Skip to main content
SpringerLink
Log in

Diagnostik und Behandlungsregime der traumatischen dorsalen Schulterluxation

Fallserie und Diskussion der Literatur

Traumatic posterior shoulder dislocation

Diagnosis and therapy

  • Kasuistiken
  • Published:
Der Unfallchirurg Aims and scope Submit manuscript

Zusammenfassung

Die traumatische dorsale Schulterluxation ist im Vergleich zur anterioren wesentlich seltener und erfordert ein gesondertes diagnostisches und therapeutisches Vorgehen. Falls initial fälschlicherweise nicht erkannt und nicht therapiert, können sich schwerste Bewegungseinschränkungen im betroffenen Gelenk ergeben. In der vorliegenden Arbeit soll das diagnostische und therapeutische Management anhand von 3 typischen klinischen Fallpräsentationen erläutert und anhand einer Übersicht der Literatur diskutiert werden.

Abstract

In contrast to anterior dislocations, traumatic dorsal shoulder dislocation is a rare complication of upper extremity injuries. If the diagnosis is overseen and treated incorrectly, severe mobility restrictions might be the consequence for the injured individual. Hence, the aim of this article is to demonstrate the adequate diagnostic and therapeutic management and to critically discuss the literature.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5

Literatur

  1. Cisternino SJ, Rogers LF, Stufflebam BC, Kruglik GD (1978) The trough line: a radiographic sign of posterior shoulder dislocation. AJR Am J Roentgenol 130: 951–954

    PubMed  CAS  Google Scholar 

  2. Dorgan JA (1955) Posterior dislocation of the shoulder. Am J Surg 89: 890–900

    Article  PubMed  CAS  Google Scholar 

  3. McLaughlin HL (1952) Posterior dislocation of the shoulder. J Bone Joint Surg Am 243: 584–590

    Google Scholar 

  4. Hawkins RJ, Neer CS, Pianta RM, Mendoza FX (1987) Locked posterior dislocation of the shoulder. J Bone Joint Surg Am 69: 9–18

    PubMed  CAS  Google Scholar 

  5. Robinson CM, Aderinto J (2005) Posterior shoulder dislocations and fracture-dislocations. J Bone Joint Surg Am 87: 639–650

    Article  PubMed  Google Scholar 

  6. Kelly JP (1954) Fractures complicating electro-convulsive therapy and chronic epilepsy. J Bone Joint Surg Br 36: 70–79

    PubMed  Google Scholar 

  7. Brown RJ (1984) Bilateral dislocation of the shoulders. Injury 15: 267–273

    Article  PubMed  CAS  Google Scholar 

  8. Mestdagh H, Maynou C, Delobelle JM et al. (1994) Traumatic posterior dislocation of the shoulder in adults. Apropos of 25 cases. Ann Chir 48: 355–363

    PubMed  CAS  Google Scholar 

  9. DeToledo JC, Lowe MR, Ramsay RE (1999) Restraining patients and shoulder dislocations during seizures. J Shoulder Elbow Surg 8: 300–302

    Article  PubMed  CAS  Google Scholar 

  10. DeToledo JC, Lowe MR (2001) Seizures, lateral decubitus, aspiration, and shoulder dislocation: Time to change the guidelines? Neurology 56: 290–291

    PubMed  CAS  Google Scholar 

  11. Schulz TJ, Jacobs B, Patterson RL Jr (1969) Unrecognized dislocations of the shoulder. J Trauma 9: 1009–1023

    PubMed  CAS  Google Scholar 

  12. Ovesen J, Sojbjerg JO (1986) Posterior shoulder dislocation. Muscle and capsular lesions in cadaver experiments. Acta Orthop Scand 57: 535–536

    Article  PubMed  CAS  Google Scholar 

  13. Roberts A, Wickstrom J (1971) Prognosis of posterior dislocation of the shoulder. Acta Orthop Scand 42: 328–337

    PubMed  CAS  Google Scholar 

  14. Edelson G, Kelly I, Vigder F, Reis ND (2004) A three-dimensional classification for fractures of the proximal humerus. J Bone Joint Surg Br 86: 413–425

    Article  PubMed  CAS  Google Scholar 

  15. Hawkins RJ (1985) Unrecognized dislocations of the shoulder. Instr Course Lect 34: 258–263

    PubMed  CAS  Google Scholar 

  16. Heller KD, Forst J, Forst R (1995) Differential therapy of traumatically-induced persistent posterior shoulder dislocation. Review of the literature. Unfallchirurg 98: 6–12

    PubMed  CAS  Google Scholar 

  17. Sommerey S, Braunstein V, Kanz K-G, Mutschler W (2006) Posterior shoulder dislocation. MMW Fortschr Med 7: 1–3

    Google Scholar 

  18. Arndt JH, Sears AD (1965) Posterior dislocation of the shoulder. Am J Roentgenol Radium Ther Nucl Med 94: 639–645

    PubMed  CAS  Google Scholar 

  19. Aparicio G, Calvo E, Bonilla L et al. (2000) Neglected traumatic posterior dislocations of the shoulder: controversies on indications for treatment and new CT scan findings. J Orthop Sci 5: 37–42

    Article  PubMed  CAS  Google Scholar 

  20. Heller KD, Forst J, Forst R, Cohen B (1994) Posterior dislocation of the shoulder: recommendations for a classification. Arch Orthop Trauma Surg 113: 228–231

    Article  PubMed  CAS  Google Scholar 

  21. McLaughlin HL (1963) Locked posterior subluxation of the shoulder: diagnosis and treatment. Surg Clin North Am 43: 1621–1622

    PubMed  CAS  Google Scholar 

  22. Cicak N (2004) Posterior dislocation of the shoulder. J Bone Joint Surg Br 86: 324–332

    Article  PubMed  CAS  Google Scholar 

  23. Steinmann SP (2003) Posterior shoulder instability. Arthroscopy 19(Suppl 1): 102–105

    Article  PubMed  Google Scholar 

  24. Wilson JC, Mc Keever FM (1949) Traumatic posterior (retroglenoid) dislocation of the humerus. J Bone Joint Surg Am 31: 160–172

    Google Scholar 

  25. Checchia SL, Santos PD, Miyazaki AN (1998) Surgical treatment of acute and chronic posterior fracture-dislocation of the shoulder. J Shoulder Elbow Surg 7:53–65

    Article  PubMed  CAS  Google Scholar 

  26. Engelhardt MB (1978) Posterior dislocation of the shoulder: report of six cases. South Med J 71: 425–427

    PubMed  CAS  Google Scholar 

  27. Hatzis N, Kaar TK, Wirth MA, Rockwood CA Jr (2001) The often overlooked posterior dislocation of the shoulder. Tex Med 97: 62–67

    PubMed  CAS  Google Scholar 

  28. Rowe CR, Zarins B (1982) Chronic unreduced dislocations of the shoulder. J Bone Joint Surg Am 64: 494–505

    PubMed  CAS  Google Scholar 

  29. Kreitner KF, Schild H, Becker HR et al. (1987) Shoulder luxation. A late clinico-radiologic study. ROFO Fortschr Geb Rontgenstr Nuklearmed 147: 407–413

    Article  PubMed  CAS  Google Scholar 

  30. Porteous MJ, Miller AJ (1990) Humeral rotation osteotomy for chronic posterior dislocation of the shoulder. J Bone Joint Surg Br 72: 468–469

    PubMed  CAS  Google Scholar 

  31. Vukov V (1985) Posterior dislocation of the shoulder with a large anteromedial defect of the head of the humerus. A case report. Int Orthop 9: 37–40

    Article  PubMed  CAS  Google Scholar 

  32. Cheng SL, Mackay MB, Richards RR (1997) Treatment of locked posterior fracture-dislocations of the shoulder by total shoulder arthroplasty. J Shoulder Elbow Surg 6: 11–17

    Article  PubMed  CAS  Google Scholar 

  33. Jones TP, Beckenbaugh JP, Sperling JW et al. (2003) Your diagnosis? Posterior shoulder dislocation. Orthopedics 26: 682–746

    PubMed  Google Scholar 

  34. Gerber C, Lambert SM (1996) Allograft reconstruction of segmental defects of the humeral head for the treatment of chronic locked posterior dislocation of the shoulder. J Bone Joint Surg Am 78: 376–382

    PubMed  CAS  Google Scholar 

  35. Yagishita K, Thomas BJ (2002) Use of allograft for large Hill-Sachs lesion associated with anterior glenohumeral dislocation. A case report. Injury 33: 791–794

    Article  PubMed  Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

  1. Chirurgische Klinik , Klinikum der Universität München-Innenstadt, Nussbaumstraße 20, 80336, München, Deutschland

    C. Kirchhoff, V. Braunstein, K.-G. Kanz, W. Mutschler & P. Biberthaler

  2. Institut für Klinische Radiologie, Klinikum der Universität München-Großhadern, Ludwig-Maximilians-Universität, München, Deutschland

    S. Buhmann

  3. Abteilung für Schulter- und Ellenbogenchirurgie, Klinikum der Universität München-Innenstadt, München, Deutschland

    C. Kirchhoff, V. Braunstein & P. Biberthaler

Authors
  1. C. Kirchhoff
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. V. Braunstein
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. S. Buhmann
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. K.-G. Kanz
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. W. Mutschler
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. P. Biberthaler
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to C. Kirchhoff.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kirchhoff, C., Braunstein, V., Buhmann, S. et al. Diagnostik und Behandlungsregime der traumatischen dorsalen Schulterluxation. Unfallchirurg 110, 1059–1064 (2007). https://doi.org/10.1007/s00113-007-1285-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00113-007-1285-8

Schlüsselwörter

Keywords

Search

Navigation