Related Experiment Video
Updated: Jan 2, 2026
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Locked posterior fracture-dislocation of the shoulder
Luigi Branca Vergano1, Stefano Landi, Mauro Monesi
1U.O. ortopedia e traumatologia, ospedale M. Bufalini, Cesena (FC), Italy. luigibrancavergano@hotmail.com.
Background And Aim Of The Work:
To describe a valid option for the treatment of locked posterior fracture-dislocation of the shoulder (LPFDS) and to compare it to the literature about this topic.
Methods:
We present a small case series (3 patients), with a medium follow up at 4 years and 5 months. We accurately describe our surgical strategies, underlining the choice of approach, reduction and fixation.
Results:
The three patients showed excellent functional and radiological results at the follow up examinations, with a full range of shoulder movements and complete regain of pre-trauma activities. A lateral approach (standard or minimally invasive), a reduction technique with a Shantz pin in the head and in the humeral shaft, and fixation with a locking plate were used in the three patients.
Conclusion:
LPFDS is a challenging lesion, hard to recognize and to treat. Our suggested method of treatment is highly reproducible and has revealed itself to be very effective in achieving good results.
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