Int J Sports Med 2010; 31(2): 130-132
DOI: 10.1055/s-0029-1243223
Orthopedics & Biomechanics

© Georg Thieme Verlag KG Stuttgart · New York

Anterior Dislocation of the Shoulder Associated with Bankart Lesion in a Patient with Poland's Syndrome: A Case Report and Review of the Literature

P. Zwolak1 , C. Schnurr2 , M. Hackenbroch3 , P. Eysel1 , J. W. -P. Michael1
  • 1University of Cologne, Department of Orthopaedic Surgery, Cologne, Germany
  • 2Rheinische Clinic Viersen, Hospital for Orthopaedic Surgery, Viersen, Germany
  • 3University of Cologne, Department of Radiology, Cologne, Germany
Further Information

Publication History

accepted after revision November 09, 2009

Publication Date:
17 December 2009 (online)

Abstract

Poland's syndrome is a rare congenital entity characterized by unilateral partial or total hypoplasia of the major pectoralis muscle, breast and/or ipsilateral hand abnormalities. It has been reported in association with various structural and functional abnormalities. We report about a 23-year-old male kick-boxer with Poland's syndrome who presented in our department the history of two traumatic anterior shoulder dislocations due to boxing and self-reductions. Physical examination showed an instability of the left shoulder, and the MRI scans demonstrated a Bankart lesion. The patient had been treated with an arthroscopic Bankart repair; reattachment of the detached antero-inferior labrum down to the glenoid and repairing of the inferior gleno-humeral ligament complex. To our knowledge this is a first case report of a patient presenting with traumatic anterior shoulder dislocations due to kick-boxing associated with Poland's syndrome.

References

  • 1 Arciero RA, St Pierre P. Acute shoulder dislocation. Indications and techniques for operative management.  Clin Sports Med. 1995;  14 937-953
  • 2 Bigliani LU, Kurzweil PR, Schwartzbach CC, Wolfe IN, Flatow EL. Inferior capsular shift procedure for anterior-inferior shoulder instability in athletes.  Am J Sports Med. 1994;  22 578-584
  • 3 Bokor DJ, Conboy VB, Olson C. Anterior instability of the glenohumeral joint with humeral avulsion of the glenohumeral ligament. A review of 41 cases.  J Bone Joint Surg Br. 1999;  81 93-96
  • 4 Bottoni CR, Smith EL, Berkowitz MJ, Towle RB, Moore JH. Arthroscopic versus open shoulder stabilization for recurrent anterior instability: a prospective randomized clinical trial.  Am J Sports Med. 2006;  34 1730-1737
  • 5 Edouard P, Frize N, Calmels P, Samozino P, Garet M, Degache F. Influence of rugby practice on shoulder internal and external rotators strength.  Int J Sports Med. 2009;  30 1-5
  • 6 Fabbriciani C, Milano G, Demontis A, Fadda S, Ziranu F, Mulas PD. Arthroscopic versus open treatment of Bankart lesion of the shoulder: a prospective randomized study.  Arthroscopy. 2004;  20 456-462
  • 7 Ferraro GA, Perrotta A, Rossano F, D'Andrea F. Poland syndrome: description of an atypical variant.  Aesthetic Plast Surg. 2005;  29 32-33
  • 8 Field LD, Bokor DJ, Savoie FH. Humeral and glenoid detachment of the anterior inferior glenohumeral ligament: a cause of anterior shoulder instability.  J Shoulder Elbow Surg. 1997;  6 6-10
  • 9 Harriss DJ, Atkinson G. International Journal of Sports Medicine – Ethical Standards in Sport and exercise Science research.  Int J Sports Med. 2009;  30 701-702
  • 10 Hawkins RH, Hawkins RJ. Failed anterior reconstruction for shoulder instability.  J Bone Joint Surg Br. 1985;  67 709-714
  • 11 Henry JH, Genung JA. Natural history of glenohumeral dislocation-revisited.  Am J Sports Med. 1982;  10 135-137
  • 12 Hovelius L. Anterior dislocation of the shoulder in teenagers and young adults. Five-year prognosis.  J Bone Joint Surg Am. 1987;  69 393-399
  • 13 Hovelius L, Augustini BG, Fredin H, Johansson O, Norlin R, Thorling J. Primary anterior dislocation of the shoulder in young patients. A ten-year prospective study.  J Bone Joint Surg Am. 1996;  78 1677-1684
  • 14 Howell SM, Galinat BJ, Renzi AJ, Marone PJ. Normal and abnormal mechanics of the glenohumeral joint in the horizontal plane.  J Bone Joint Surg Am. 1988;  70 227-232
  • 15 Khandelwal A, O'Hea BJ, Garguilo G. Breast cancer in a patient with Poland's syndrome.  Am Surg. 2004;  70 491-495
  • 16 Mace JW, Kaplan JM, Schanberger JE, Gotlin RW. Poland's syndrome. Report of seven cases and review of the literature.  Clin Pediatr (Phila). 1972;  11 ((2)) 98-102
  • 17 Nachnani JS, Supe AN. A variant of Poland syndrome.  J Postgrad Med. 2001;  47 131-132
  • 18 Poland A. Deficiency of the pectoral muscles.  Guy Hosp Rep. 1841;  6 191-193
  • 19 Rowe CR, Patel D, Southmayd WW. The Bankart procedure: a long-term end-result study.  J Bone Joint Surg Am. 1978;  60 1-16
  • 20 Simonet WT, Cofield RH. Prognosis in anterior shoulder dislocation.  Am J Sports Med. 1984;  12 19-24
  • 21 Tripp BL, Eberman EL, Dwelly PM. Handheld vibration effects shoulder motion.  Int J Sports Med. 2009;  30 1-4
  • 22 Wolf EM. Arthroscopic capsulolabral repair using suture anchors.  Orthop Clin North Am. 1993;  24 59-69

Correspondence

Dr. Joern W. -P. Michael

University of Cologne

Department of Orthopaedic Surgery

Joseph-Stelzmann-Straße 9

50931 Cologne

Germany

Phone: +49-221-4784616

Fax: +49-221-4787045

Email: joern.michael@uk-koeln.de

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