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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
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Abstract

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.

Keywords

Posterior dislocation Shoulder Osteotomy 

Notes

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.

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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

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