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Updated: Jun 20, 2026

Reverse Total Shoulder Arthroplasty
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Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011

[Posterior shoulder dislocation--a diagnostic challenge].

Anton Mitchell Trollegaard1

  • 1Ortopaedkirurgisk Afdeling, Holbaek Centralsygehus, DK-4300 Holbaek. akulstrup@gmail.com

Ugeskrift for Laeger
|September 8, 2009
PubMed
Summary

A rare posterior shoulder dislocation was missed twice, highlighting diagnostic challenges. Prompt diagnosis and conservative treatment, including an abduction sling and physiotherapy, led to successful recovery.

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Area of Science:

  • Orthopedic Surgery
  • Radiology

Background:

  • Posterior shoulder dislocation is an uncommon injury, often presenting with subtle clinical and radiographic signs.
  • Misdiagnosis can lead to delayed treatment and potentially poorer outcomes.

Observation:

  • A case involving a patient with posterior shoulder dislocation is presented.
  • The dislocation was initially misdiagnosed clinically and radiographically in two separate emergency departments.
  • Diagnosis was eventually made and treatment initiated at a third medical facility.

Findings:

  • The patient underwent successful closed reduction for the posterior shoulder dislocation.
  • Conservative management included immobilization in an abduction sling for four weeks.
  • Active physiotherapy was initiated following the immobilization period.

Implications:

  • This case underscores the importance of considering posterior shoulder dislocation in the differential diagnosis of shoulder injuries, even with seemingly negative initial assessments.
  • Highlights the need for vigilance in clinical and radiographic interpretation to avoid diagnostic delays.
  • Emphasizes the efficacy of conservative management, including closed reduction, sling immobilization, and physiotherapy, for successful outcomes in posterior shoulder dislocations.

Related Experiment Videos

Last Updated: Jun 20, 2026

Reverse Total Shoulder Arthroplasty
10:10

Reverse Total Shoulder Arthroplasty

Published on: July 5, 2011