Locked neglected posterior dislocation of the shoulder treated with Modified MacLaughlin procedure

Prashant Modi; Divyanshu Goyal; Ratan lal Dayma

Volume : IX, Issue : VII, July - 2020

Locked neglected posterior dislocation of the shoulder treated with Modified MacLaughlin procedure

Prashant Modi, Divyanshu Goyal, Ratan Lal Dayma

Abstract :

Background/Purpose- Posterior dislocation of the shoulder is rare injury, often missed and present late due to failure in early diagnosis and inadequate imaging. An impaction fracture of the anterome¬dial aspect of the humeral head, is present in almost all cases of chronic locked dislocations. we present the functional outcome of modified McLaughlin technique via transference of the subscapularis muscle attachment with the lesser tubercle Material and methods -Thirteen patients with mean age 32 years (range, 22-44 years) with mean durationof presentation 4 months (ranged from 8 weeks to 6 months)were enrolled in study. Preoperative clinico-radiological evaluation including radiograph and CT scan were done in all patients.UCLA score was used to evaluate functional outcome Result- Our UCLA score improved from mean 21 preoperative to mean 30 in postoperative period at mean followup of 40 months. Excellent to good results were observed without any postoperative complication Conclusion- Modified McLaughlin technique using standard screw fixation of the lesser tubercle graft in patients with neglected locked chronic posterior shoulder dislocation is safe and reproducible procrdure with good functional outcome