Title: Orthopedics

Abstract:

Posterior dislocation of the shoulder is a rare event that often occurs as a consequence of a direct trauma or epileptic crisis. Frequently the posterior dislocations are missed, so they become neglected lesions. It can be a challenging clinical entity for orthopedic surgeons to treat this pathology. In the setting of a posterior dislocation, a large anterior humeral impaction injury (reverse Hill-Sachs) may occur, leading to engagement of the humerus with the posterior glenoid rim. A reverse Hill-Sachs is especially debilitating because of the significant portion of affected humeral head cartilage. Recent practice favors the anatomic reconstruction consisting of restoration of the cartilage surface of the humeral head using bone grafts (auto graft or allograft) to restore the articular contour of the humeral head. We present a small case series of 3 patients at our center presented with an acute posterior shoulder dislocation with reverse Hill-Sachs lesion which involved more than 25% of the articular surface of the humeral head. All the cases were managed with open reduction, relocation and restoration of humeral head using autograft (iliac crest). 

Biography:

Dr Yogesh Soni has completed his graduation at the age of 24 years and MS degree from TNMC Mumbai. Currently he is working as assistant professor in orthopedics department, SSIMS Bhilai, India. He has published more than 12 papers in reputed journals and has been serving as an active member of various orthopedic societies.