PMC4736246_01
Pre-operative x-ray showing the posterior dislocation and the reverse Hill-Sachs lesion
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Fig1
A 53- year- old male patient who sustained a posterior shoulder dislocation with combined subcapital fracture and reversed Hill-Sachs lesion (see Fig. 1) was referred to our level I trauma center.
Intra-operative fluoroscopy and clinical image of the reverse Hill-Sachs lesion and the reduction maneuver using a kyphoplasty balloon. Note the K-wires used as counter-bearing/abutment
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Fig2
The K-wires were inserted parallel to the impressed reverse Hill-Sachs lesion not perforating the contralateral cortical bone (see Fig. 2).
Post-operative x-ray and CT scan showing the restoration of spherical shape compared to pre-operative situation
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Fig3
In the post-operative X-ray and the CT scan a anatomic reduction of the impressed humeral head fracture was the result (see Fig. 3).