Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Shoulder Dislocation”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 685 records · Page 38Linked to original sources
PubMed2005

Best of both (BOB) maneuver for rapid reduction of anterior shoulder dislocation.

This article describes a combination maneuver for the reduction of anterior glenohumeral dislocations. It maximizes the force counter to the patient's musculature by using downward motion, with the physician's body mass and gravity doing the work, and the base of the ED gurney providing countertraction. It couples this force with the benefit of a scapulothoracic manipulation maneuver, which rotates the glenoid fossa into a position more amenable to "reaccepting" the humeral head. Some might regard this as a variation of the scapulothoracic manipulation maneuver. Because minimal sedation and analgesia is necessary, this technique may be useful for shoulder reductions at sporting events, wilderness areas, or accident scenes. It may also expedite the care of patients in busy emergency department settings.

Humans↗
PubMed1998

Bilateral anterior shoulder dislocations in bench pressing: an unusual cause.

A case of bilateral anterior glenohumeral dislocation in a young weight trainer is presented. The patient, an insurance clerk, had been using a free weight bar in the bench press position and had become tired when the weight on the bar forced his arms into hyperextension in the mid-abducted position. The humeral shaft gradually pivoted on the bench and the humeral heads were slowly dislocated anteriorly by the weight of the bar. Simple closed reduction under sedation was performed and there were no complications. After six weeks in bilateral broad arm slings, with pendulum exercises from two weeks, the patient began to mobilise his arms and he achieved a full range of movements. This unusual mechanism of injury has not previously been reported and we recommend that bench pressing should be performed with a weight that can be "locked" to prevent crushing of the user. Furthermore, the bench should be narrow enough to allow the shoulders to overhang, allowing greater extension in the abducted position without the arm pivoting on the edge of the bench.

Adult↗
PubMed1995

[Long-term results of the modified Eden-Hybinette operation for treatment of recurrent shoulder dislocation].

In a retrospective study we evaluated the long-term results of a modified Eden-Hybinette procedure in 76 patients. Besides stability, function, and subjective complaints, we documented in particular the degenerative changes of the joint. Subjective findings revealed excellent or good results in 68.5% of cases. In 20% of the patients the results were fair and in 11.5% poor. Some 66% of the patients had not subjective feeling of joint restriction. However, 25% complained of some and 9% of severe joint restriction. The overall recurrence rate was 13.9%. In patients with atraumatic dislocation the recurrence rate was 12%, in patient with voluntary dislocation it was 50%, and in posttraumatic instabilities the recurrence rate was 4.8%. The Rowe score showed 40% excellent and good results. The poor results were among the patients with redislocation, instabilities with subluxation, and secondary degenerative joint disease with concomitant pain and limitations in the range of motion. In patients with voluntary instabilities the poor results were in the group of redislocators, whereas in the posttraumatic group poor results were mainly due to degenerative joint disease. In 80% of the patients with bone block complications, secondary degenerative joint disease developed. Considering the relatively high recurrence rate and the amount of secondary degenerative joint disease after this procedure, we do not recommend this as a routine procedure for shoulder stabilisation.

Adult↗
PubMedDate not supplied

Prognosis in anterior shoulder dislocation.

All patients treated for a first-time anterior glenohumeral dislocation in Olmsted County, Minnesota, from 1970 through 1979 were identified. Of these 124 patients, 116 were available for study at a mean followup of 4.63 years (range 2 to 11). Of the 116 patients, 38 (33%) had recurrence of dislocation: 21 of the 32 (66%) patients less than 20 years old, 17 of the 43 (40%) patients 20 through 40 years old, and none of the 41 patients older than 40 years. Symptomatic instability remained a problem in 24 patients. Twenty-seven of 33 (82%) young athletes had recurrence of dislocation as compared with only 8 of 27 (30%) nonathletes of similar ages. Patients restricted from resuming sports participation for 6 weeks or more had significantly better results than those restricted for less than 6 weeks. The recurrence rate of dislocation is not as high as previously reported. However, the rate in athletes is much higher than that in nonathletes. Many patients continue to complain of symptomatic instability without actual redislocation. In our younger patients, we now advise immobilization for from 3 to 6 weeks, followed by extensive rehabilitation before return to athletic activity.

Adolescent↗
PubMed1993

[The Boichev-Andreev surgical method in the management of recurrent post-traumatic shoulder dislocations].

In the Boitchev-Andreiev operation the tip of the coracoid with the muscles having their origin here, is chiselled and after a transduction under the subscapular muscle it is refixed to its original place. One relapse from 28 cases was found in a mean follow up time of 3 years, in 2 cases subluxation was found. The average limitation of lateral rotation was 6.4 degrees. In the total follow-up out of 28 cases 23 could be classified as good, 3 adequate and 2 poor.

Adolescent↗
PubMed2000

Luxatio erecta: a rarely seen, but often missed shoulder dislocation.

Luxatio erecta is an uncommon disorder and presents in a unique, unusual manner. Luxatio erecta is often misdiagnosed as an anterior dislocation. The presentation is unmistakable and classic: the arm hyperabducted and locked above the head. Neurovascular injuries consist of neuropraxia of brachial plexus, radial and ulnar nerve. Vascular injuries are complicated by intimal tears, transections, and/or thrombosis of the axillary artery or vein. Reduction is done with the traction and countertraction maneuver. Once it is reduced the arm is then placed and maintained with a sling in adduction to the chest. Orthopedic referral is required because of the high incidence of rotator cuff injury.

Accidental Falls↗
PubMed2000

Reduction of skiing-related anterior shoulder dislocation using Kocher's method without traction.

We evaluated the use of Kocher's original method (without humeral traction) for reduction of acute anterior glenohumeral dislocation in 28 alpine skiers and snowboarders at a single ski area during the 1995-1996 ski season. In all cases, reduction was begun within 1 hour of the acute injury. The Kocher method alone was successful in 23 (82%) patients. Of the patients having a successful reduction by means of the original Kocher technique, the mean reduction time was less than 5 minutes, and 9 (39%) of the reductions were achieved in less than 1 minute. Only 1 patient experienced discomfort significant enough to require analgesia, and no patients required sedation. The complication rate was minimal, with 1 patient developing hyperesthesia in the axillary nerve distribution; no fractures of the humerus or glenoid resulted from the reduction technique.

Adolescent↗
PubMed1996

[Arthroscopic management of recurrent anterior shoulder dislocation by combining a labrum suture with antero-inferior holmium:YAG laser capsular shrinkage].

Current arthroscopic treatments do not address satisfactorily the capsular redundancy frequently associated with the Bankart lesion in recurrent anterior dislocation. Although the Bankart lesion heals, many of the recurrences after arthroscopic procedures are due to capsular redundancy and the laxity of glenohumeral ligaments. We propose that laser-assisted capsular shrinkage (LACS) be combined with arthroscopic labrum reattachment. As shown by Market et al., significant capsular shrinkage can be achieved by the application of non-ablative Ho:YAG laser energy without detrimental effects to the relaxation properties of the tissue. For 1 year we have used LACS together with labrum suture in 18 shoulders in 18 patients (mean age 24.6 years). All patients suffered from chronic anterioinferior recurrent dislocation. The labrum suture was realized by an anterior reattachment (REVO screws, Linvatec, USA) or by transglenoid suture. Two or three sutures were passed through the torn labrum with 2/0 non-absorbable suture material. The LACS procedure was performed with a holmium:YAG laser (VersaPulse, Coherent, USA) at an energy of 10 W (1 J, 10 Hz) with a 30 degrees curved handpiece. All patients were immobilized in a sling for 4 weeks postoperatively. Physical therapy was begun at 1 month with passive and active exercise. To date, none of the patients have had a recurrence. Seven of 18 patients returned to their previous sports activity, and at the same level. None of the patients had an iatrogenic lesion due to the laser application or labrum suture. Compared to the other shoulder, the loss of external rotation with the arm 90 degrees abducted was 30 degrees at 4 weeks and 10 degrees at 4 months. We think that the LACS procedure is a good treatment for the capsular redundancy that is frequently associated with Bankart's lesion in recurrent anterior dislocation and is probably responsible for the high failure rate in current arthroscopic procedures. Our results are short-term results, but we expect the capsular shrinkage associated with the labrum reattachment will provide a long-term success rate that is comparable to open procedures.

Adult↗
PubMed1992

An alternate conservative management of shoulder dislocations and subluxations.

This paper presents clinical observations/results of the application of an alternate method to traditional conservative management of subluxations and dislocations of the glenohumeral joint on major junior hockey players. The proposed program involves three stages: 1) rest and nutrition, 2) interferential current and faradic muscle stimulation, and 3) a traditional progressive-resistance weight-training program in conjunction with a specially designed orthosis. Current scientific theory on soft tissue healing and repair is reviewed as the backdrop to the proposed regimen. The resulting 100% success rate is compared to the success rate of conventional conservative therapeutic programs. The orthosis is a potentially useful therapeutic device permitting safe ranges of shoulder movement during the healing process, but scientific investigation is needed to determine the precise effect of the orthosis within the proposed therapy program.

Journal Article↗
PubMedDate not supplied

Posterior shoulder (glenohumeral) dislocation.

While shoulder dislocations are a common injury, dislocation in the posterior direction is unusual and often missed clinically. A traumatic posterior shoulder dislocation can be caused by a direct blow to the anterior shoulder or if a posteriorly directed force is axially applied through the forward flexed arm. A posterior shoulder dislocation can occur after a violent muscle contraction induced by an electrical shock or grand mal seizure. Posterior shoulder dislocations are commonly associated with posterior glenoid rim fractures and anterior compression fractures of the humeral head. This diagnosis should not be missed if a complete physical and radiographic exam are properly performed.

Adult↗
PubMedDate not supplied

True congenital dislocation of the shoulder.

Dislocation of the shoulder in infancy is an uncommon entity. Unlike the majority of reported cases, true congenital dislocation is present at birth and has no associated anomalies or injury. It appears to be related to in utero positioning. With appropriate immobilization in reduction, stability can be achieved, although development of the ossific nucleus of the proximal humerus is delayed as in congenital hip dislocation.

Humans↗
PubMed1990

Non traumatic dislocation of shoulder with rupture of axillary vessel branch in a paraplegic patient: a case report.

Spinal cord injured (SCI) patients utilize the shoulder joints for wheelchair propulsion, for transfers in and out of wheelchairs and for wheelchair "push-ups" for pressure relief, to prevent pressure sores. Accurate incidence of shoulder dislocation in SCI patients is not known. A majority of the dislocations seen are secondary to trauma. A 66-year-old, T10 paraplegic since 1942, developed severe osteoarthritic changes in both shoulders and experienced nontraumatic, recurrent dislocation of his right shoulder with a rupture of the axillary vessel branch. This case is reported here because of its rarity.

Aged↗