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[Surgical treatment of habitual shoulder dislocation].

The article describes a method of the operative treatment of a habitual shoulder-slip which is less traumatic than those used before. Operations were performed in 52 patients. No recurrences were noticed during ten years of observations.

Humans↗

[Traumatic shoulder dislocation in young athletes--open or arthroscopic stabilization?].

In case of younger patients up to the 30th year with high sports and professional shoulder stress unacceptable recurrence rates up to 49% following arthroscopic stabilization were published. For these patients we recommend open stabilization also in case of primary dislocation. To evaluate our own results following open stabilization with suture-anchors and capsular shift we examined 15 patients with traumatic anterior shoulder dislocation treated between 1.1.1994-31.12.1997 in our clinic retrospectively. Because of the known prognosis factors all patients were classified as high-risk for recurrence. We could examine all patients after an average follow-up of 2.5 years. At the time of reexamination 10 patients had the same level of sports activities as preoperatively. Most patients demonstrated loss of external rotation up to 10 degrees. Compared with the contralateral shoulder 10 patients demonstrated no loss of muscle power. At one patient recurrence without adequate trauma was observed. All other patients demonstrated no clinical symptoms of instability. According to the criteria of the Constant-Score 13 patients achieved excellent or good results. Therefore we recommend open stabilization for young and sporting patients because of the guarantee of a low recurrence rate due to high levels of sports activities. In our opinion in these circumstances arthroscopy is mainly seen as a diagnostic method to evaluate the shoulder pathology before arthrotomy at the same time.

Adolescent↗

[Outcome of surgical treatment of habitual shoulder dislocation].

There has been carried out an analysis of treatment of 134 patients with habitual shoulder-slips according to 4 known methods and I proposed by the authors. There has been detected a number of typical defects, made by doctors in the process of treatment during acute period. The essence of the proposed method consists in strengthening by lavsan bandage "North-CITO" of the anterior part of the shoulder joint that allows to begin early restorative treatment.

Adolescent↗