case_images: PMC7545983_01
case_images: PMC7545983_02
case_images: radiographs of the left shoulder: A) frontal radiograph of shoulder showing double contour of humeral head "trough sign" due to a reverse Hill-Sachs lesion; B) lateral view showing the humeral head projected behind the glenoid
case_images: PAMJ-36-275-g001.jpg
case_images: PMC7545983_02_PAMJ-36-275-g001.jpg
case_images: F1
case_images: In the lateral view, the humeral head projected behind the glenoid as a sign of posterior shoulder dislocation (Figure 1).
case_images: CT image showing a reverse Hill-Sachs lesion
case_images: PAMJ-36-275-g002.jpg
case_images: PMC7545983_02_PAMJ-36-275-g002.jpg
case_images: F2
case_images: The computed tomography (Figure 2) allowed us to confirm the scapular fracture and the reverse Hill-Sachs.
case_images: intraoperative image of posterior bone end-stop
case_images: PAMJ-36-275-g003.jpg
case_images: PMC7545983_02_PAMJ-36-275-g003.jpg
case_images: F3
case_images: We will proceed a third stabilization time by realizing a posterior bone end-stop by a tri-cortical graft which had been taken from the iliac crest fixed by two malleolar screws in compression (Figure 3).
case_images: shoulder radiograph at 2 years showing no signs of osteoarthritis or osteonecrosis
case_images: PAMJ-36-275-g004.jpg
case_images: PMC7545983_02_PAMJ-36-275-g004.jpg
case_images: F4
case_images: At two years of follow-up (Figure 4), the patient is very satisfied with a constant score which has gone from 20/100 preoperatively to 68/100 currently.