Proximal humerus derotational osteotomy for internal rotation instability after locked posterior shoulder dislocation: early experience in four patients

Background We performed a retrospective and descriptive study to determine the feasibility of proximal humerus derotational osteotomy in younger patients with significant humeral head depression, who may not be good candidates for shoulder arthroplasty. Methods Rotational osteotomy was done on four...
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Autor*in:	Ziran, Bruce [verfasserIn] Nourbakhsh, Ali

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2015

Schlagwörter:	Humerus Derotational osteotomy Hill-Sachs lesion

Anmerkung:	© Ziran; licensee BioMed Central. 2015

Übergeordnetes Werk:	Enthalten in: Patient safety in surgery - London : BioMed Central, 2007, 9(2015), 1 vom: 08. Mai
Übergeordnetes Werk:	volume:9 ; year:2015 ; number:1 ; day:08 ; month:05

Links:	Volltext

DOI / URN:	10.1186/s13037-015-0062-9

Katalog-ID:	SPR029573475

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520			\|a Background We performed a retrospective and descriptive study to determine the feasibility of proximal humerus derotational osteotomy in younger patients with significant humeral head depression, who may not be good candidates for shoulder arthroplasty. Methods Rotational osteotomy was done on four patients with a mean age of 40 for locked posterior dislocation associated with a reverse Hill-Sachs lesion from 2000–2011. The average age was 40 +/− 11 years old and the average follow up was 22 +/− 8 months. Shoulder stability, range of motion, radiographic outcome and postoperative complications were assessed. Average follow-up was 22 months (range, 12–30 months) postoperatively. Results The average range of motion of the shoulders at the final follow-up were as follows (Mean +/− Standard deviation): Abduction: 125 +/− 29°, Forward flexion: 135 +/− 17°, Internal rotation: 65 +/− 17°, External rotation: 62 +/− 10°. There were no wound or neurological complications and no dislocations. Patients were satisfied with their functional status and did not have any further symptoms of instability or rotator cuff dysfunction. Conclusions Proximal humerus derotational osteotomy for acute locked posterior dislocation of the shoulder can be a viable option for younger age group, which can facilitate rehabilitation for these patients by providing immediate stability.
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allfields	10.1186/s13037-015-0062-9 doi (DE-627)SPR029573475 (SPR)s13037-015-0062-9-e DE-627 ger DE-627 rakwb eng Ziran, Bruce verfasserin aut Proximal humerus derotational osteotomy for internal rotation instability after locked posterior shoulder dislocation: early experience in four patients 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ziran; licensee BioMed Central. 2015 Background We performed a retrospective and descriptive study to determine the feasibility of proximal humerus derotational osteotomy in younger patients with significant humeral head depression, who may not be good candidates for shoulder arthroplasty. Methods Rotational osteotomy was done on four patients with a mean age of 40 for locked posterior dislocation associated with a reverse Hill-Sachs lesion from 2000–2011. The average age was 40 +/− 11 years old and the average follow up was 22 +/− 8 months. Shoulder stability, range of motion, radiographic outcome and postoperative complications were assessed. Average follow-up was 22 months (range, 12–30 months) postoperatively. Results The average range of motion of the shoulders at the final follow-up were as follows (Mean +/− Standard deviation): Abduction: 125 +/− 29°, Forward flexion: 135 +/− 17°, Internal rotation: 65 +/− 17°, External rotation: 62 +/− 10°. There were no wound or neurological complications and no dislocations. Patients were satisfied with their functional status and did not have any further symptoms of instability or rotator cuff dysfunction. Conclusions Proximal humerus derotational osteotomy for acute locked posterior dislocation of the shoulder can be a viable option for younger age group, which can facilitate rehabilitation for these patients by providing immediate stability. Humerus (dpeaa)DE-He213 Derotational osteotomy (dpeaa)DE-He213 Hill-Sachs lesion (dpeaa)DE-He213 Nourbakhsh, Ali aut Enthalten in Patient safety in surgery London : BioMed Central, 2007 9(2015), 1 vom: 08. Mai (DE-627)558389643 (DE-600)2409244-7 1754-9493 nnns volume:9 year:2015 number:1 day:08 month:05 https://dx.doi.org/10.1186/s13037-015-0062-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2015 1 08 05
spelling	10.1186/s13037-015-0062-9 doi (DE-627)SPR029573475 (SPR)s13037-015-0062-9-e DE-627 ger DE-627 rakwb eng Ziran, Bruce verfasserin aut Proximal humerus derotational osteotomy for internal rotation instability after locked posterior shoulder dislocation: early experience in four patients 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ziran; licensee BioMed Central. 2015 Background We performed a retrospective and descriptive study to determine the feasibility of proximal humerus derotational osteotomy in younger patients with significant humeral head depression, who may not be good candidates for shoulder arthroplasty. Methods Rotational osteotomy was done on four patients with a mean age of 40 for locked posterior dislocation associated with a reverse Hill-Sachs lesion from 2000–2011. The average age was 40 +/− 11 years old and the average follow up was 22 +/− 8 months. Shoulder stability, range of motion, radiographic outcome and postoperative complications were assessed. Average follow-up was 22 months (range, 12–30 months) postoperatively. Results The average range of motion of the shoulders at the final follow-up were as follows (Mean +/− Standard deviation): Abduction: 125 +/− 29°, Forward flexion: 135 +/− 17°, Internal rotation: 65 +/− 17°, External rotation: 62 +/− 10°. There were no wound or neurological complications and no dislocations. Patients were satisfied with their functional status and did not have any further symptoms of instability or rotator cuff dysfunction. Conclusions Proximal humerus derotational osteotomy for acute locked posterior dislocation of the shoulder can be a viable option for younger age group, which can facilitate rehabilitation for these patients by providing immediate stability. Humerus (dpeaa)DE-He213 Derotational osteotomy (dpeaa)DE-He213 Hill-Sachs lesion (dpeaa)DE-He213 Nourbakhsh, Ali aut Enthalten in Patient safety in surgery London : BioMed Central, 2007 9(2015), 1 vom: 08. Mai (DE-627)558389643 (DE-600)2409244-7 1754-9493 nnns volume:9 year:2015 number:1 day:08 month:05 https://dx.doi.org/10.1186/s13037-015-0062-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2015 1 08 05
allfields_unstemmed	10.1186/s13037-015-0062-9 doi (DE-627)SPR029573475 (SPR)s13037-015-0062-9-e DE-627 ger DE-627 rakwb eng Ziran, Bruce verfasserin aut Proximal humerus derotational osteotomy for internal rotation instability after locked posterior shoulder dislocation: early experience in four patients 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ziran; licensee BioMed Central. 2015 Background We performed a retrospective and descriptive study to determine the feasibility of proximal humerus derotational osteotomy in younger patients with significant humeral head depression, who may not be good candidates for shoulder arthroplasty. Methods Rotational osteotomy was done on four patients with a mean age of 40 for locked posterior dislocation associated with a reverse Hill-Sachs lesion from 2000–2011. The average age was 40 +/− 11 years old and the average follow up was 22 +/− 8 months. Shoulder stability, range of motion, radiographic outcome and postoperative complications were assessed. Average follow-up was 22 months (range, 12–30 months) postoperatively. Results The average range of motion of the shoulders at the final follow-up were as follows (Mean +/− Standard deviation): Abduction: 125 +/− 29°, Forward flexion: 135 +/− 17°, Internal rotation: 65 +/− 17°, External rotation: 62 +/− 10°. There were no wound or neurological complications and no dislocations. Patients were satisfied with their functional status and did not have any further symptoms of instability or rotator cuff dysfunction. Conclusions Proximal humerus derotational osteotomy for acute locked posterior dislocation of the shoulder can be a viable option for younger age group, which can facilitate rehabilitation for these patients by providing immediate stability. Humerus (dpeaa)DE-He213 Derotational osteotomy (dpeaa)DE-He213 Hill-Sachs lesion (dpeaa)DE-He213 Nourbakhsh, Ali aut Enthalten in Patient safety in surgery London : BioMed Central, 2007 9(2015), 1 vom: 08. Mai (DE-627)558389643 (DE-600)2409244-7 1754-9493 nnns volume:9 year:2015 number:1 day:08 month:05 https://dx.doi.org/10.1186/s13037-015-0062-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2015 1 08 05
allfieldsGer	10.1186/s13037-015-0062-9 doi (DE-627)SPR029573475 (SPR)s13037-015-0062-9-e DE-627 ger DE-627 rakwb eng Ziran, Bruce verfasserin aut Proximal humerus derotational osteotomy for internal rotation instability after locked posterior shoulder dislocation: early experience in four patients 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ziran; licensee BioMed Central. 2015 Background We performed a retrospective and descriptive study to determine the feasibility of proximal humerus derotational osteotomy in younger patients with significant humeral head depression, who may not be good candidates for shoulder arthroplasty. Methods Rotational osteotomy was done on four patients with a mean age of 40 for locked posterior dislocation associated with a reverse Hill-Sachs lesion from 2000–2011. The average age was 40 +/− 11 years old and the average follow up was 22 +/− 8 months. Shoulder stability, range of motion, radiographic outcome and postoperative complications were assessed. Average follow-up was 22 months (range, 12–30 months) postoperatively. Results The average range of motion of the shoulders at the final follow-up were as follows (Mean +/− Standard deviation): Abduction: 125 +/− 29°, Forward flexion: 135 +/− 17°, Internal rotation: 65 +/− 17°, External rotation: 62 +/− 10°. There were no wound or neurological complications and no dislocations. Patients were satisfied with their functional status and did not have any further symptoms of instability or rotator cuff dysfunction. Conclusions Proximal humerus derotational osteotomy for acute locked posterior dislocation of the shoulder can be a viable option for younger age group, which can facilitate rehabilitation for these patients by providing immediate stability. Humerus (dpeaa)DE-He213 Derotational osteotomy (dpeaa)DE-He213 Hill-Sachs lesion (dpeaa)DE-He213 Nourbakhsh, Ali aut Enthalten in Patient safety in surgery London : BioMed Central, 2007 9(2015), 1 vom: 08. Mai (DE-627)558389643 (DE-600)2409244-7 1754-9493 nnns volume:9 year:2015 number:1 day:08 month:05 https://dx.doi.org/10.1186/s13037-015-0062-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2015 1 08 05
allfieldsSound	10.1186/s13037-015-0062-9 doi (DE-627)SPR029573475 (SPR)s13037-015-0062-9-e DE-627 ger DE-627 rakwb eng Ziran, Bruce verfasserin aut Proximal humerus derotational osteotomy for internal rotation instability after locked posterior shoulder dislocation: early experience in four patients 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Ziran; licensee BioMed Central. 2015 Background We performed a retrospective and descriptive study to determine the feasibility of proximal humerus derotational osteotomy in younger patients with significant humeral head depression, who may not be good candidates for shoulder arthroplasty. Methods Rotational osteotomy was done on four patients with a mean age of 40 for locked posterior dislocation associated with a reverse Hill-Sachs lesion from 2000–2011. The average age was 40 +/− 11 years old and the average follow up was 22 +/− 8 months. Shoulder stability, range of motion, radiographic outcome and postoperative complications were assessed. Average follow-up was 22 months (range, 12–30 months) postoperatively. Results The average range of motion of the shoulders at the final follow-up were as follows (Mean +/− Standard deviation): Abduction: 125 +/− 29°, Forward flexion: 135 +/− 17°, Internal rotation: 65 +/− 17°, External rotation: 62 +/− 10°. There were no wound or neurological complications and no dislocations. Patients were satisfied with their functional status and did not have any further symptoms of instability or rotator cuff dysfunction. Conclusions Proximal humerus derotational osteotomy for acute locked posterior dislocation of the shoulder can be a viable option for younger age group, which can facilitate rehabilitation for these patients by providing immediate stability. Humerus (dpeaa)DE-He213 Derotational osteotomy (dpeaa)DE-He213 Hill-Sachs lesion (dpeaa)DE-He213 Nourbakhsh, Ali aut Enthalten in Patient safety in surgery London : BioMed Central, 2007 9(2015), 1 vom: 08. Mai (DE-627)558389643 (DE-600)2409244-7 1754-9493 nnns volume:9 year:2015 number:1 day:08 month:05 https://dx.doi.org/10.1186/s13037-015-0062-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2015 1 08 05
language	English
source	Enthalten in Patient safety in surgery 9(2015), 1 vom: 08. Mai volume:9 year:2015 number:1 day:08 month:05
sourceStr	Enthalten in Patient safety in surgery 9(2015), 1 vom: 08. Mai volume:9 year:2015 number:1 day:08 month:05
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institution	findex.gbv.de
topic_facet	Humerus Derotational osteotomy Hill-Sachs lesion
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container_title	Patient safety in surgery
authorswithroles_txt_mv	Ziran, Bruce @@aut@@ Nourbakhsh, Ali @@aut@@
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Methods Rotational osteotomy was done on four patients with a mean age of 40 for locked posterior dislocation associated with a reverse Hill-Sachs lesion from 2000–2011. The average age was 40 +/− 11 years old and the average follow up was 22 +/− 8 months. Shoulder stability, range of motion, radiographic outcome and postoperative complications were assessed. Average follow-up was 22 months (range, 12–30 months) postoperatively. Results The average range of motion of the shoulders at the final follow-up were as follows (Mean +/− Standard deviation): Abduction: 125 +/− 29°, Forward flexion: 135 +/− 17°, Internal rotation: 65 +/− 17°, External rotation: 62 +/− 10°. There were no wound or neurological complications and no dislocations. Patients were satisfied with their functional status and did not have any further symptoms of instability or rotator cuff dysfunction. Conclusions Proximal humerus derotational osteotomy for acute locked posterior dislocation of the shoulder can be a viable option for younger age group, which can facilitate rehabilitation for these patients by providing immediate stability.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Humerus</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Derotational osteotomy</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Hill-Sachs lesion</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Nourbakhsh, Ali</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">Enthalten in</subfield><subfield code="t">Patient safety in surgery</subfield><subfield code="d">London : BioMed Central, 2007</subfield><subfield code="g">9(2015), 1 vom: 08. 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author	Ziran, Bruce
spellingShingle	Ziran, Bruce misc Humerus misc Derotational osteotomy misc Hill-Sachs lesion Proximal humerus derotational osteotomy for internal rotation instability after locked posterior shoulder dislocation: early experience in four patients
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topic_title	Proximal humerus derotational osteotomy for internal rotation instability after locked posterior shoulder dislocation: early experience in four patients Humerus (dpeaa)DE-He213 Derotational osteotomy (dpeaa)DE-He213 Hill-Sachs lesion (dpeaa)DE-He213
topic	misc Humerus misc Derotational osteotomy misc Hill-Sachs lesion
topic_unstemmed	misc Humerus misc Derotational osteotomy misc Hill-Sachs lesion
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title	Proximal humerus derotational osteotomy for internal rotation instability after locked posterior shoulder dislocation: early experience in four patients
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title_full	Proximal humerus derotational osteotomy for internal rotation instability after locked posterior shoulder dislocation: early experience in four patients
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author_browse	Ziran, Bruce Nourbakhsh, Ali
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doi_str_mv	10.1186/s13037-015-0062-9
title_sort	proximal humerus derotational osteotomy for internal rotation instability after locked posterior shoulder dislocation: early experience in four patients
title_auth	Proximal humerus derotational osteotomy for internal rotation instability after locked posterior shoulder dislocation: early experience in four patients
abstract	Background We performed a retrospective and descriptive study to determine the feasibility of proximal humerus derotational osteotomy in younger patients with significant humeral head depression, who may not be good candidates for shoulder arthroplasty. Methods Rotational osteotomy was done on four patients with a mean age of 40 for locked posterior dislocation associated with a reverse Hill-Sachs lesion from 2000–2011. The average age was 40 +/− 11 years old and the average follow up was 22 +/− 8 months. Shoulder stability, range of motion, radiographic outcome and postoperative complications were assessed. Average follow-up was 22 months (range, 12–30 months) postoperatively. Results The average range of motion of the shoulders at the final follow-up were as follows (Mean +/− Standard deviation): Abduction: 125 +/− 29°, Forward flexion: 135 +/− 17°, Internal rotation: 65 +/− 17°, External rotation: 62 +/− 10°. There were no wound or neurological complications and no dislocations. Patients were satisfied with their functional status and did not have any further symptoms of instability or rotator cuff dysfunction. Conclusions Proximal humerus derotational osteotomy for acute locked posterior dislocation of the shoulder can be a viable option for younger age group, which can facilitate rehabilitation for these patients by providing immediate stability. © Ziran; licensee BioMed Central. 2015
abstractGer	Background We performed a retrospective and descriptive study to determine the feasibility of proximal humerus derotational osteotomy in younger patients with significant humeral head depression, who may not be good candidates for shoulder arthroplasty. Methods Rotational osteotomy was done on four patients with a mean age of 40 for locked posterior dislocation associated with a reverse Hill-Sachs lesion from 2000–2011. The average age was 40 +/− 11 years old and the average follow up was 22 +/− 8 months. Shoulder stability, range of motion, radiographic outcome and postoperative complications were assessed. Average follow-up was 22 months (range, 12–30 months) postoperatively. Results The average range of motion of the shoulders at the final follow-up were as follows (Mean +/− Standard deviation): Abduction: 125 +/− 29°, Forward flexion: 135 +/− 17°, Internal rotation: 65 +/− 17°, External rotation: 62 +/− 10°. There were no wound or neurological complications and no dislocations. Patients were satisfied with their functional status and did not have any further symptoms of instability or rotator cuff dysfunction. Conclusions Proximal humerus derotational osteotomy for acute locked posterior dislocation of the shoulder can be a viable option for younger age group, which can facilitate rehabilitation for these patients by providing immediate stability. © Ziran; licensee BioMed Central. 2015
abstract_unstemmed	Background We performed a retrospective and descriptive study to determine the feasibility of proximal humerus derotational osteotomy in younger patients with significant humeral head depression, who may not be good candidates for shoulder arthroplasty. Methods Rotational osteotomy was done on four patients with a mean age of 40 for locked posterior dislocation associated with a reverse Hill-Sachs lesion from 2000–2011. The average age was 40 +/− 11 years old and the average follow up was 22 +/− 8 months. Shoulder stability, range of motion, radiographic outcome and postoperative complications were assessed. Average follow-up was 22 months (range, 12–30 months) postoperatively. Results The average range of motion of the shoulders at the final follow-up were as follows (Mean +/− Standard deviation): Abduction: 125 +/− 29°, Forward flexion: 135 +/− 17°, Internal rotation: 65 +/− 17°, External rotation: 62 +/− 10°. There were no wound or neurological complications and no dislocations. Patients were satisfied with their functional status and did not have any further symptoms of instability or rotator cuff dysfunction. Conclusions Proximal humerus derotational osteotomy for acute locked posterior dislocation of the shoulder can be a viable option for younger age group, which can facilitate rehabilitation for these patients by providing immediate stability. © Ziran; licensee BioMed Central. 2015
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title_short	Proximal humerus derotational osteotomy for internal rotation instability after locked posterior shoulder dislocation: early experience in four patients
url	https://dx.doi.org/10.1186/s13037-015-0062-9
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Methods Rotational osteotomy was done on four patients with a mean age of 40 for locked posterior dislocation associated with a reverse Hill-Sachs lesion from 2000–2011. The average age was 40 +/− 11 years old and the average follow up was 22 +/− 8 months. Shoulder stability, range of motion, radiographic outcome and postoperative complications were assessed. Average follow-up was 22 months (range, 12–30 months) postoperatively. Results The average range of motion of the shoulders at the final follow-up were as follows (Mean +/− Standard deviation): Abduction: 125 +/− 29°, Forward flexion: 135 +/− 17°, Internal rotation: 65 +/− 17°, External rotation: 62 +/− 10°. There were no wound or neurological complications and no dislocations. Patients were satisfied with their functional status and did not have any further symptoms of instability or rotator cuff dysfunction. 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Proximal humerus derotational osteotomy for internal rotation instability after locked posterior shoulder dislocation: early experience in four patients

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