Locked Posterior Shoulder Dislocation with a Large Bone Defect in an Active Patient Treated with Autograft.

Introduction: Posterior glenohumeral joint dislocations are uncommon injuries. The disease often goes undiagnosed and untreated despite positive clinical signs. In the event of a large humeral bone defect, the outcome may be worse. Case Report: This case report presents a 47-year-old man with a 2-year-old locked posterior shoulder dislocation with a large segmental bone defect involving 40% of the humeral head's articular surface. We decided to treat the patient with an open reduction of the shoulder dislocation and reconstruction of the articular surface with iliac crest autograft. We observed an improvement in shoulder mobility and range of motion on all planes, which were beneficial to the patient's daily activities; at follow-up, no pain was reported. Conclusion: Our case report demonstrates that locked posterior shoulder dislocations with a large bone defect and viable humeral head can be treated using an autograft. This will result in optimal clinical results and avoid early prosthetic replacement surgery. Autograft may be a preferred method in the presence of economic constraints or due to the unavailability of allografts or implants.

Arthroscopic Reconstruction of ACL and LCL Tear with Combined Asymmetric Hamstring Graft Using Single Femoral Tunnel - A Case Report.

Introduction: Anterior cruciate ligament (ACL) injury is associated with various degrees of rotational deformity. About 15% have a positive pivot shift test after accurate ACL reconstruction. Unrepaired lateral collateral ligament (LCL) tear can lead to increase load on reconstructed ACL and lead to ligament failure. Case Report: We present a case of combined ACL with LCL tear treated arthroscopically using a single femoral tunnel and asymmetric combined semitendinosus and gracilis (STG) graft. The patient had full range of motion at the knee joint and was able to squat and sit cross-legged and was able to carry out activities of daily living at 8 months of follow-up. Conclusion: Our technique provides orthopedic surgeons with an alternative for combined ACL and LCL reconstruction with a single combined STG graft, thereby limiting additionally graft site morbidity and avoiding the need for allograft and preserving adequate femoral bone stock by preparing only a single femoral tunnel and thus limiting the cost to the patient using single implant for femur.