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[Results of Bankart procedure in recurrent anterior dislocation of the shoulder].

Of 41 patients with recurrent anterior dislocation of the shoulder operated on during a nine-year period (1970-1979), twenty-eight were re-examined and six answered a questionnaire. There were two recurrences (6%) after repair by the Bankart-Procedure. The results at follow-up were rated excellent in 59%, good in 29%, and poor in 12%. In 35% limitation in the external rotation was noted. We concluded that with the technique of the Bankart repair as described, only short postoperative immobilisation is necessary, early return of motion and function can be expected.

Adult↗

Bilateral anterior fracture dislocation of the shoulders.

A case of bilateral anterior fracture dislocation of the shoulders is reported. Treatment included an open reduction and internal fixation on the right side and a Neer hemiarthroplasty on the left. The probable cause of injury was trauma, although a convulsive episode cannot be ruled out. Bilateral biceps tendon interposition was also seen in this case.

Bone Wires↗

Approaches to senior care #10. Recurrent dislocation of the shoulder in an elderly patient.

A case in which 23 recurrent episodes of anterior dislocation of the shoulder occurred in a 76-year-old woman is presented. Du Toit and Roux staple capsulorrhaphy was used to achieve a stable, functioning shoulder. Recurrent dislocation of the shoulder is a problem of youth. Peak incidence occurs at age 20, after age 70, the incidence of recurrent dislocation of the shoulder is extremely low. The surgical treatment of a 76-year-old woman, who suffered 23 documented anterior dislocations of the right shoulder, is discussed and reviewed.

Aged↗

[Dislocation of the humerus--diagnosis and the Arlt method of reduction].

Authors present 248 shoulder dislocations included recurrent dislocations in a 3-year period. All of dislocations were of anterior type except 3 posterior dislocations and 1 inferior or luxatio erecta. They describe and recommend method of reduction without local or general anesthesia according to Arlt, which was used in 234 cases with effectivity of 96.6%. Posterior dislocation can have a very subtle signs and is generally initially missed in more than 50% cases. Two X-ray views in posterior dislocation are necessary to confirm diagnosis. Authors used in addition to anteroposterior transthoracic view with no posterior dislocation missed.

Adolescent↗

Open inferior glenohumeral dislocation.

An open inferior glenohumeral dislocation or luxatio erecta humeri is a rare type of shoulder dislocation, with only two cases reported in the literature. Presented is the case of a 36-year-old farmer who sustained an open inferior glenohumeral dislocation in a farm equipment accident. The humeral head penetrated the skin inferior to the pectoralis major muscle, an avulsion fracture of the greater tuberosity was present, and the subscapular tendon was ruptured near its insertion into the lesser tuberosity. At follow-up 18 months after injury, the restricted range of motion of the shoulder remained despite treatment attempts, including manipulation under anesthesia with arthroscopic debridement of the shoulder; however, no evidence of avascular necrosis of the humeral head was found.

Adult↗

Recurrent posterior glenohumeral dislocation associated with increased retroversion of the glenoid. A case report.

Recurrent traumatic posterior glenohumeral dislocation is rare and probably represents < 5% of all recurrent shoulder instability cases. Operative management of this problem is considered when symptomatic recurrent instability occurs despite an adequate physician-directed rehabilitation program. Before surgery, it is essential to recognize all directions of instability and any anatomic factors that may predispose the shoulder to recurrent instability, such as humeral head or glenoid defects, abnormal glenoid version or other anthropomorphic abnormalities, rotator cuff tears, neurologic injuries, or generalized ligamentous laxity. The authors report on a patient who had 2 previous failed attempts at posterior capsulorrhaphy for recurrent posterior shoulder dislocation after an atraumatic injury. The patient demonstrated a previously unrecognized unilateral increase in glenoid fossa retroversion and was successfully treated with a posterior opening wedge osteotomy of the scapular neck.

Adult↗

Locked posterior dislocation of the shoulder.

What the authors mean by locked dislocation of the shoulder is an inveterate posterior dislocation of the humeral head which remains locked within the glenoid cavity as a result of anatomopathological lesion. Based on an analysis of four cases a diagnostic-therapeutic protocol is proposed in which the clinical and radiographic data obtained allows for a reliable diagnosis and suitable treatment.

Adult↗