Table of Contents
ISRN Surgery
Volume 2011, Article ID 851051, 4 pages
Case Report

Acute Posterior Shoulder Dislocation with Reverse Hill-Sachs Lesion of the Epiphyseal Humeral Head

Struttura Complessa Ortopedia e Traumatologia, Arcispedale Santa Maria Nuova, Azienda Ospedaliera di Reggio Emilia, Viale Risorgimento n. 80, 42100 Reggio Emilia, Italy

Received 21 February 2011; Accepted 18 April 2011

Academic Editors: K. Tanjoh and V. Vecsei

Copyright © 2011 Luigi Patrizio and Ettore Sabetta. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Posterior dislocation of the shoulder is an unfrequent event that often occurs as a consequence of a direct trauma or epileptic crisis. Frequently the posterior dislocations are misunderstood, so they become chronic lesions. We reported a case of an acute posterior left shoulder dislocation with lesser tuberosity fracture and reverse Hill-Sachs lesions which involved more than 25% of the articular surface of the humeral head, in a 57-old-year man with right hemiparesis. We performed a synthesis of the lesser tuberosity with a screw, and we restored the shape of the humeral head with allograft. We achieved a good result that allows the patient to be able to do his previous activities of daily living.