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Open Reduction of a Posteriorly Locked Shoulder Dislocation: A Case Example.

Lea McDaniel1, Midhat Patel, Paulo Castaneda

  • 1Department of Orthopaedics, University of Arizona, Phoenix, AZ.

Journal of Orthopaedic Trauma
|September 11, 2025
PubMed
Summary

Posterior shoulder dislocations present diagnostic and treatment challenges, often requiring surgery when locked or unstable. Surgical management involves careful planning, reduction, stabilization, and rehabilitation for optimal outcomes.

Keywords:
chronic dislocationopen reductionposteriorshoulder

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Traumatology

Background:

  • Posterior shoulder dislocations are rare but complex injuries.
  • Locked dislocations present significant diagnostic and treatment challenges due to humeral head impaction or soft tissue interference.

Purpose of the Study:

  • To outline the diagnostic and surgical management of posterior shoulder dislocations.
  • To highlight the importance of preoperative assessment and tailored surgical planning.

Main Methods:

  • Preoperative assessment to confirm diagnosis and plan surgery.
  • Surgical approach (e.g., deltopectoral), including biceps tenodesis and lesser tuberosity osteotomy.
  • Direct visualization and fluoroscopic confirmation for humeral head reduction and stabilization.

Main Results:

  • Surgical intervention is frequently necessary for locked dislocations, recurrent instability, or associated bony injuries.
  • Successful reduction and stabilization of the humeral head were achieved.
  • Associated lesions were identified and addressed during surgery.

Conclusions:

  • Posterior shoulder dislocations require careful preoperative evaluation to guide surgical intervention.
  • Surgical techniques, including osteotomy and tenodesis, facilitate reduction and stabilization.
  • Postoperative care involving immobilization and rehabilitation is crucial for recovery.