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All-Arthroscopic McLaughlin's Procedure in Patients with Reverse Hill–Sachs Lesion Caused by Locked Posterior Shoulder Dislocation
| Content Provider | Scilit |
|---|---|
| Author | Brilakis, Emmanouil Malahias, Michael-Alexander Patramani, Maria Avramidis, Grigoris Gerogiannis, Dimitrios Trellopoulos, Angelos Antonogiannakis, Emmanouil |
| Copyright Year | 2019 |
| Description | Purpose This study aims to investigate the clinical and functional outcomes of the all-arthroscopic McLaughlin procedure in a clinical series of patients suffering by neglected locked posterior shoulder dislocation. Methods A retrospective clinical study based on prospectively collected data was conducted in a single center regarding 10 patients with neglected locked posterior shoulder dislocation and concomitant reverse Hill–Sachs lesion, who were treated with the all-arthroscopic Mclaughlin procedure. The average humeral bone defect was 39 ± 7% according to the preoperative computed tomography evaluation. The mean time of follow-up was 77 ± 16 months (range, 63–104 months). Results No patient had suffered a new dislocation, whereas all of them were satisfied with the surgical outcome and returned to their previous activities of daily living. External rotation was restored to every patient studied from 0 degrees at the baseline. At the last follow-up, the median external rotation beside the body was 90 degrees (range, 50–90 degrees; p < 0.01) and the respective measurement at 90 degrees of abduction was 90 degrees (range, 80–90 degrees; p < 0.01). The active forward flexion was increased (p < 0.01), from 60 degrees (range, 30–180 degrees) at the baseline to 180 degrees (range, 160–180 degrees) at the last follow-up and the internal rotation was gained (p < 0.01) from the level of buttock (range, lateral thigh–T12) at the baseline to the T11 level (range, T7–L3) at the last follow-up. The median UCLA score was increased from 8 (range, 4–22) to 35 (range, 33–35; p < 0.01) and the Oxford instability score from 5 (range, 3–16) to 46 (range, 43–48; p < 0.01), respectively. Conclusion The arthroscopic McLaughlin procedure in substantial reverse Hills–Sachs lesion caused by locked posterior dislocation leads to excellent clinical and functional results in the long-term follow-up. Level of Evidence This is a therapeutic study, case series with no comparison group, Level IV. |
| Related Links | http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0039-3401820.pdf |
| Ending Page | 077 |
| Page Count | 7 |
| Starting Page | 071 |
| ISSN | 22824324 |
| e-ISSN | 25129090 |
| DOI | 10.1055/s-0039-3401820 |
| Journal | Joints |
| Issue Number | 03 |
| Volume Number | 07 |
| Language | English |
| Publisher | Georg Thieme Verlag KG |
| Publisher Date | 2019-09-01 |
| Access Restriction | Open |
| Subject Keyword | Mclaughlin's Procedure Reverse Hill–sachs Lesion Posterior Shoulder Dislocation |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Rehabilitation Surgery |
