Subtraction osteotomy of the humeral head in posterior shoulder dislocation: a case report

  • Manuel Zafra
  • Pilar UcedaEmail author
  • Carmen Ruiz-Bonilla
Up-to date Review and Case Report • SHOULDER - TRAUMA


Locked posterior dislocations of the shoulder with an impacted fracture of the humeral head and an articular surface defect greater than 35–40% are generally treated with a femoral head bone graft or prosthesis. We present a case in which a subtraction osteotomy with osteoclasia on the impacted zone was performed to try to make the articular surface of the humeral head congruent and continuous. With a 42-month follow-up, the clinical outcome, in terms of mobility and pain, was very good; X-rays show there was no avascular necrosis of the humeral head nor signs of articular arthrosis. The aim of this work is to present a detailed description of our procedure, which can be a therapeutic option for this type of pathology.


Posterior dislocation Shoulder Osteotomy 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Safeguarding of people and animals

The authors declare that for this research no experiments were carried out on human beings or on animals.

Confidentiality and data protection

The authors declare that they have followed their work centre’s protocols regarding the publication of patients’ data.

Right to privacy and informed consent

The authors declare that no patient data appear in this article.


  1. 1.
    McLaughlin HL (1952) Posterior dislocation of the shoulder. J Bone Jt Surg Am 34:584–590CrossRefGoogle Scholar
  2. 2.
    Hawkins RJ, Neer CS, Planta RM, Mendoza FX (1987) Locked posterior dislocation of the shoulder. J Bone Jt Surg Am 69:9–18CrossRefGoogle Scholar
  3. 3.
    Dubousset J (1967) Luxation posterieure de l’epaule. Rev Chir Orthop Reparatrice Appar Mot 53:65–85PubMedGoogle Scholar
  4. 4.
    Sperling JW, Pring M, Antuna SA, Cofield RH (2004) Shoulder arthroplasty for locked posterior dislocation of the shoulder. J Shoulder Elbow Surg 13:522–527. CrossRefPubMedGoogle Scholar
  5. 5.
    Wooten C, Klika B, Schleck CD, Harmsen WS, Sperling JW, Cofield RH (2014) Anatomic shoulder arthroplasty as treatment for locked posterior dislocation of the shoulder. J Bone Jt Surg Am 96:19. CrossRefGoogle Scholar
  6. 6.
    Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 214:160–164Google Scholar
  7. 7.
    Banerjee M, Balke M, Bouillon B, Wafaisade A, Helm P, Akoto R et al (2013) Excellent results of lesser tuberosity transfer in acute locked posterior shoulder dislocation. Knee Surg Sports Traumatol Arthrosc 21:2884–2888. CrossRefPubMedGoogle Scholar
  8. 8.
    Robinson CM, Aderinto J (2005) Posterior shoulder dislocations and fracture-dislocations. J Bone Jt Surg Am 87:639–650. CrossRefGoogle Scholar
  9. 9.
    Diklic ID, Ganic ZD, Blagojevic ZB, Nho SJ, Romeo AA (2010) Treatment of locked chronic posterior dislocation of the shoulder by reconstruction of the defect in the humeral head with an allograft. J Bone Jt Surg Br 92:71–76. CrossRefGoogle Scholar
  10. 10.
    Gerber C, Catanzaro S, Jundt-Ecker M, Farshad M (2014) Long-term outcome of segmental reconstruction of the humeral head for the treatment of locked posterior dislocation of the shoulder. J Shoulder Elbow Surg 23(11):1682–1690. CrossRefPubMedGoogle Scholar
  11. 11.
    Gerber C, Schneeberger AG, Vinh TS (1990) The arterial vascularization of the humeral head. An anatomical study. J Bone Jt Surg Am 72(10):1486–1494CrossRefGoogle Scholar

Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2019

Authors and Affiliations

  • Manuel Zafra
    • 1
  • Pilar Uceda
    • 2
    • 4
    Email author
  • Carmen Ruiz-Bonilla
    • 3
  1. 1.Instituto de Traumatología CordobésCórdobaSpain
  2. 2.Reina Sofía University HospitalCórdobaSpain
  3. 3.High Resolution Hospital EcijaSevilleSpain
  4. 4.CórdobaSpain

Personalised recommendations