{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T04:29:18Z","timestamp":1790742558277,"version":"4.1.0"},"reference-count":32,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,10,19]],"date-time":"2020-10-19T00:00:00Z","timestamp":1603065600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,10,19]],"date-time":"2020-10-19T00:00:00Z","timestamp":1603065600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,10,19]],"date-time":"2020-10-19T00:00:00Z","timestamp":1603065600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Unrecognized posterior shoulder dislocation with a concomitant humeral head fracture affects joint function and no consensus exists regarding treatment. The present study analyses clinical and radiographic outcomes of a novel arthroscopic technique for reducing chronic locked posterior shoulder dislocation associated with subscapularis remplissage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study comprises a retrospective analysis of consecutive chronic posterior locked shoulders (CPLS) with minimum 2\u2010years follow\u2010up of patients who had undergone McLaughlin technique arthroscopic modification for the treatment of CPLS with a reverse Hill\u2013Sachs lesion. Active range of motion (ROM), Western Ontario (WOSI) and Constant Score (CS), were evaluated pre\u2010 and postoperatively. Plain radiographs and magnetic resonance imaging (MRI) scans were collected pre\u2010 and post\u2010operatively, recording bone defect, osteoarthritis, cuff integrity\/fatty infiltration, and the grade of filling of the reverse Hill\u2010Sachs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve male patients with a mean follow\u2010up of 37.3\u00a0months\u2009\u00b1\u200910.5 (range, 24\u201358) were included. Mean WOSI and CS scores improved from 41 to 92 and 28 to 94 points, respectively. ROM measurements all had significantly increased at final follow\u2010up, with no significant differences in arm rotation. No defects were left unfilled at final MRI examination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results of this uncontrolled study with a limited number of patients confirm that arthroscopic reduction and subscapularis remplissage is a highly effective and satisfactory treatment method resulting in no shoulder rotation deficits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Level IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-020-06317-6","type":"journal-article","created":{"date-parts":[[2020,10,19]],"date-time":"2020-10-19T09:04:20Z","timestamp":1603098260000},"page":"2348-2355","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Arthroscopic reduction and subscapularis remplissage (ARR) of chronic posterior locked shoulder dislocation leads to optimized outcomes and low rate of complications"],"prefix":"10.1002","volume":"29","author":[{"given":"Alfonso M.","family":"Romano","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Orthopedics and Sport Medicine Unit Campolongo Hospital Salerno Italy"},{"name":"<!--<label>2<\/label>--> Department of Orthopaedic and Trauma Surgery Ospedale Buon Consiglio Fatebenefratelli Via A. Manzoni 220 80123 Napoli Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. Bradley","family":"Edwards","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Fondren Orthopedic Group Texas Orthopedic Hospital Houston TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guglielmo","family":"Nastrucci","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Orthopedics and Sport Medicine Unit Campolongo Hospital Salerno Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pasquale","family":"Casillo","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Orthopedics and Sport Medicine Unit Campolongo Hospital Salerno Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelo","family":"Di Giunta","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--> Orthopaedic Division of Policlinico \u2018G.B. Morgagni\u2019 Catania Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcello","family":"Zappia","sequence":"additional","affiliation":[{"name":"<!--<label>5<\/label>--> Department of Medicine and Health Sciences Universit\u00e0 del Molise Campobasso Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimiliano","family":"Susanna","sequence":"additional","affiliation":[{"name":"<!--<label>6<\/label>--> Orthopedic and Trauma Unit San Don\u00e0 di Piave Hospital Venezia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7874-4531","authenticated-orcid":false,"given":"Francesco","family":"Ascione","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Orthopedics and Sport Medicine Unit Campolongo Hospital Salerno Italy"},{"name":"<!--<label>2<\/label>--> Department of Orthopaedic and Trauma Surgery Ospedale Buon Consiglio Fatebenefratelli Via A. 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