Posterior Shoulder Dislocations and Fracture-Dislocations by C. Michael Robinson, and Joseph Aderinto J Bone Joint Surg Am Volume 87(3):639-650 March 1,

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Presentation transcript:

Posterior Shoulder Dislocations and Fracture-Dislocations by C. Michael Robinson, and Joseph Aderinto J Bone Joint Surg Am Volume 87(3): March 1, 2005 ©2005 by The Journal of Bone and Joint Surgery, Inc.

The shoulder is most at risk for posterior dislocation when it is axially loaded with the arm in forward elevation, adduction, and internal rotation during a high-energy injury. C. Michael Robinson, and Joseph Aderinto J Bone Joint Surg Am 2005;87: ©2005 by The Journal of Bone and Joint Surgery, Inc.

C. Michael Robinson, and Joseph Aderinto J Bone Joint Surg Am 2005;87: ©2005 by The Journal of Bone and Joint Surgery, Inc.

C. Michael Robinson, and Joseph Aderinto J Bone Joint Surg Am 2005;87: ©2005 by The Journal of Bone and Joint Surgery, Inc.

The configuration of the x-ray gantry and cassette used to make a modified axial radiograph of the shoulder. C. Michael Robinson, and Joseph Aderinto J Bone Joint Surg Am 2005;87: ©2005 by The Journal of Bone and Joint Surgery, Inc.

C. Michael Robinson, and Joseph Aderinto J Bone Joint Surg Am 2005;87: ©2005 by The Journal of Bone and Joint Surgery, Inc.

C. Michael Robinson, and Joseph Aderinto J Bone Joint Surg Am 2005;87: ©2005 by The Journal of Bone and Joint Surgery, Inc.

Following reduction of a posterior dislocation, the shoulder is in its most stable position when it is in neutral forward elevation and external rotation because the anterior humeral head defect is prevented from reengaging with the posterior aspect of the... C. Michael Robinson, and Joseph Aderinto J Bone Joint Surg Am 2005;87: ©2005 by The Journal of Bone and Joint Surgery, Inc.

Schematic drawing of the McLaughlin procedure. C. Michael Robinson, and Joseph Aderinto J Bone Joint Surg Am 2005;87: ©2005 by The Journal of Bone and Joint Surgery, Inc.

Schematic representation of acute elevation, bone-grafting, and internal fixation of a small anterior osteochondral fracture of the humeral head. C. Michael Robinson, and Joseph Aderinto J Bone Joint Surg Am 2005;87: ©2005 by The Journal of Bone and Joint Surgery, Inc.

Schematic diagram of the use of a solid osteochondral allograft to fill a larger anterior humeral head defect. C. Michael Robinson, and Joseph Aderinto J Bone Joint Surg Am 2005;87: ©2005 by The Journal of Bone and Joint Surgery, Inc.

C. Michael Robinson, and Joseph Aderinto J Bone Joint Surg Am 2005;87: ©2005 by The Journal of Bone and Joint Surgery, Inc.

C. Michael Robinson, and Joseph Aderinto J Bone Joint Surg Am 2005;87: ©2005 by The Journal of Bone and Joint Surgery, Inc.