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J Sommelet

Publications and source records attributed to J Sommelet.

46 records · Page 3Linked to original sources
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[Fracture of the coracoid process (author's transl)].

The authors have treated 10 cases of fracture of the coracoid process of the scapula. The case histories have been reviewed. The mechanism was an indirect one in most cases. Associated lesions such as fractures of the clavicle were frequent. The diagnosis may be difficult and special X-ray techniques were needed. In most of the cases, conservative treatment was indicated. Only one case associated with an acromio-clavicular dislocation was treated operatively.

Adolescent↗
PubMedDate not supplied

Recurrent posterior instability of the shoulder.

Seven cases of recurrent posterior instability of the shoulder were reviewed, three with recurrent subluxation and four with recurrent posterior dislocations. All were treated surgically, one by inverted Putti-Platt, one by glenoplasty and five by posterior bone block procedures. The follow-up goes from three to 17.5 years (mean 8.5 years). Clinical history and physical examination were the most accurate diagnostic methods. There were three excellent, one fair, and one poor results with two failures. The poor result and failure cases are due to technical errors, particularly because of wrong positioning of the graft in posterior bone block procedures. We suggest a bone graft with a projection of at least 15 mm beyond the glenoid rim to obtain a good result with this technique. Osteoarthritis does not seem to develop at long-term in our patients even with a poor result except for those with iatrogenic origin. The functional results are stable over time except for patients with osteoarthritis.

Adolescent↗