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Acta Orthop Traumato · Jan 2012
Case ReportsTreatment of reverse Hill-Sachs lesion by autograft reconstruction.
- Gökhan Toker, Fırat Ozan, and Osman Arslan Bora.
- Department of Orthopedics and Traumatology, Bornova Türkan Özilhan State Hospital, İzmir, Turkey.
- Acta Orthop Traumato. 2012 Jan 1;46(5):398-402.
AbstractReverse Hill-Sachs lesion is a defect caused by the anterior compression fracture of the humeral head in posterior shoulder dislocation. We present a 34-year-old male patient with pain and limited joint mobility in the right shoulder due to a fall following electric shock 2 days prior to admission. Radiography and CT of the shoulder revealed posterior dislocation of the shoulder with a reverse Hill-Sachs lesion. The patient underwent open reduction of the humeral head, elevation of the depressed osteochondral surface, reconstruction using autograft, and repair of the posterior surface of the glenohumeral joint capsule 5 days following trauma. At the 5th year follow-up, the patient had a perfect outcome when evaluated using the Constant score.
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