Missed locked posterior shoulder dislocation with a reverse Hill-Sachs lesion and subscapularis rupture.
We report the case of a patient who sustained a missed locked posterior shoulder dislocation with a sizable anterior impression fracture and a concomitant acute rupture of the subscapularis tendon. Despite compromise of the tendon, a transfer of the lesser tuberosity into the humeral head defect along with suture anchor repair of the subscapularis was performed. Within 6 months, the patient regained near complete function of his shoulder with no episodes of instability. To our knowledge, this is the first reported case of an acute subscapularis rupture associated with a posterior shoulder dislocation and anterior humeral impression fracture, treated with the modified McLaughlin procedure and tendon repair with an excellent clinical result.
Hospital for Special Surgery, New York, NY. moussam@hss.edu.
Mohamed E
ME
Moussa
Robert E
RE
Boykin
Brandon E
BE
Earp
D000328:Adult; D006801:Humans; D006811:Humerus / Q000000981:diagnostic imaging / Q000601:surgery*; D007593:Joint Instability / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D011859:Radiography; D012421:Rupture / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D012783:Shoulder Dislocation / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D053441:Suture Anchors; D013708:Tendon Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D016896:Treatment Outcome