Missed posterior shoulder dislocation and McLaughlin lesion after an electrocution accident

作     者：Fabio Rodia Angelo Ventura Georgios Touloupakis Emmanouil Theodorakis Marco Ceretti 

作者机构：CTO Trauma and Orthopedic HospitalRomeItaly 

出 版 物：《Chinese Journal of Traumatology》 (中华创伤杂志（英文版）)

年 卷 期：2012年第15卷第6期

页      面：376-378页

学科分类：080805[工学-电工理论与新技术] 0808[工学-电气工程] 0905[农学-畜牧学] 08[工学] 09[农学] 090501[农学-动物遗传育种与繁殖] 

主　　题：Shoulder dislocation Electric injuries Bone matrix 

摘      要：Posterior shoulder dislocation is a rare event that may occur after a direct trauma, an epileptic seizure, electric shock or electroconvulsive therapy. In more than 50% of the cases, posterior dislocations are missed on initial evaluation and often misdiagnosed as frozen shoul- ders with unfortunate consequences. We present the case of a missed posterior suhluxation and reverse Hill Sachs lesion （McLaughlin lesion） in a 40-year-old woman caused by anelectric shock of 240 V. The patient underwent sur- gery in our institute two weeks after the injury. The humeralhead was reduced and the reverse Hill Sachs lesion was filled by demineralized bone matrix allograft with osteoinductive factors. Tendons were repaired and a temporaneous artrodesis was performed. At the final follow up of 12 months, we obtained a Costant Score of 93 and the patient returned to her previous daily activities.