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

Abstract : 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.
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https://hal.archives-ouvertes.fr/hal-02135082
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Submitted on : Tuesday, May 21, 2019 - 9:06:29 AM
Last modification on : Thursday, December 10, 2020 - 11:08:42 AM

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Pierre Métais, Jean Grimberg, Philippe Clavert, Jean-François Kouvalchouk, François Sirveaux, et al.. Posterior shoulder instability managed by arthroscopic acromial pediculated bone-block. Technique. Orthopaedics and Traumatology - Surgery and Research, Elsevier, 2017, 103 (8), pp.S203-S206. ⟨10.1016/j.otsr.2017.09.001⟩. ⟨hal-02135082⟩

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