{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T03:15:20Z","timestamp":1777864520063,"version":"3.51.4"},"reference-count":20,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Posterior shoulder dislocation is uncommon and therefore prone to being missed. When accompanied by a proximal humeral fracture, complex fracture lines may obscure the radiographic signs of dislocation. Inadequate standardization of the imaging workup may consequently result in inappropriate management and treatment failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>We report a young patient in whom posterior shoulder dislocation was missed at the initial assessment because axillary and scapular Y-view radiographs were not obtained and the available imaging was insufficiently interpreted. The dislocation persisted after the index operation. Revision surgery was performed on postoperative day 9 and resulted in a favorable 5-year outcome, with no radiographic evidence of humeral head avascular necrosis or post-traumatic osteoarthritis and near-complete recovery of shoulder function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Occult posterior shoulder dislocation should be strongly suspected in patients with complex proximal humeral fractures after high-energy trauma. Obtaining axillary or scapular Y-view radiographs, together with a systematic CT-based assessment, is essential. Even after early treatment failure, targeted revision surgery combined with structured rehabilitation may still achieve a satisfactory long-term outcome in young patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1812315","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:42:53Z","timestamp":1777527773000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Revision surgery for a missed posterior dislocation of the humeral head in a shoulder fracture-dislocation and literature review"],"prefix":"10.3389","volume":"13","author":[{"given":"Xin","family":"Hu","sequence":"first","affiliation":[{"name":"Department of Spine Surgery, Central Hospital Affiliated to Shenyang Medical College","place":["Shenyang, Liaoning, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gang","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Foot and Ankle Surgery, Central Hospital Affiliated to Shenyang Medical College","place":["Shenyang, Liaoning, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Central Hospital Affiliated to Shenyang Medical College","place":["Shenyang, Liaoning, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hao","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Central Hospital Affiliated to Shenyang Medical College","place":["Shenyang, Liaoning, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinhao","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Central Hospital Affiliated to Shenyang Medical College","place":["Shenyang, Liaoning, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhe","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Central Hospital Affiliated to Shenyang Medical College","place":["Shenyang, Liaoning, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haoming","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Central Hospital Affiliated to Shenyang Medical College","place":["Shenyang, Liaoning, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dewei","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Central Hospital Affiliated to Shenyang Medical College","place":["Shenyang, Liaoning, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, Central Hospital Affiliated to Shenyang Medical College","place":["Shenyang, Liaoning, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"639","DOI":"10.2106\/jbjs.D.02371","article-title":"Posterior shoulder dislocations and fracture-dislocations","volume":"87","author":"Robinson","year":"2005","journal-title":"J Bone Joint Surg Am"},{"key":"B2","doi-asserted-by":"publisher","first-page":"242","DOI":"10.5435\/jaaos-20-04-242","article-title":"The Hill\u2013Sachs lesion: diagnosis, classification, and management","volume":"20","author":"Provencher","year":"2012","journal-title":"J Am Acad Orthop Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"e940141","DOI":"10.12659\/ajcr.940141","article-title":"Bilateral locked posterior fracture-dislocation of the shoulder after epileptic seizures secondary to cavernous hemangioma: a case report and literature review","volume":"24","author":"Pangopoulos","year":"2023","journal-title":"Am J Case Rep"},{"key":"B4","doi-asserted-by":"publisher","first-page":"375","DOI":"10.3760\/cma.j.issn.1008-1275.2013.06.013","article-title":"Missed posterior shoulder dislocation with malunited proximal humerus fracture","volume":"16","author":"Kumar","year":"2013","journal-title":"Chin J Traumatol"},{"key":"B5","doi-asserted-by":"publisher","first-page":"190","DOI":"10.5397\/cise.2020.00255","article-title":"Treatment of unusual locked posterior fracture-dislocation of the shoulder: a case series","volume":"23","author":"Park","year":"2020","journal-title":"Clin Shoulder Elb"},{"key":"B6","doi-asserted-by":"publisher","first-page":"1454","DOI":"10.2106\/jbjs.F.01214","article-title":"Complex posterior fracture-dislocation of the shoulder. 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