Missed posterior fracture dislocation of the shoulder. Closed reduction and pinning.
In four missed posterior shoulder dislocations, a trial of closed reduction was successful, but severe instability required further therapy. The glenohumeral joints were immobilized by 3 to 4 percutaneously inserted threaded pins. Removal of the pins after 4 to 6 weeks was followed by physiotherapy. After a follow-up of 4 to 42 months, the functional results of this simple procedure are good and there is no recurrence. Bending of the ends of the pins, a very careful follow-up to deal with pin migration, and adequate prevention of subsequent convulsions in epileptic patients are mandatory.
Orthopaedic Department, Groep Chirurgie H. Hart, Roeselare, Belgium.
J
J
Vandeputte
B
B
Van Tornout
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000517:prevention & control; D006801:Humans; D008349:Manipulation, Orthopedic / Q000379:methods*; D026741:Physical Therapy Modalities; D016059:Range of Motion, Articular; D012783:Shoulder Dislocation / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D014057:Tomography, X-Ray Computed