title: Management and Prognostic Factors for Delayed Reconstruction of Neglected Posterior Shoulder Fracture-Dislocation.
abstract: BACKGROUND
  Posterior fracture-dislocations of the shoulder are rare conditions. Misdiagnosis can occur in 50% - 80% of the patients. Due to the size of the lesion, stability of the joint could not be achieved with transfer of subscapular tendon or tuberosity.
  
  
  METHODS
  A 54-year-old male patient was referred to our hospital with a neglected posterior shoulder fracture-dislocation. Functional results of the patient, and technical informations were explained in this case report. The reverse Hill-Sachs lesion involved 40% of the articular surface. Depressed and malunited fragment was elevated, and fixated to the humeral head.
  
  
  CONCLUSIONS
  Glenohumeral joint reduction with reconstruction of the humeral head seems to be possible even in a neglected locked posterior shoulder fracture-dislocation. If the depressed osteochondral fragment is still spheric, signs of the avascular necrosis are absent on CT, and malunion of the fragment has occurred, it is quite possible to reconstruct the head. Although results of the case are good, it is worthwhile to follow these patients for long-term complications.
authors: Department of Orthopaedics and Traumatology, Liv Hospital, Bahcesehir University, Istanbul, Turkey.
authors: Taner
authors: T
authors: Bekmezci
authors: Orthopaedics and Traumatology, Selcuk University, Konya, Turkey.
authors: Egemen
authors: E
authors: Altan
keywords: Posterior Instability; Reverse Hill-Sachs; Shoulder