patient showed improved shoulder mobility and ROM on all planes that positively affected the patient daily activities; no pain was registered at follow-ups.

Conclusion: Our case report demonstrates that neglected posterior shoulder dislocations with a large bone defect and viable humeral head can be treated using allograft, obtaining optimal clinical results and avoiding the need for early prosthetic replacement surgery.

Keywords: Neglected Posterior Shoulder Dislocation; Reverse Hill-Sachs Lesion; High-Demand Patient; Humeral Head Allograft; Anatomic Shoulder Restoration

Abbreviations: GHJ: Glenohumeral Joint; MRI: Magnetic Resonance Imaging; MVA: Motor Vehicle Accident; LHB: Long Head Of Biceps Brachii; XR: X-Rays

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