Uso da Técnica de McLaughlin modificada no tratamento da luxação posterior do ombro
relato de caso
Keywords:
posterior dislocation, shoulder/surgery, modified McLaughlinAbstract
Due to its rarity, posteriors shoulder dislocations are underdiagnosed 60% to 80% of the time. The evolution time and the lesion size on the anteromedial articular surface of the humerus are predictors of the best treatment to be instituted. In the acute recognition, subscapularis muscle transfer surgery with its tendon inserted in the smaller tuberosity fixed with a bone screw (modified McLaughlin) has shown an excellent result for the treatment of this type of dislocation. We´ll present a case report of a 66-year-old male patient, treated after three weeks of the traumatic shoulder dislocation.
Downloads
References
Mclaughlin HL. Posterior dislocation of the shoulder. J Bone Joint Surg Am. 1952;24(3):584-90.
Canale ST. Campbell’s Operative Orthopaedics. 10ed. Philadelphia: Mosby; 2003, V3. p. 2431-4.
Mestdagh H, Maynou C, Dellobelle JM, Urvoy P, Butin E. Les luxations traumatiques postérieures de l’épaule chez l’adulte. Ann Chir 1994; 48:355-363.
Checchia SL, Doneux PS, Miyazaki AN. Fratura-Luxação posterior permanente de ombro: experiência após 86 casos. Rev Bras Ortop 1996; 31(9):705-12.
Michos IB, Michaelides DP. Reduction of missed posterior dislocation of the shoulder. Acta Orthop Scand. 1993;64:599-600.
Reginaldo SS, Ejnisman B, Almeida Filho LA, Dal Molin FF. Fraturas e luxações do ombro e cotovelo. São Paulo: Di Livros; 2020.
Neer CS, Brown TH Jr, Mclaughlin HL. Fracture of the neck of the humerus with dislocation of the head fragment. Am J Surg. 1953;85(3):252-8.
Hawkins RJ, Neer CS 2nd, Pianta RM, Mendoza FX. Locked posterior dislocation of the shoulder. J Bone Joint Surg Am. 1987;69(1):9-18.
Neer CS 2nd, Foster CR. Inferior capsular shift for involuntary inferior and multidirectional instability of the shoulder: a preliminar report. 1980. J Bone Joint Surg Am. 2001;83(10):1586.
