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Updated: Dec 24, 2025

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
[Unreduced posterior dislocation of the shoulder with an associated reverse Hill-Sachs injury treated with a modified
L G Ortiz-Díaz1, E Magallanes-Durán1, R Martínez-Pérez1
1Centenario Hospital Miguel Hidalgo. Servicio de Traumatología y Ortopedia. Módulo de cirugía articular. Aguascalientes, Ags. México.
Introduction:
Posterior shoulder dislocations are rare (2%) and are associated with seizures, electrocutions and high-energy trauma. They may be associated with a reverse Hill-Sachs lesion. One of the treatment principles consists of the subscapular tendon transfer to the injury area or McLaughlin procedure.
Clinical Case:
A case of a man with a reverse Hill-Sachs defect treated with a modification of McLaughlins original technique is presented. The functional results after 13 months of surgery are reported.
Results:
Currently with a Constant Score of 98 points.
Conclusion:
The technical modification used for the surgical treatment of the reverse Hill-Sachs lesion presented in this patient demonstrated good functional results with low cost material.

