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Posterior shoulder instability managed by arthroscopic acromial pediculated bone-block. Technique

Métais, Pierre and Grimberg, Jean and Clavert, Philippe and Kouvalchouk, Jean-François and Sirveaux, François and Nourissat, Geoffroy and Garret, Jérome and Mansat, Pierre and Godenèche, Arnaud Posterior shoulder instability managed by arthroscopic acromial pediculated bone-block. Technique. (2017) Orthopaedics & Traumatology: Surgery & Research, 103 (8). S203-S206. ISSN 1877-0568

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Official URL: https://doi.org/10.1016/j.otsr.2017.09.001


In posterior shoulder instability (recurrent dislocation, involuntary posterior subluxation or voluntary subluxation that has become involuntary), surgery may be considered in case of failure of functional treatment if there are no psychological contraindications. Acromial bone-block with pediculated deltoid flap, as described by Kouvalchouk, is an alternative to iliac bone-block, enabling triple shoulder locking by the blocking effect, the retention hammock provided by the deltoid flap and posterior capsule repair. Arthroscopy allows shoulder joint exploration and diagnosis of associated lesions, with opening and conservation of the posterior capsule; it greatly facilitates bone-block positioning and capsule reinsertion. The present report describes the procedure in detail.

Item Type:Article
HAL Id:hal-02135082
Audience (journal):International peer-reviewed journal
Uncontrolled Keywords:
Institution:Other partners > Hôpitaux universitaires de Strasbourg - HUS (FRANCE)
French research institutions > Institut National de la Santé et de la Recherche Médicale - INSERM (FRANCE)
Other partners > Sorbonne Université (FRANCE)
Other partners > Centre Orthopédique Santy (FRANCE)
Other partners > Centre Hospitalier Universitaire de Nancy - CHU Nancy (FRANCE)
Other partners > Clinique du Parc Lyon (FRANCE)
Other partners > Hôpital Privé la Châtaigneraie (FRANCE)
Other partners > Hôpital Foch (FRANCE)
Other partners > Centre Hospitalier Universitaire de Toulouse - CHU Toulouse (FRANCE)
Other partners > Institut de Recherche en Chirurgie Orthopédique et Sportive - IRCOS (FRANCE)
Laboratory name:
Deposited On:10 Apr 2019 07:09

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