• Marc Banerjee, Maurice Balke, Bertil Bouillon, Arasch Wafaisade, Philip Helm, Ralf Akoto, and Sven Shafizadeh.
• Department of Orthopedic and Trauma Surgery, Faculty of Health, School of Medicine, Cologne Merheim Medical Center, Witten/Herdecke University, Ostmerheimerstr. 200, 51109, Cologne, Germany, marc.banerjee@gmx.de.
• Knee Surg Sports Traumatol Arthrosc. 2013 Dec 1;21(12):2884-8.

PurposeThe aim of the present study was to evaluate the clinical and radiological results of lesser tuberosity transfer in acute locked posterior shoulder dislocation with a humeral head defect between 25 and 45 %.MethodsClinical and radiological results of seven patients with locked posterior shoulder dislocation with a humeral head defect between 25 and 45 % which were managed with a modification of the McLaughlin procedure within 14 days after injury were evaluated retrospectively after a mean follow-up of 41 months.ResultsAll shoulders remained stable. The results were good in one and excellent in six patients with a median absolute Constant score of 92 (range 80-98). Mean active pain-free abduction was 171.4° (SD 6.4), mean flexion was 175.7° (SD 4.9), and mean external rotation was 54.3° (SD 17.6). Internal rotation was restricted in all patients. There were no radiological signs of osteoarthritis.ConclusionsLesser tuberosity transfer shows excellent clinical and radiographic mid-term results in acute cases of locked posterior shoulder dislocation with a reverse Hill-Sachs lesion between 25 and 45 %.

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