[Anatomic reconstruction of posterior shoulder dislocation fractures. A new method using bone anchors].

Abstract

The posterior shoulder dislocation is often misdiagnosed. The overall cost in medical care is about six times higher than an anterior dislocation. For the precise diagnosis, correct x-rays in exact ap- and Y-view of the shoulder are essential. The ultimate analysis can be made by a CT-scan. An alternative method is presented to reconstruct the defects (reversed Hill-Sachs) by particular placing of anchors (Mitek). One to two years after, no recurrence of dislocations could be observed (9 cases). In two cases an arthroscopic mobilisation of the shoulder had to be done to regain full range of motion after 4 months.