Chronic posterior fracture-dislocation of the shoulder: case report and a literature review

Abstract

Posterior shoulder fracture-dislocation is a rare
injury accounting for approximately 0.9% of
shoulder fracture-dislocations and often
misdiagnosed during the initial presentation to a
physician. Though the reverse Hill-Sachs lesion is a
common injury associated with posterior shoulder
dislocation, the associated scapula fracture
represents only 6% of the lesions associated with a
posterior dislocation of the shoulder. We report
the case of a neglected posterior shoulder
dislocation with a reverse Hill-Sachs lesion treated
by filling with an autologous graft associated with
an extra articular fracture of the scapula fixed by a
Article
Ahmed Daoudi et al. PAMJ - 36(275). 13 Aug 2020. - Page numbers not for citation purposes. 2
plate and a posterior bone end-stop because of the
posterior instability. After two years of follow-up,
the patient has no episode of dislocation and is
satisfied with the functional result with a constant
score of 68/100 points.