Abstract
Recurrent traumatic posterior glenohumeral dislocation is rare and probably represents <5% of all recurrent shoulder instability cases. Operative management of this problem is considered when symptomatic recurrent instability occurs despite an adequate physician-directed rehabilitation program. Before surgery, it is essential to recognize all directions of instability and any anatomic factors that may predispose the shoulder to recurrent instability, such as humeral head or glenoid defects, abnormal glenoid version or other anthropomorphic abnormalities, rotator cuff tears, neurologic injuries, or generalized ligamentous laxity. The authors report on a patient who had 2 previous failed attempts at posterior capsulorrhaphy for recurrent posterior shoulder dislocation after an atraumatic injury. The patient demonstrated a previously unrecognized unilateral increase in glenoid fossa retroversion and was successfully treated with a posterior opening wedge osteotomy of the scapular neck.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 98-101 |
| Number of pages | 4 |
| Journal | Clinical Orthopaedics and Related Research |
| Issue number | 308 |
| State | Published - 1994 |
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ASJC Scopus subject areas
- Orthopedics and Sports Medicine
- Surgery
Cite this
Recurrent posterior glenohumeral dislocation associated with increased retroversion of the glenoid : A case report. / Wirth, Michael A; Seltzer, D. G.; Rockwood Jr, Charles A.
In: Clinical Orthopaedics and Related Research, No. 308, 1994, p. 98-101.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Recurrent posterior glenohumeral dislocation associated with increased retroversion of the glenoid
T2 - A case report
AU - Wirth, Michael A
AU - Seltzer, D. G.
AU - Rockwood Jr, Charles A
PY - 1994
Y1 - 1994
N2 - Recurrent traumatic posterior glenohumeral dislocation is rare and probably represents <5% of all recurrent shoulder instability cases. Operative management of this problem is considered when symptomatic recurrent instability occurs despite an adequate physician-directed rehabilitation program. Before surgery, it is essential to recognize all directions of instability and any anatomic factors that may predispose the shoulder to recurrent instability, such as humeral head or glenoid defects, abnormal glenoid version or other anthropomorphic abnormalities, rotator cuff tears, neurologic injuries, or generalized ligamentous laxity. The authors report on a patient who had 2 previous failed attempts at posterior capsulorrhaphy for recurrent posterior shoulder dislocation after an atraumatic injury. The patient demonstrated a previously unrecognized unilateral increase in glenoid fossa retroversion and was successfully treated with a posterior opening wedge osteotomy of the scapular neck.
AB - Recurrent traumatic posterior glenohumeral dislocation is rare and probably represents <5% of all recurrent shoulder instability cases. Operative management of this problem is considered when symptomatic recurrent instability occurs despite an adequate physician-directed rehabilitation program. Before surgery, it is essential to recognize all directions of instability and any anatomic factors that may predispose the shoulder to recurrent instability, such as humeral head or glenoid defects, abnormal glenoid version or other anthropomorphic abnormalities, rotator cuff tears, neurologic injuries, or generalized ligamentous laxity. The authors report on a patient who had 2 previous failed attempts at posterior capsulorrhaphy for recurrent posterior shoulder dislocation after an atraumatic injury. The patient demonstrated a previously unrecognized unilateral increase in glenoid fossa retroversion and was successfully treated with a posterior opening wedge osteotomy of the scapular neck.
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UR - http://www.scopus.com/inward/citedby.url?scp=0028054102&partnerID=8YFLogxK
M3 - Article
SP - 98
EP - 101
JO - Clinical Orthopaedics and Related Research
JF - Clinical Orthopaedics and Related Research
SN - 0009-921X
IS - 308
ER -