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 1,477 records · Page 82Linked to original sources
PubMed1993

The rate of recurrence of traumatic anterior dislocation of the shoulder. A study of 154 cases and a review of the literature.

We have reviewed the history of 154 primary, traumatic dislocations of the shoulder in order to determine the risk of recurrence. We found a recurrence rate of 68% in patients under the age of 20, after a follow-up period of 1-9 years (average 4.5 years). There was a highly significant difference (p < 0.0001) in the recurrence rate of patients under, and above, 30 years of age. Twenty per cent of the patients had a concurrent minor fracture at the shoulder with 2 out of 39 of the recurrent cases (5%) and 29 of the 115 non-recurrent cases (25%); this is also a significant difference (p < 0.01). Neither the need for general anaesthesia at primary injury nor the occupation of the patient was a relevant factor in the final outcome of the dislocation. Four nerve injuries were encountered (3%), with no severe sequelae at follow-up. The young patient with no concurrent fracture at the time of the primary shoulder dislocation has a high risk of recurrence.

Adolescent↗
PubMed1986

Isolated avulsion fracture of the lesser tuberosity of the humerus. A case report.

An extremely rare isolated avulsion fracture of the lesser tuberosity, not complicated with other proximal humeral fractures or posterior shoulder dislocations, occurred in a 12-year-old girl. The avulsion fracture of the upper part of the lesser tuberosity appears to have been caused by hyperextension and hyperexternal rotation of the shoulder. In this position, the coracohumeral ligament, superior glenohumeral ligament, and subscapularis tendon could have pulled out the upper part of the lesser tuberosity. She gained full recovery of left shoulder function after three months of conservative treatment, although follow-up roentgenograms show nonunion of the fracture. An isolated avulsion fracture of the lesser tuberosity is extremely rare. Only 12 cases, none in children, have been found in the literature since Hartigan's report in 1895.

Child↗
PubMedDate not supplied

[Unrecognized posterior dislocations of the shoulder. Apropos of 6 cases].

Reporting six cases of posterior dislocation of the shoulder examined in a rheumatological setting, the authors emphasize the diagnostic difficulties in this condition. The post-epileptic aetiology is often unrecognized. Certain radiological techniques permit recognition of the dislocation, when the antero-posterior film shows little abnormal. The authors analyze the anatomical lesions, which sometimes include fracture, and review the orthopaedic and surgical treatments, and the results obtained.

Adult↗
PubMedDate not supplied

Shoulder instability related to epileptic seizures.

Epileptic seizures can cause shoulder dislocation and instability, but a characteristic pattern of instability and structural lesions is not well known. We reviewed 34 shoulders in 26 patients in whom the initial dislocation had been caused by an epileptic seizure. All patients were followed up clinically and radiologically for a mean of 10 years (range, 2-21 years) after initiation of treatment. Thirteen patients (17 shoulders) were treated for anterior instability. A large Hill-Sachs lesion was found 12 times and a large glenoid rim fracture 5 times. There were 12 recurrent and 2 locked dislocations. The recurrence rate after the first repair was 47% (8/17 shoulders). The final overall results at a mean follow-up of 10 years (range, 2-12 years) were good in 12 cases, satisfactory in 2, and unsatisfactory in 2. The reoperation rate was 40%. With skeletal reconstruction, 12 of 13 shoulders were stable at final follow-up. Another 13 patients (17 shoulders) were treated for posterior dislocation. A large reverse Hill-Sachs lesion was observed 13 times and a posterior glenoid rim fracture twice. There were 15 locked but only 2 recurrent dislocations. The recurrence rate after repair was 12% (2/17 shoulders). The final outcome at a mean follow-up of 7 years (range, 2-12 years) was good in 11 shoulders and satisfactory in 6. The reoperation rate was 12%. Anterior and posterior dislocations occurred with equal frequency in this series. Large bony lesions were the hallmark finding in this group of patients. Skeletal reconstruction was necessary to obtain clinical stability, especially in the more difficult-to-treat anterior instability.

Adolescent↗
PubMed2003

The effect of early arthroscopic stabilization compared to nonsurgical treatment on proprioception after primary traumatic anterior dislocation of the shoulder.

This randomized clinical trial compared the effect of early arthroscopic stabilization and rehabilitation vs. standard immobilization and rehabilitation on measures of shoulder proprioception. Subjects with primary traumatic anterior dislocations of the shoulder were randomized into one of two groups: standard therapy of immobilization and rehabilitation (n=13) or arthroscopic stabilization followed by rehabilitation (n=11). At a minimum of 3 months posttreatment (mean 19 months) proprioception was evaluated using threshold to detection of passive motion (TTDPM) and reproduction of passive positioning (RPP) at 30 degrees and 60 degrees external rotation. There were no statistically significant differences between surgical and standard treatment groups in either TTDPM or RPP at start positions of 30 degrees and 60 degrees. These findings suggest that treatment by early arthroscopic stabilization and rehabilitation after primary traumatic anterior dislocation of the shoulder does not enhance proprioception more than standard immobilization and rehabilitation.

Adolescent↗
PubMed2006

Traumatic pseudoaneurysm of the subclavian artery following anterior dislocation of the shoulder: a report of a surgical case.

Vascular complications associated with simple anterior dislocation of the shoulder joint are rare. We report on a patient with a pseudoaneurysm of the right subclavian artery following anterior dislocation of the right shoulder. Complaints of progressive neurological deficit and swelling in the right upper extremity were initially attributed to hemarthrosis of the right shoulder joint, but pseudoaneurysm of the right subclavian artery was identified during an emergent operation on the right shoulder. Uncontrollable arterial hemorrhaging from the skin incision erupted during the operation and was treated using a double surgical approach.

Accidental Falls↗
PubMed1994

[Bilateral traumatic posterior dislocation of the shoulder].

Authors describe an extremely rare case of simultaneous bilateral posterior dislocation of the shoulder. The referring international literature and that of this country is surveyed. In the latter no paper, describing bilateral posterior dislocation of the shoulder was published. They have found this case, because of its rarity, worthy of publication.

Humans↗
PubMed1988

Failed surgery for recurrent anterior dislocation of the shoulder. Causes and management.

We have reviewed 36 patients who had recurrent anterior dislocation of the shoulder after a previous anterior repair and analysed the various causes of failure. It was found that failure could have been avoided in virtually all of the patients by correct pre-operative diagnosis, selection of the appropriate operation and its proper execution. The further management of these patients is described and suggestions are made as to means of reducing the incidence of failure after primary operation.

Adolescent↗
PubMedDate not supplied

[A case of an old posterior shoulder luxation].

Posterior dislocation of the shoulder is rare. Only 2-3% of dislocated shoulders are displaced posteriorly. It is a diagnostic trap for young doctors. Over 60% of the cases are not diagnosed initially. This is a case report of a patient treated with physical therapy and even mobilisation in anesthesia for 2 years and then needed a total shoulder replacement.

Aged↗
PubMed1999

[Bilateral posterior fracture-dislocation of the shoulder caused by an epileptic seizure - diagnostic, treatment and result].

The case of an 39-year-old man is presented, who sustained a bilateral locked fracture dislocation of the shoulders occurring during an epileptic seizure. Radiographs demonstrated a compression-fracture of the anteromedial aspect of the humeral head bilaterally (reversed Hill-Sachs-lesions). Additionally, fractures of the lesser and greater tuberosity were diagnosed at the right site. Open reduction and internal fixation was performed in both shoulders within 12 hours. 6 months later the patient has no complaints with a free range of motion. Diagnostics, treatment and result are discussed in context with the literature.

Adult↗