Finkelstein J A, Waddell J P, O'Driscoll S W, Vincent G
University of Toronto, Canada.
J Orthop Trauma. 1995 Jun;9(3):190-3.
Posterior dislocation of the shoulder may be associated with an anteromedial impaction fracture rendering the shoulder unstable in internal rotation. The modified McLaughlin procedure as described by Neer involves transplanting the lesser tuberosity with the attached subscapularis tendon into the anteromedial defect. We have used this procedure acutely (from the day of injury to 10 days postinjury) in seven shoulders. All patients were unstable in internal rotation and had an anteromedial impaction fracture occupying 25-40% of the articular surface. This technique provides good stability, enables immediate active range of motion, and allows the patient to rapidly return to activities of daily living.
肩关节后脱位可能伴有前内侧撞击骨折，导致肩关节在内旋时不稳定。Neer所描述的改良McLaughlin手术包括将附着肩胛下肌腱的小结节移植到前内侧缺损处。我们已对七例肩关节急性（从受伤当天至受伤后10天）应用了该手术。所有患者在内旋时均不稳定，且前内侧撞击骨折占关节面的25% - 40%。该技术提供了良好的稳定性，能使患者立即进行主动活动范围训练，并允许患者迅速恢复日常生活活动。
