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Acute massive rotator cuff rupture with posterior shoulder dislocation: arthroscopic novel repair of a rare injury. A case report
  1. German Alejandro Jaramillo Quiceno1,
  2. Sergio Andres Arroyave Rivera2,
  3. Margarita Maria Ortiz3
  1. 1Orthopaedic Surgery, Fundación Clínica del Norte, Medellín, Colombia
  2. 2Orthopedic Surgery, University of Antioquia Faculty of Medicine, Medellín, Colombia
  3. 3Radiology, Universidad de Antioquia, Medellin, Colombia
  1. Correspondence to Mr Sergio Andres Arroyave Rivera, Orthopedic Surgery, University of Antioquia Faculty of Medicine, Medellín, Antioquia, Colombia; chechoarroyave{at}gmail.com

Abstract

Acute massive rotator cuff tears and posterior shoulder dislocations are an extremely rare association, and a vast majority are treated by open surgery. We present a case of a man in his 20s who suffered closed left shoulder trauma after a road traffic accident. He was initially diagnosed with posterior shoulder dislocation and a reduction was successfully performed. However, the patient still complained of persistent weakness during active movements. We found a massive rotator cuff tear involving all the rotator cuff tendons, with significant supraspinatus retraction and persistent posterior shoulder subluxation. He underwent an all-arthroscopic repair of the rotator cuff with a double-row technique in the subscapularis, supraspinatus and infraspinatus muscles. Capsular repair and tenodesis of the biceps tendon were also performed. The patient had good recovery, reaching full preinjury function 3 months after surgery with a successful return to his regular activities.

  • arthroscopy
  • rotator cuff
  • joint dislocations
  • shoulder
  • diagnostic techniques and procedures

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Footnotes

  • Twitter @trinojaramillo, @chechoarroyave

  • Collaborators Fundación Clínica del Norte, Universidad de Antioquia.

  • Contributors All authors participated significantly in the development of this work. GAJQ conceived the study idea. GAJQ and SAAR coordinated the data collection. SAAR drafted and edited the manuscript. MMO extracted and analysed the MRI. All authors read and approved the final manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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