Missed locked posterior shoulder dislocation with a reverse Hill-Sachs lesion and subscapularis rupture

Am J Orthop (Belle Mead NJ). 2013 Dec;42(12):E121-4.


We report the case of a patient who sustained a missed locked posterior shoulder dislocation with a sizable anterior impression fracture and a concomitant acute rupture of the subscapularis tendon. Despite compromise of the tendon, a transfer of the lesser tuberosity into the humeral head defect along with suture anchor repair of the subscapularis was performed. Within 6 months, the patient regained near complete function of his shoulder with no episodes of instability. To our knowledge, this is the first reported case of an acute subscapularis rupture associated with a posterior shoulder dislocation and anterior humeral impression fracture, treated with the modified McLaughlin procedure and tendon repair with an excellent clinical result.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Humans
  • Humerus / diagnostic imaging
  • Humerus / surgery*
  • Joint Instability / complications*
  • Joint Instability / diagnostic imaging
  • Joint Instability / surgery
  • Male
  • Radiography
  • Rupture / complications*
  • Rupture / diagnostic imaging
  • Rupture / surgery
  • Shoulder Dislocation / complications*
  • Shoulder Dislocation / diagnostic imaging
  • Shoulder Dislocation / surgery
  • Suture Anchors
  • Tendon Injuries / complications*
  • Tendon Injuries / diagnostic imaging
  • Tendon Injuries / surgery
  • Treatment Outcome