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Journal of Bone and Joint Surgery - British Volume, Vol 89-B, Issue 6, 825-828.
doi: 10.1302/0301-620X.89B6.18842  
Copyright © 2007 by British Editorial Society of Bone and Joint Surgery
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One-stage operation for locked bilateral posterior dislocation of the shoulder

A. Ivkovic, MD, Orthopaedic Surgery, Resident1; I. Boric, MD, MSc, Radiologist2; and N. Cicak, MD, PhD, Professor of Orthopaedic Surgery1

1 Department of Orthopaedic Surgery, University of Zagreb, Salata 7, 10000 Zagreb, Croatia.
2 Department of Radiology, Children’s Hospital Zagreb, Klaiceva 16, 10000 Zagreb, Croatia.

Correspondence should be sent to Dr A. Ivkovic; e-mail: aivkovic{at}inet.hr

A man of 52 years of age had a grand mal seizure. He presented to our unit three months later with irreducible bilateral posterior dislocation of the shoulder. CT scans revealed large compression defects on the anteromedial aspect of the heads of both humeri. The defect on the right side was of more than 50% of the articular surface, and on the left side of 40%. He was treated by a one-stage operation with a hemiarthroplasty on one side and reconstruction of the head by an osteochondral autograft on the other. Three years later the clinical and radiological results were excellent.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General