PMC3200281_01
X-ray shows fracture of the humeral head and intrarotation of the arm.
SURGERY2011-851051.001.jpg
PMC3200281_01_SURGERY2011-851051.001.jpg
fig1
An X-ray was immediately made (Figure 1).
CT scan underlines the loss of cartilaginous surface and the posterior dislocation.
SURGERY2011-851051.002.jpg
PMC3200281_01_SURGERY2011-851051.002.jpg
fig2
In order to confirm the posterior dislocation and to discover the associated fractures and the dimension of the reverse Hill-Sachs lesion, we requested a CT scan (Figure 2).
Humeral head reconstruction with allograft from crioconserved femoral head.
SURGERY2011-851051.003.jpg
PMC3200281_01_SURGERY2011-851051.003.jpg
fig3
The allograft was fixed by using 2 Herbert screws (Figure 3).
X-ray after 8 months.
SURGERY2011-851051.004.jpg
PMC3200281_01_SURGERY2011-851051.004.jpg
fig4
At 8-month followup, there are no signs of avascular necrosis (Figures 4 and 5) and the patient is satisfied with our operation.
CT scan after 8 months.
SURGERY2011-851051.005.jpg
PMC3200281_01_SURGERY2011-851051.005.jpg
fig5
At 8-month followup, there are no signs of avascular necrosis (Figures 4 and 5) and the patient is satisfied with our operation.
Followup after 8 months.
SURGERY2011-851051.006.jpg
PMC3200281_01_SURGERY2011-851051.006.jpg
fig6
However, the patient is able to keep his left arm above his head and to rotate internally till sacral bone (Figures 6 and 7).
Intrarotation after 8 months.
SURGERY2011-851051.007.jpg
PMC3200281_01_SURGERY2011-851051.007.jpg
fig7
However, the patient is able to keep his left arm above his head and to rotate internally till sacral bone (Figures 6 and 7).