PMC7545983_01
PMC7545983_02
radiographs of the left shoulder: A) frontal radiograph of shoulder showing double contour of humeral head "trough sign" due to a reverse Hill-Sachs lesion; B) lateral view showing the humeral head projected behind the glenoid
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F1
In the lateral view, the humeral head projected behind the glenoid as a sign of posterior shoulder dislocation (Figure 1).
CT image showing a reverse Hill-Sachs lesion
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F2
The computed tomography (Figure 2) allowed us to confirm the scapular fracture and the reverse Hill-Sachs.
intraoperative image of posterior bone end-stop
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F3
We will proceed a third stabilization time by realizing a posterior bone end-stop by a tri-cortical graft which had been taken from the iliac crest fixed by two malleolar screws in compression (Figure 3).
shoulder radiograph at 2 years showing no signs of osteoarthritis or osteonecrosis
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F4
At two years of follow-up (Figure 4), the patient is very satisfied with a constant score which has gone from 20/100 preoperatively to 68/100 currently.