Mowery C A, Garfin S R, Booth R E, Rothman R H
J Bone Joint Surg Am. 1985 Jun;67(5):777-81.
Acute posterior dislocations of the shoulder are uncommon. Recommended surgical treatments for recurrent posterior dislocation include soft-tissue advancement, posterior glenoid osteotomy, rotational osteotomy of the humerus, and posterior bone block. The posterior bone-block procedure successfully prevented recurrent dislocation in our series of five patients. The patients ranged in age from seventeen to forty-four years, and have been followed for two and one-half to eight years. All returned to unrestricted activity and recreational sports. The complications included a later anterior dislocation of the shoulder in one patient and an unsightly scar requiring revision in two patients. There were no complaints of pain. Radiographs showed decreased density of the bone block in two patients, but graft resorption did not occur.
急性肩关节后脱位并不常见。对于复发性后脱位推荐的手术治疗方法包括软组织推进术、肩胛盂后截骨术、肱骨旋转截骨术以及后方骨块植入术。在我们一组5例患者中，后方骨块植入术成功地预防了复发性脱位。患者年龄在17岁至44岁之间，随访时间为2.5年至8年。所有患者均恢复了无限制的活动和娱乐性运动。并发症包括1例患者随后发生肩关节前脱位，2例患者有难看的瘢痕需要修复。无疼痛主诉。X线片显示2例患者骨块密度降低，但未发生植骨吸收。
