Abstract
Though Hill–Sachs lesion is a common injury associated with anterior glenohumeral
dislocation, there have been only few articles describing specific treatments for
the humeral head defects. This paper described the case of an alternative treatment
for large defect of the posterior-superior aspect of the humeral head using allograft.
The patient was a 69-year-old male and the diagnosis was a chronic anterior dislocation
of the right glenohumeral joint with a large impaction fracture of the posterior-superior
aspect of the humeral head. The size of this defect was 4 cm by 2.5 cm in diameter with a 2 cm depth. To reduce the impaction fracture of the humeral head, a preserved frozen
allograft of the femoral head was selected and configured to fit the defect. The graft
was then impacted firmly down into the defect, and appeared to offer excellent stability
even without adjuvant internal fixation. Two years after surgery, the patient was
doing quite well with no complaints. Radiographs showed humeral head with incorporation
of the graft and no evidence of collapse.
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Article info
Publication history
Accepted:
February 7,
2002
Identification
Copyright
© 2002 Elsevier Science Ltd. Published by Elsevier Inc. All rights reserved.
