{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T11:09:52Z","timestamp":1775819392272,"version":"3.50.1"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2019,5,10]],"date-time":"2019-05-10T00:00:00Z","timestamp":1557446400000},"content-version":"vor","delay-in-days":39,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>A luxa\u00e7\u00e3o do ombro posterior traum\u00e1tica \u00e9 de dif\u00edcil diagn\u00f3stico e tratamento. H\u00e1 s\u00e9ries que descrevem que 60%-80% dessas luxa\u00e7\u00f5es n\u00e3o s\u00e3o diagnosticadas numa primeira ida ao servi\u00e7o de urg\u00eancia. Desse modo, casos de luxa\u00e7\u00f5es com v\u00e1rios dias e por vezes semanas s\u00e3o frequentes, o que sempre torna o tratamento mais complexo. As luxa\u00e7\u00f5es posteriores s\u00e3o geralmente acompanhadas por uma fratura de impress\u00e3o na superf\u00edcie anterior da cabe\u00e7a umeral, conhecida como les\u00e3o de Hill-Sachs reversa. Esse defeito \u00f3sseo pode \u201cencravar\u201d na borda glenoidal posterior e levar a instabilidade recorrente e destrui\u00e7\u00e3o progressiva da articula\u00e7\u00e3o. Os autores descrevem um procedimento de McLaughlin artrosc\u00f3pico modificado, que permite o preenchimento do defeito \u00f3sseo com o ter\u00e7o superior do tend\u00e3o subescapular, evita a recorr\u00eancia da instabilidade posterior. Associadamente, fez-se uma repara\u00e7\u00e3o da les\u00e3o de Bankart posterior e uma tenodese da longa por\u00e7\u00e3o do tend\u00e3o bicipital. Essa t\u00e9cnica, al\u00e9m de reparar a les\u00e3o condrolabral posterior, cria um efeito de remplissage anterior, o que torna a repara\u00e7\u00e3o mais forte, \u00e9 um \u00f3timo procedimento no tratamento definitivo da luxa\u00e7\u00e3o posterior recidivante. \u00c9 um procedimento inteiramente feito por via artrosc\u00f3pica, n\u00e3o apresenta as desvantagens dos procedimentos abertos.<\/jats:p>","DOI":"10.1016\/j.rbo.2017.09.009","type":"journal-article","created":{"date-parts":[[2018,1,17]],"date-time":"2018-01-17T03:39:26Z","timestamp":1516160366000},"page":"228-232","source":"Crossref","is-referenced-by-count":3,"title":["McLaughlin artrosc\u00f3pico modificado no tratamento de luxa\u00e7\u00e3o glenoumeral posterior \u2013 nota t\u00e9cnica"],"prefix":"10.1055","volume":"54","author":[{"given":"Tiago","family":"Torres","sequence":"additional","affiliation":[{"name":"Centro Hospitalar de Vila Nova de Gaia, Vila Nova de Gaia, Portugal"},{"name":"Casa de Sa\u00fade da Boavista, Porto, Portugal"},{"name":"Hospital CUF, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Lima","sequence":"additional","affiliation":[{"name":"Casa de Sa\u00fade da Boavista, Porto, Portugal"},{"name":"Hospital CUF, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Gutierre","sequence":"additional","affiliation":[{"name":"Casa de Sa\u00fade da Boavista, Porto, Portugal"},{"name":"Hospital CUF, Porto, Portugal"},{"name":"Centro Hospitalar de S\u00e3o Jo\u00e3o, Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,5,10]]},"reference":[{"issue":"7","key":"10.1016\/j.rbo.2017.09.009_bib0060","first-page":"745","article-title":"Your diagnosis? 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