Özet:

Shoulder dislocations are commonly named chronic if it is older than 3 weeks. Many of these dislocations can be complicated by large Hill-Sachs lesions, glenoid cavity bone loss and neurologic injuries. Our case is 66 years old female and she had been treated only as distal radius fracture by a center and anterior shoulder dislocation was missed. As a result of chronic locked anterior locked dislocation, she had a large Hill-Sach lesion. Seventy days after injury; because of the patient’s shoulder discomfort (pain and limited motion) we performed open reduction, Latarjet Procedure and proximal humeral internally rotating osteotomy as a treatment. This type of treatment for chronic anterior dislocation is used firstly by us in English literature. After one year the patient was satisfied with the result. She gained functional motion and she was pain free without shoulder instability. Large Hill-Sach lesions are commonly treated by hemiarthroplasty if the patient is elderly. But preserving patients own bone can be successful too.

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