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SA Orthopaedic Journal

versão On-line ISSN 2309-8309

SA orthop. j. vol.8 no.1 Pretoria Jan. 2009

 

CLINICAL ARTICLE

 

Results of the McLaughlin procedure for chronic locked posterior dislocation of the shoulder

 

 

Dr R BhagaI; Dr AA AdenII

IMBBCh; Registrar*
IIFCS(Orth) SA;Senior consultant; Department of Orthopaedics, University of Witwatersrand, Helen Joseph Hospital, Johannesburg, South Africa

Correspondence

 

 


ABSTRACT

AIM: To determine the functional outcome of patients undergoing McLaughlin procedure for chronic locked posterior dislocation of the shoulder.
METHODS: A retrospective review of six patients who underwent this procedure was carried out. There were four females and two males. Ages ranged from 27 years to 68 years (mean age of 46.5 years). The average time interval between injury and presentation was 26.5 weeks (range 3-65 weeks). These procedures were all performed by the senior author (AAA) between 2003 and 2007. Patients were followed up clinically and radiologically for an average of 10.1 months (range 6-24 months). Outcome was assessed in terms of function, pain and patient satisfaction with the help of the Constant and Murley score.1
RESULTS: No complications were noted and no recurrences were seen. At the last follow up, the average Constant score achieved was 73.5 (range 60-93). The maximum is 100 points.
DISCUSSION: A search of the literature resulted in a handful of articles dealing with chronic posterior dislocation of the shoulder. All of these were with very few patients and some of the articles presented results with more than one procedure. In our case series, the McLaughlin procedure proved to be useful in achieving a painless, stable shoulder with reasonable function.
CONCLUSION: The McLaughlin procedure is a reliable operation and produces satisfactory results for chronic locked posterior dislocation of the shoulder.


 

 

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References

1. Constant CR, Murley AHG. A clinical method of functional assessment of the shoulder. Clin Orthop Rel Res 1987;214:160-4.         [ Links ]

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3. Delcogliano A, Caporaso A, Chiossi S, et al. Surgical management of chronic, unreduced posterior dislocation of the shoulder. Knee Surg Sports Traumatol Arthrosc 2005;13:151-5.         [ Links ]

4. Feroussis JS, Triantafillopoulos IK, Dallas P, et al. Surgical management of chronic posterior fracture-dislocations of the shoulder by transfer of the subscapularis tendon. Acta Othopaedica et Traumatology Hellenica 2003;54(3).         [ Links ]

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6. Finkelstein JA, Wadell JP, O'Driscoll SW, Vincent G. Acute posterior fracture dislocations of the shoulder treated with the Neer modification of the McLaughlin procedure. Journal of Orthopaedic Trauma 1995;9(3):190-3.         [ Links ]

7. McLaughlin HL. Posterior dislocation of the shoulder. J Bone Joint Surg (Am) 1952;34:584-90.         [ Links ]

8. Gerber C, Lambert SM. Allograft reconstruction of segmental defects in humeral head for the treatment of chronic locked posterior dislocation of the shoulder. J Bone Joint Surg (Am) 1996;78:376-82.         [ Links ]

9. Keppler P, Holz U, Thielemann FW, Meinig R. Locked posterior dislocation of the shoulder: treatment using rotational osteotomy of the humerus. J Orthop Trauma 1994;8:286-92.         [ Links ]

10. Nikhil N, Verma MD, Robert A, et al. Arthroscopic reduction and repair of a locked posterior shoulder dislocation, Case report, Arthroscopy: The Journal of Arthroscopic and Related Surgery. Vol 22, Issue 11,pg1252e1-1252e5, Nov 2006.         [ Links ]

 

 

Correspondence:
Dr R Bhaga
PO Box 324
Extension 1
Lenasia
1820
Cell: 072 2425 644; Home: 011 852 2818; Fax: 011 352 7133
Email: ravibhaga@hotmail.com

 

 

The content of this article is the sole work of the authors. No benefits ofany form have been derived from any commercial party related directly or indirectly to the subject of this article.
*This article was awarded 2nd prize in the GT du Toit Registrars' Competition.

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