Stefanie Unger

In many patients, we encounter problems that arise from different areas at the same time. The most common are pain in the lumbar spine, buttocks and hip, and pain in the hip, knee and ankle.

Shoulder dislocation often also results in injury to the humerus or glenoid cavity. A defect (a dent) occurs in the posterior portion of the humeral head, and an anterior portion (of varying size) breaks away from the glenoid cavity of the scapula. If these injuries occur at the same time, the likelihood of the next shoulder dislocation is high.

These are demanding procedures for the surgeon, which take 2.5 to 3 hours. The key to success in these cases is the correction of the ulna – reconstruction of its articular surface, restoration of its axis and length, and subsequent fitting with a plate. Then continue with the reconstruction of the upper end of the spoke.

In some cases, it certainly works! It is not uncommon to find axial deviations in the knee area in patients (more often in the form of the letter “O”, less frequently in the form of the letter “X”). If we align the limb axis in good time in these cases, we can either prevent the implantation of a total endoprosthesis altogether or at least delay it by many years.