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Results for “Shoulder Dislocation”

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At least 235 records · Page 13Linked to original sources
PubMed1994

[Anatomic reconstruction of posterior shoulder dislocation fractures. A new method using bone anchors].

The posterior shoulder dislocation is often misdiagnosed. The overall cost in medical care is about six times higher than an anterior dislocation. For the precise diagnosis, correct x-rays in exact ap- and Y-view of the shoulder are essential. The ultimate analysis can be made by a CT-scan. An alternative method is presented to reconstruct the defects (reversed Hill-Sachs) by particular placing of anchors (Mitek). One to two years after, no recurrence of dislocations could be observed (9 cases). In two cases an arthroscopic mobilisation of the shoulder had to be done to regain full range of motion after 4 months.

Arthroscopy↗
PubMed1994

Treatment of primary anterior shoulder dislocation in patients older than 40 years of age. Conservative versus operative.

Primary shoulder dislocation in patients older than 40 years of age is frequently benign, but may be associated with significant rotator cuff or nerve injury. A series of such patients was observed to determine an effective treatment algorithm. Treatment of those dislocations associated with fractures of the greater tuberosity was determined by the fracture pattern. Four patients with glenoid fractures were all treated operatively. Patients without associated fractures were classified according to the absence or presence of significant pain or weakness after 3 weeks. Of 27 patients who were symptom free at 3 weeks, only four had associated problems after 3 months. All of 13 patients complaining of weakness or pain after 3 weeks had significant associated lesions (11 rotator cuff tears, 2 cuff tears plus neurologic deficit). The persistence of significant pain or weakness 3 weeks after primary dislocation in this age group is an indication for further investigation (arthrography or ultrasound). While recurrent instability is relatively uncommon, rotator cuff repair when appropriate in medically fit patients resulted in pain relief and return of strength.

Age Factors↗
PubMed1980

[Surgical treatment of habitual shoulder dislocation].

A method for the surgical treatment of habitual shoulder dislocation is proposed which consists in a partial (1/2 of the diameter) cross of the prescapular muscle and a displacement into this incision of the tendon of the long head of the bicipital shoulder muscle followed by suturing of the prescapular muscle tendon over it. The operations were made on 58 patients. The period of the postoperative observation was more than 2 years (33 patients), more than a year (15 patients) and 10 patients were observed within one year. No recurrences were noted.

Adolescent↗
PubMed2006

Selective radiography in 100 patients with suspected shoulder dislocation.

We sought to prospectively validate an algorithm for selective radiography in the Emergency Department (ED) management of patients with suspected shoulder dislocation. Physicians ordered pre- and post-reduction radiographs based on an algorithm incorporating the mechanism of injury, previous dislocations, and the physician's clinical certainty of joint position. Follow-up consisted of telephone calls and chart review. Of 100 patients, 94 had shoulder dislocation, and 59% were recurrent. Thirty percent had both pre- and post-reduction radiographs, 45% had pre- or post-reduction only, and 25% had no shoulder films, yielding an overall 46% reduction in X-ray utilization. Mean ED times were significantly shorter for patients managed without radiographs. On telephone follow-up (76%) and chart review (100%), we found no missed fractures or persistent dislocations. Use of a clinical decision rule for selective radiography reduced the number of radiographs and time spent in the ED, while missing no fractures or dislocations.

Adult↗
PubMed1978

Early complications of primary shoulder dislocations.

A prospective study of the complications of primary shoulder dislocation was carried out for the 3-year period 1973-1976. The clinical examination was made initially in the Casualty Department and the patient was re-examined in the Department of Physical Medicine. In the evaluation special attention was given to the condition of the rotator cuff, the blood vessels and the motor and sensory function of the affected extremity. Sixty-three out of 238 patients (26 per cent) presented with the following complications: 29 lesions of the brachial plexus, 21 of the axillary nerve and 28 ruptures of the rotator cuff tendon. Complications occurred more frequently in the age group over 50 years (P less than 0.001) and in manual labourers compared with office workers (P less than 0.05). If the humerus remained unreduced for more than 12 hours, the frequency of complications increased (P less than 0.01).

Adolescent↗
PubMed2005

Traumatic shoulder dislocation in the adolescent athlete: advances in surgical treatment.

PURPOSE OF REVIEW: The shoulder joint has the greatest range of motion of any joint in the body and as a result is particularly susceptible to dislocation and subluxation. Recurrent instability is a common complication after traumatic shoulder dislocation in young people, with rates as high as 100% in skeletally immature patients and 96% in for adolescents. Treatment for shoulder dislocation has traditionally involved immobilization followed by a rehabilitation program. Recent studies have reported decreased rates of recurrent instability and improved outcomes in patients treated with surgical stabilization of acute, traumatic shoulder dislocation. The purpose of this review is to review recent publications concerning the treatment of traumatic shoulder dislocations in adolescents. RECENT FINDINGS: Lawton et al. retrospectively reviewed 70 shoulders in 66 patients 16 years old or younger treated for shoulder instability with follow-up more than 2 years. Forty-two shoulders were successfully treated with physical therapy, whereas 28 eventually required surgery. Subsequently, Deitch et al. retrospectively identified 32 patients between 11 and 18 years of age with radiographically documented traumatic anterior shoulder dislocation. Instability recurred in 75% of patients and 50% eventually required surgical stabilization. Bottoni et al. reported results of a prospective randomized trial comparing arthroscopic stabilization to nonoperative treatment of acute, traumatic shoulder dislocations in patients aged 18 to 26 years. Recurrent instability developed in 75% of patients treated conservatively versus 11% in those treated with surgery. DeBerardino et al. prospectively evaluated arthroscopic stabilization of acute shoulder dislocations in 48 young athletes with an average follow-up of 37 months and reported a 12% rate of recurrent instability. All patients with stable shoulders were able to return to their previous levels of activity. SUMMARY: Conservative management of traumatic shoulder dislocations in young patients is associated with high rates of recurrent instability. Recent studies have demonstrated improved results and significant reduction in recurrent instability in patients treated with surgical stabilization when compared with nonoperative treatment.

Adolescent↗
PubMed1995

[Reduction of traumatic primary anterior shoulder dislocation under local analgesia].

The aim of the present study was to evaluate the value of local versus intravenous anaesthesia in the reduction of acute shoulder dislocations. Patients with a primary traumatic dislocation of the shoulder were randomized to either local lidocaine or intravenous anaesthesia with pethidine/diazepam. The local method was performed with 20 ml of 1% lidocaine. The intravenous method was performed with pethidine/diazepam injected intravenously. The patients were observed for any complication during and after the procedure and the used methods were evaluated using a Visual Analogue Scale (VAS). In the period from November 1991 to September 1993 81 patients were admitted to our departments and 68 patients were included. Average age was 48 years (range 15-79) with 29 men and 39 women. Thirty-five patients were randomized to intravenous anaesthesia, 33 had a successful reduction and two failed. Thirty-three patients received local anaesthesia, 32 succeeded and one failed. Ten patients treated with the intravenous method had respiratory depression and six required antidote. No systemic or local side effects and no neuro-vascular injuries were recorded with the use of lidocaine. We did not observe any superficial or deep infection in the lidocaine group. There was no statistical difference between the average VAS value in the two groups. Local anaesthesia used to reduce acute primary anterior dislocation of the shoulder is a simple, safe and well-accepted method with significantly fewer respiratory complications.

Adolescent↗
PubMed1983

Luxatio erecta: an uncommon shoulder dislocation.

A 24-year-old man sustained a rare form of anterior dislocation of the shoulder known as luxatio erecta. As in this case, the presentation of these patients is nearly pathognomonic. Successful reduction was accomplished, and the patient suffered no sequelae.

Accidents, Home↗
PubMed1992

[Overlooked posterior shoulder dislocation].

Posterior dislocation of the shoulder is frequently overlooked. Early diagnosis is a prerequisite for successful treatment. Supplementary axillary or apical oblique projections should be included in the routine radiograms to confirm the diagnosis.

Adult↗
PubMed1992

[Chronic posterior shoulder dislocation].

The posterior dislocation of the shoulder is frequently unrecognized for many days, months or even years after the initial accident. After the presentation of its clinical and radiological features, as the different ways of its treatment, some cases will illustrate this entity, too frequently missed or wrongly treated.

Adult↗
PubMed1991

[Immobilization of the limb after surgical treatment of habitual shoulder dislocation].

The authors, on the basis of 20-years experience of treatment of patients with habitual dislocations of the shoulder by the method of tenosuspension, analyse the causes of postoperative recurrencies with the aid of biomechanical, electrophysiologic and roentgenologic methods. There is suggested an expediency of limb immobilization in the post-operative period by means of Dezault's bandage.

Arm↗
PubMed1989

[Luxatio humeri erecta. A rare form of inferior shoulder dislocation].

In patients with erect dislocation of the shoulder, the arm is typically locked in an upright position. This rare variant of subglenoid luxation always causes damage to the ligamentous structures of the joint and sometimes additional complications arise from neurovascular lesions. Two recent cases are reported here. The mechanism of injury, therapeutic measures and prognosis are discussed.

Accidental Falls↗
PubMed1988

Reduction of shoulder dislocations by the hanging method.

Over a 2-year period, 23 cases of anterior dislocation of the shoulder were managed by the hanging method, combined with a supraclavicular block. Reduction was easily accomplished in all but 2 of these cases. The technique is described.

Adolescent↗