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Related Concept Videos

Fractures: Bone Repair01:27

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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Muscles of the Shoulder01:23

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Updated: Mar 15, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Posterior shoulder fracture-dislocation: an update with treatment algorithm.

Zinon T Kokkalis1, Ilias D Iliopoulos2, Georgia Antoniou2

  • 1Department of Orthopaedics, School of Medicine, University of Patras, Rio-Patras, Greece. drkokkalis@gmail.com.

European Journal of Orthopaedic Surgery & Traumatology : Orthopedie Traumatologie
|August 27, 2016
PubMed
Summary
This summary is machine-generated.

Posterior shoulder fracture-dislocation is a rare but serious injury. This review details its diagnosis, common fractures, causes, and treatment options, aiming to clarify management for this complex condition.

Keywords:
McLaughlin procedurePosterior fracture–dislocationReverse Hill–Sachs lesionShoulder

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Area of Science:

  • Orthopedic Surgery
  • Traumatology
  • Sports Medicine

Background:

  • Posterior shoulder fracture-dislocation is a rare injury (0.9%) with high rates of missed diagnosis (up to 79%).
  • Commonly associated fractures include impression fractures of the humeral head, neck, and tuberosities.
  • Etiologies involve forced muscle contraction (seizures, electroconvulsive therapy) or major trauma with specific arm positioning.

Purpose of the Study:

  • To present current concepts in the diagnosis, evaluation, and treatment of posterior shoulder fracture-dislocation.
  • To establish a treatment algorithm based on literature review and clinical experience.
  • To address the diagnostic and therapeutic challenges posed by this injury in active individuals (35-55 years old).

Main Methods:

  • Comprehensive literature review on posterior shoulder fracture-dislocation.
  • Analysis of diagnostic criteria and imaging findings.
  • Evaluation of various treatment modalities, from conservative to surgical reconstruction and arthroplasty.

Main Results:

  • Highlights the diagnostic challenges and high incidence of missed initial diagnoses.
  • Discusses the spectrum of associated fractures and common injury mechanisms.
  • Reviews existing treatment options, noting a lack of consensus on definitive guidelines.

Conclusions:

  • Emphasizes the need for increased awareness and accurate diagnosis of posterior shoulder fracture-dislocation.
  • Proposes a structured treatment algorithm to guide management decisions.
  • Underscores the complexity and limited evidence, necessitating further research and experience sharing.