title: Excellent results of lesser tuberosity transfer in acute locked posterior shoulder dislocation.
abstract: OBJECTIVE
  The aim of the present study was to evaluate the clinical and radiological results of lesser tuberosity transfer in acute locked posterior shoulder dislocation with a humeral head defect between 25 and 45 %.
  
  
  METHODS
  Clinical and radiological results of seven patients with locked posterior shoulder dislocation with a humeral head defect between 25 and 45 % which were managed with a modification of the McLaughlin procedure within 14 days after injury were evaluated retrospectively after a mean follow-up of 41 months.
  
  
  RESULTS
  All shoulders remained stable. The results were good in one and excellent in six patients with a median absolute Constant score of 92 (range 80-98). Mean active pain-free abduction was 171.4° (SD 6.4), mean flexion was 175.7° (SD 4.9), and mean external rotation was 54.3° (SD 17.6). Internal rotation was restricted in all patients. There were no radiological signs of osteoarthritis.
  
  
  CONCLUSIONS
  Lesser tuberosity transfer shows excellent clinical and radiographic mid-term results in acute cases of locked posterior shoulder dislocation with a reverse Hill-Sachs lesion between 25 and 45 %.
authors.affiliation: Department of Orthopedic and Trauma Surgery, Faculty of Health, School of Medicine, Cologne Merheim Medical Center, Witten/Herdecke University, Ostmerheimerstr. 200, 51109, Cologne, Germany, marc.banerjee@gmx.de.
authors.forename: Marc
authors.initials: M
authors.lastname: Banerjee
authors.forename: Maurice
authors.initials: M
authors.lastname: Balke
authors.forename: Bertil
authors.initials: B
authors.lastname: Bouillon
authors.forename: Arasch
authors.initials: A
authors.lastname: Wafaisade
authors.forename: Philip
authors.initials: P
authors.lastname: Helm
authors.forename: Ralf
authors.initials: R
authors.lastname: Akoto
authors.forename: Sven
authors.initials: S
authors.lastname: Shafizadeh
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D058430:Humeral Head / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D011859:Radiography; D016059:Range of Motion, Articular; D012189:Retrospective Studies; D012783:Shoulder Dislocation / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome