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posterior shoulder fracture-dislocation:A systematic review of the literature and current aspects of management

Chinese Journal of Traumatology 2021年第1期24卷 18-24页

作者： Georgios Paparoidamis Efthymios Iliopoulos AAli Narvani Ofer Levy Eleftherios Tsiridis loannis Polyzois The Rowley Bristow Unit Ashford&St Peter's HospitalsNHS Foundation TrustChertseySurreyUnited Kingdom Academic Orthopaedic Department Papageorgiou General HospitalFaculty of Health SciencesMedical SchoolAristotle University of Thessalonikiand CORE LabCIRI-AUThThessalonikiGreece Shoulder and Elbow Centre-Reading Shoulder Unit United Kingdom International Center for Arthroplasty&Robotic Orthopaedic Surgery(ICAROS) European Interbalkan Medical CenterThessalonikiGreece Surrey Orthopaedic Clinic United Kingdom

Purpose posterior fracture-dislocation of shoulder is an infrequent traumatic event;however,most orthopaedic surgeons may face the challenge of treating *** aim of this study is to review and summarise systematically the current principles of the management of this complex injury,and create a treatment *** Both PubMed and Scopus Databases were systematically searched for the terms“posterior shoulder fracture-dislocation”or“posterior glenohumeral fracture-dislocation”or“posterior glenoid fracture-dislocation”for articles written in English and published in the last *** A total of 900 articles were identified,of which 13 were retained for analysis.A total of 153 patients(161 shoulders)were *** patients were treated either with open reduction and internal fixation,modified McLaughlin procedure,allograft/autograft humeral head reconstruction or shoulder *** mean age was 40.15 *** mean postoperative Constant score in cases treated by open reduction and internal fixation was 86.45,whereas by bone graft was ***,the mean postoperative Constant score was between 79.6 and 67.1 in those that were managed by modified McLaughlin and arthroplasty procedure,*** The management of posterior shoulder fracture-dislocation may be challenging,and the best surgical option depends on many variables such as the chronicity of the injury,the presence of a fracture at the level of the surgical neck or tuberosities and the extend of the Hill-Sachs lesion if any.A treatment algorithm is proposed,based on the current literature in an effort to create a consensus for these *** the acute shoulder fracture-dislocations,an open reduction should be *** the chronic fracture/dislocations in the elderly low-demand patients,conservative treatment should be *** the rest of the patients,depending on the severity of the Hill-Sachs lesion different surgical options are available such as the

关键词： Treatment algorithm Shoulder injury posterior dislocation Fracture-dislocation Shoulder dislocation

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Atlantoaxial joint interlocking following type Ⅱ odontoid fracture associated with posterolateral C1/C2 dislocation:A case report and literature review

Atlantoaxial joint interlocking following type Ⅱ odontoid f...

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2016年浙江省骨科学学术年会

作者： Dengwei He Wenjun Huang Xiaoyong Sheng 丽水市中心医院

Background:A rare case of atlantoaxial lateral mass joint interlocking secondary to traumatic posterolateral C1/C2 complete dislocation associated with type II odontoid fracture is reported,and the impact of atlantoaxial joint interlocking on fracture reduction is *** presentation:This case is of a 72-year-old man presented with traumatic atlantoaxial lateral mass joint interlocking without spinal cord signal change,which is confirmed by radiographs and 3 D reconstruction digital *** internal fixation was performed after closed reduction with skull traction was not ***,after many surgical reset failed due to the interlocking of lateral mass joints,we tried to compress the posterior parts of the atlantal and axial screws,the reduction was achieved ***,odontoid bone union and C1/C2 posterior bone graft fusion were obtained at the 12-month ***:To our knowledge,the atlantoaxial lateral mass interlocking is a relatively stable biomechanical *** is like a double-edged sword for the reduction of atlantoaxial dislocation and the secondary spinal cord injury.

关键词： Odontoid fracture posterior dislocation Atlantoaxial joint interlocking posterior operation Medical double-edged sword

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