Modified MacLaughlin procedure in the treatment of neglected posterior dislocation of the shoulder.

Alessandro Castagna, Giacomo Delle Rose, Mario Borroni, Nikolaos Markopoulos, Marco Conti, Leonardo Maradei, Raffaele Garofalo

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Posterior dislocation of the shoulder is an unusual injury that most often occurs secondary to a high-energy trauma. Unfortunately the diagnosis is commonly missed, thus making its treatment a challenge. Neglected posterior dislocation is mainly characterised by an impression fracture on the anterior articular surface of the humeral head, which makes the dislocation often difficult to reduce. Diagnosis is based upon a careful history assessment, physical examination and radiological findings. Several treatment approaches have been described. The modified MacLaughlin procedure in our hands has been shown to be a reproducible technique allowing good results at medium- and long-term follow-up. According to our experience it is possible to adopt this technique also in patients with a locked posterior dislocation older than 6 months or in cases with a humeral head defect up to 50% when a shoulder prosthesis is not a good indication. Poorer results should be expected in patients with an associated fracture of the proximal humerus.

Original languageEnglish
JournalLa Chirurgia degli organi di movimento
Volume93 Suppl 1
Publication statusPublished - Apr 2009

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Humeral Head
Shoulder Dislocation
Humerus
Wounds and Injuries
Physical Examination
Joints
History
Therapeutics
Shoulder Prosthesis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Castagna, A., Delle Rose, G., Borroni, M., Markopoulos, N., Conti, M., Maradei, L., & Garofalo, R. (2009). Modified MacLaughlin procedure in the treatment of neglected posterior dislocation of the shoulder. La Chirurgia degli organi di movimento, 93 Suppl 1.

Modified MacLaughlin procedure in the treatment of neglected posterior dislocation of the shoulder. / Castagna, Alessandro; Delle Rose, Giacomo; Borroni, Mario; Markopoulos, Nikolaos; Conti, Marco; Maradei, Leonardo; Garofalo, Raffaele.

In: La Chirurgia degli organi di movimento, Vol. 93 Suppl 1, 04.2009.

Research output: Contribution to journalArticle

Castagna, A, Delle Rose, G, Borroni, M, Markopoulos, N, Conti, M, Maradei, L & Garofalo, R 2009, 'Modified MacLaughlin procedure in the treatment of neglected posterior dislocation of the shoulder.', La Chirurgia degli organi di movimento, vol. 93 Suppl 1.
Castagna, Alessandro ; Delle Rose, Giacomo ; Borroni, Mario ; Markopoulos, Nikolaos ; Conti, Marco ; Maradei, Leonardo ; Garofalo, Raffaele. / Modified MacLaughlin procedure in the treatment of neglected posterior dislocation of the shoulder. In: La Chirurgia degli organi di movimento. 2009 ; Vol. 93 Suppl 1.
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