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Results for “SHOULDER DISLOCATION”

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At least 1,441 records · Page 80Linked to original sources
PubMed1982

Early complications of acute anterior dislocation of the shoulder in the middle-aged and elderly patient.

Shoulder function following acute anterior dislocation may be impaired by rotator cuff rupture, fracture of the greater tuberosity and/or nerve injury. Twelve such cases seen at a referral shoulder clinic are described. The most common symptoms were loss of movement (100 per cent of patients) and pain (66 per cent). Some loss of active abduction was present in all cases and muscle wasting in 33 per cent. Operation was indicated in 9 patients. There were 2 good, 3 fair and 4 poor results following "late' operation performed as a salvage procedure. Rotator cuff rupture may be obscured by a circumflex nerve palsy. If suspected, diagnosis can be confirmed by careful clinical evaluation, together with arthrography and electromyographic studies. Functional improvement and pain relief were obtained in 4 of the 5 patients who underwent late surgical repair for this complication.

Adult↗
PubMed1986

Posterior fracture-dislocation of the shoulder treated by a Neer hemiarthroplasty with a posterior surgical approach.

A 75-year-old man sustained a posterior dislocation of the shoulder associated with a completely displaced fracture through the anatomical neck of the humerus. The patient was treated successfully by a Neer hemiarthroplasty inserted through a posterior surgical approach. The posterior approach was selected because the usual anterior approach would have been complicated because of interference with a cardiac pacemaker situated in the deltopectoral region of the involved shoulder.

Aged↗
PubMed1983

Recurrent anterior dislocation of the shoulder joint a modification of Bankart's capsuloplexy. Notes on the surgical technique.

Twenty-one cases of recurrent anterior dislocation of the shoulder joint were operated on by a modification of Bankart's technique between 1975 and 1981. The modification consists in the introduction of two screws with their respective washers in order to fix the lateral flap of the capsule to the neck of the glenoid cavity, after which the medial flap is turned back and secured by a reefing suture. This device overcomes the difficulty encountered with the insertion of the joint capsule in Bankart's original method.

Adult↗
PubMed1995

Pitfall of stiff shoulder: inveterated posterior dislocation.

The authors relate the observation of an inveterated bilateral posterior dislocation, occurring during a generalized epileptic attack and mimicking a painful stiff shoulder. The clinical signs (i.e. aetiologic circumstances causing a forced internal rotation, limitation or absence of external rotation) and radiological data, especially the necessity of a profile X-ray, which lead to the diagnostic are reiterated. The interest of computerized tomography in the pre-operative assessment is underscored.

Epilepsy, Tonic-Clonic↗
PubMedDate not supplied

[Postoperatively recurring instability of the shoulder--a fault analysis in 46 cases].

AIM: The successful operative stabilization of the shoulder joint is a demanding surgical procedure. The causality of shoulder instability is complex with in some cases multiple lesions in different anatomical structures. The surgeon has to understand the complexity of factors causing instability in order to be therapeutically successful. The aim of the study was to document the intraoperative pathology in revision instability surgery. METHOD: 46 patients with recurrent postoperative instability were included (8 female, 38 male, follow-up > 12 months). After diagnostic arthroscopy an open revision surgery was performed in all cases. RESULTS: In 19 cases (40%) an insufficient surgical procedure was performed (inadequate capsular shift with worn out labral tissue). Selection of an incorrect surgical technique was the reason for revision in 12 patients (25%). Anamnestically 5 patients reported a re-injury, whereas objectively only one patient described an adequate trauma. The most frequent finding was an open rotator interval (persisting Foramen Weitbrecht), which was seen in 22 cases (46%). CONCLUSION: A stable range of motion of the shoulder is achieved by a variety of different factors, which leads in most instances to a combination of pathological changes in case of a dislocated shoulder. To understand the contributing factors of an instable shoulder joint is a necessity to carry out a successful surgical procedure.

Adult↗
PubMed1983

Unusual dislocations of the shoulder.

Erect (luxatio erecta) and superior glenohumeral dislocations are extremely uncommon. In luxatio erecta, the humeral head is subglenoid or subcoracoid just as in the more common anterior dislocation, but the shaft of the humerus is parallel to the spine of the scapula, not parallel to the chest wall as seen in the anterior type. Superior dislocations have the humeral head overlying the acromion or the clavicle on the anteroposterior radiograph. Radiographic findings in seven cases are presented and some of the associated complications are discussed.

Acromion↗
PubMed1984

Recurrent anterior dislocation of the shoulder. Results of Eden-Hybbinette and Putti-Platt operations.

The results of surgery in 74 cases of recurrent anterior dislocation of the shoulder are reported. The procedures used were Eden-Hybbinette (E-H) in 48 cases and Putti-Platt (P-P) in 26 cases. The recurrence rate in the 62 shoulder joints re-examined some 4 years postoperatively was 3/41 in E-H cases and 3/21 in P-P cases. The clinical results were excellent in 46 cases, satisfactory in 11, unsatisfactory in four and poor in one case without notable difference between the methods. A restriction of the outward rotation of more than 10 degrees could be observed in half the cases regardless of method. Radiographically, the Bankart lesion of the glenoid rim could be observed in two-thirds of the cases and osteoarthrosis of the glenohumeral joint was evident in one tenth. The transplanted bone block used in the E-H reconstruction was still in position in the majority but some degree of resorption could usually be observed. These observations did not correlate with the clinical results.

Adolescent↗
PubMed1985

Failed surgery for recurrent dislocations of the shoulder.

By careful dissection, the causative factors could be identified and repaired surgically in 38 previously failed procedures for recurrent anterior dislocation of the shoulder. A routine Bankart procedure was performed in 20 shoulders (in two of which a Connolly procedure was added), a Putti-Platt procedure in four, and capsulorrhaphies in four shoulders. Seven shoulders were treated with exercises with an excellent result in one and good results in four. It was most encouraging that in the patients followed from 2 to 13 years, only 5% have had recurrences.

Follow-Up Studies↗
PubMed1990

[The long-term results of the Putti-Platt intervention].

The results of surgical intervention in 183 patients operated on for recurrent shoulder dislocation from 1962 to 1985 are reported. After an average follow-up of 10 year (min. 3, max. 24), 115 patients (117 shoulders) were evaluated. The Putti-Platt technique was used in 65 patients and Scaglietti's modified technique in 52. Results were evaluated on the basis of pain, mobility, strength, stability, function and subjective opinion of the patient. External rotation was measured in adduction as well as in abduction at 90 degrees. The results were excellent or good in 90% of cases. Almost all the athletes returned to the same level as before dislocation. In 2.5% of cases the results were poor, due to excessive limitation of external rotation which caused severe osteoarthritis of the glenohumeral joint. Recurrence of dislocation occurred in 2 patients.

Age Factors↗