Prasathaporn Niti, Laohathaimongkol Thongchai, Umprai Vantawat, Kuptniratsaikul Vanasiri
Department of Orthopaedics, Queen Savang Vadhana Memorial Hospital, Chonburi, Thailand.
Arthrosc Tech. 2019 Aug 1;8(7):e769-e774. doi: 10.1016/j.eats.2019.03.015. eCollection 2019 Jul.
Neglected posterior shoulder dislocation is a difficult condition in terms of decision making and surgical technique. Not only the bony deformity but also the soft tissue and patient's underlying disease are of concern. Whether the poor results are associated with a time delay or the treatment method is not clear yet. To date, there is neither a consensus nor treatment guidelines. We describe an arthroscopically assisted reduction and open McLaughlin procedure. The advantage of this procedure is preservation of the soft tissue of the anterior part of the shoulder during the surgical reduction technique for chronic neglected posterior shoulder dislocation cases.
被忽视的肩关节后脱位在决策和手术技术方面是一种棘手的情况。不仅要关注骨畸形，还要关注软组织和患者的基础疾病。目前尚不清楚不良结果是与时间延迟相关还是与治疗方法有关。迄今为止，既没有共识也没有治疗指南。我们描述了一种关节镜辅助复位和开放性麦克劳林手术。该手术的优点是在慢性被忽视的肩关节后脱位病例的手术复位技术中保留了肩部前部的软组织。
