Posterior Shoulder Dislocation with Humeral Head Impaction

Master the treatment of posterior shoulder dislocations with humeral head impaction, a technical challenge that requires precision to prevent the progression of the fracture line. This training offers an immersion in the surgical approach, detailing reduction and fixation maneuvers with a carbon fiber plate, presented from a surgical perspective.

Training Focus:

• Formal deltopectoral approach for posterior shoulder dislocation.
• Reduction maneuvers in cases of humeral head impaction.
• Fixation with carbon fiber plate and screws for fragment stabilization.
• Preservation of muscular and neurovascular structures.

Detailed Content:

• Extended Deltopectoral Access: Methodology for meticulous opening of the deltopectoral interval, separation of subcutaneous tissue and muscle, and enlargement of the space for surgical exposure.
• Deep Structural Identification: Strategies to delineate the humeral head in depth and insert retractors in cases of difficult access.
• Controlled Reduction Maneuvers: Techniques to attempt dislocation reduction with high-strength wires, focusing on preventing complete fragmentation of the humeral head.
• Carbon Fiber Plate Fixation: Procedures for tying the rotator cuff and stabilizing the joint, even in the presence of loose fragments.
• Management of the Lesser Tuberosity Fragment: Approach for isolated fixation of loose fragments, such as the lesser tuberosity, using additional screws.
• Tissue Integrity Preservation: Demonstration of maintaining the integrity of muscle fibers and the cephalic vein during the procedure.
• Optimized Anatomical Positioning: Techniques to ensure joint reduction with anatomical positioning and tied tuberosities for a safe outcome.

Included Material:

• Detailed PDF: This PDF addresses the condition of posterior shoulder dislocation with impaction of the humeral head, detailing the difficulty of reduction without completing the fracture line, describing the deltopectoral access, reduction maneuvers, fixation with carbon fiber plate and screws, and the surgical outcome, emphasizing anatomical preservation and good patient progression.

Enhance your skills in trauma surgery. Enroll now and master the essential techniques in the treatment of posterior shoulder dislocations.