title: Neglected anterior dislocation of shoulder with large Hillsach's lesion & deficient glenoid: Treated by autogenous bone graft & modified Latarjet procedure.
abstract: Neglected anterior dislocation of shoulder is rare in spite of the fact that the anterior dislocation of the shoulder is seen in around 90% of the acute cases. Most of the series of neglected dislocation describe posterior dislocation to be far more common.(1) (,2) We hereby report a case of the neglected anterior shoulder dislocation in a 15 year old boy who had a history of epilepsy. There was a large Hill Sachs lesion in humeral head which was impacted in glenoid inferiorly and glenoid was eburnated at that margin. The humeral head was reconstructed with a tricortical iliac graft. Glenoid was reconstructed by transfer of coracoids process of scapula to antero-inferior glenoid (modified Latarjet procedure). This case is unique because management of humeral head defect with bone graft is not mentioned in anterior dislocation.
authors.affiliation: Assistant Professor, Department of Orthopedics, Himaliyan Institute of Medical Sciences, Doiwala, Dehradun, India.
authors.forename: Chetan
authors.initials: C
authors.lastname: Peshin
authors.affiliation: Assistant Professor, Department of Orthopedics, Lady Hardinge Medical College and associated Hospitals', New Delhi, India.
authors.forename: Vivek
authors.initials: V
authors.lastname: Jangira
authors.affiliation: Professor, Department of Orthopedics, Government Medical College & Hospital, Chandigarh, India.
authors.forename: Ravi Kumar
authors.initials: RK
authors.lastname: Gupta
authors.affiliation: Associate Professor, Department of Orthopedics, Government Medical College & Hospital, Chandigarh, India.
authors.forename: Rohit
authors.initials: R
authors.lastname: Jindal
keywords: Hill Sach's; Latarjet procedure; Neglected shoulder dislocation