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At least 1,495 records · Page 83Linked to original sources
PubMed1997

Follow-up results 20 years after surgical treatment of habitual ventral shoulder luxation using the Eden-Lange technique.

After undergoing an operation according to the Eden-Lange technique, 56 patients with recurrent anterior shoulder luxation were re-examined clinically at an average follow-up period of 20 years. The mean age of the patients at the time of the operation was 24.9 years; the ratio of male to female patients was 2.3:1. The Ellman score (maximum of 27 points), stability tests, reluxation rate and X-ray examinations served as re-examination criteria. The mean score for the Ellmann test was 18.3 points; 29 patients had ventral instability. In the meantime 11 shoulders had redislocated. Fifty-one patients had arthrotic alterations in the operated shoulder. Because of the unsatisfactory functional and radiographical results, the Eden-Lange technique can no longer be accepted as the only treatment of choice for anterior shoulder dislocation.

Adult↗
PubMed1999

Evaluation of the patient with extremity trauma: an evidence based approach.

This article reviews relevant literature to provide evidence based guidelines for the evaluation of patients with extremity trauma in the emergency department. The development of clinical decision rules for extremity trauma in the ankle and knee, and guidelines for obtaining postreduction radiographs of shoulder dislocations and nursemaid's elbows are discussed.

Ankle Injuries↗
PubMed1982

[Lipohaemarthrosis (author's transl)].

Besides the presence of blood in an injured joint, fat-containing blood can also be found in the joint with intra-articular fractures. This condition, which can be demonstrated by x-ray film, is known as lipohaemarthrosis. We found this to be the case in 8 out of 295 patients with shoulder dislocation. The origin, significance and differential diagnosis of this condition are described.

Adult↗
PubMed1990

Luxatio erecta: a missed diagnosis.

A case of inferior glenohumeral dislocation (luxatio erecta) is presented. Although the classical presentation of luxatio erecta is considered pathognomonic, this case was initially misdiagnosed. This lead subsequently to the use of inappropriate reduction techniques. Eventually, the patient was taken to the operating room and closed reduction performed under general anesthesia. Follow-up examination demonstrated severe rotator cuff disruption without neurovascular deficit. Inferior shoulder dislocations are discussed and an explanation of the incorrect diagnosis is offered.

Aged↗
PubMed1999

Four-part posterior fracture--dislocations of the shoulder. Treatment by limited open reduction and percutaneous stabilization.

Ten patients who had been treated by limited open reduction and percutaneous stabilization for four-part posterior fracture-dislocation of the shoulder were followed-up for an average of 3.2 years postoperatively. According to the criteria of Neer, the result was excellent in nine patients, with an average Constant score of 95.7. There was one failure who showed complete avascular necrosis. All patients with excellent results had at least 1 mm of the neck portion of the head fragment intact.

Adult↗
PubMed1999

The shoulder in neonatal brachial palsy.

The most common residual weakness in neonatal brachial palsies involve the shoulder muscles. More than 84 tendon transfers were performed for weak external rotators. In addition to the tendon transfers, 10 younger children required closed reduction. Nine glenohumeral fusions were performed in adolescents. These procedures have resulted in improved function with few postoperative problems. Four osteotomies of the dislocated shoulder in older adolescents and two open reductions were performed in the older group of children.

Brachial Plexus Neuropathies↗
PubMed1990

The surgical treatment of recurrent anterior dislocation of the shoulder.

The authors analysed the results obtained in 94 recurrent dislocations of the shoulder submitted to surgery between 1979 and 1988 according to the Latarjet method. After considering the reasons for selecting this method, they discuss some aspects of the physiopathology of recurrent dislocation and instability of the shoulder. the principles of the Latarjet method are described and the Patte modification, used by the authors since 1986, is briefly illustrated. The long-term results were evaluated according to the walch and Duplay evaluation scheme. Sixty-nine patients with a follow-up ranging from a minimum of 1 year to a maximum of 9 were reviewed. The results were excellent or good in 93% of the cases.

Biomechanical Phenomena↗
PubMed1985

Recurrent dislocation of the shoulder. The Alvik modification of the Eden-Hybinette operation.

We re-examined 31 patients treated with Alvik's modification of the Eden-Hybbinette operation for recurrent anterior dislocation of the shoulder joint after 5 (2-14) years. Two patients had been re-operated because of instability. Muscular strength and joint motion were only insignificantly affected. Only one patient did not rate the results as good. The rate of recurrences was comparable to other methods, but the frequency of reoperations was low, as no complications occurred from fixation of the bone block.

Adolescent↗
PubMed1995

Bilateral posterior four-part fracture-dislocation of the shoulder.

A case of a bilateral posterior four-part fracture dislocation of the shoulder after a convulsive seizure was treated conservatively on one side, while the other shoulder was replaced by a hemiarthroplasty. A review of the literature and a treatment protocol for managing these injuries are presented. In four-part fracture-dislocations good results can be achieved with conservative treatment, but when avascular necrosis is likely to occur (delay in diagnosis or dubious relationship of the fragments after reduction) it is better to replace the humeral head.

Bone Nails↗
PubMed1984

Bilateral posterior dislocation of the shoulder.

The purpose of this article is to present two cases of bilateral posterior dislocation of the shoulder. A review of the previously reported cases reveals the rarity of this injury, its association with seizures and the frequency with which it is misdiagnosed.

Aged↗
PubMed2000

Posterior dislocation fractures of the shoulder in seizure disorders--two case reports and a review of literature.

We present two patients with complaints of shoulder pain after an epileptic seizure. Both patients had a posterior dislocation fracture of the shoulder. After reviewing the literature the following conclusions can be drawn: (1) A posterior shoulder dislocation fracture is rare. (2) One should not underestimate the muscular forces in seizure disorders and be alert for dislocation fractures of the shoulder and/or other joints. (3) The diagnosis is frequently missed, but an axillary radiograph or a CT scan always reveals the fracture.

Adult↗
PubMedDate not supplied

A new shoulder-elbow-wrist sling for hemiplegic patients.

This paper reports on the development of a new Shoulder-Elbow-Wrist (SEW) sling for the hemiplegic patient. Evaluation was based upon the initial design criteria which included: (1) provide appropriate support to avoid shoulder dislocation; (2) evenly distribute forces over uninvolved shoulder and back with no neck pressure; (3) sling should be easily put on, with one hand, by the patient; (4) capable of dynamic or static support; (5) hand area open for optional movement; (6) comfortable without rubbing on body or arm; (7) lightweight, cool, cleanable and cosmetically appealing. A polypropylene SEW sling was designed and vacuum molded. Appropriate shoulder/back support straps were designed. Two-inch straps distributed forces across the uninvolved shoulder and back. The front straps were substituted for by elastic if it was desired to achieve certain dynamic characteristics. Holes were provided in the sling for ventilation. Padding was used, where necessary, for comfort. Clear polypropylene is easily cleanable, lightweight and aesthetically pleasing. The cost of commercial production would be minimal. The design, development, construction, and implementation of this new device are presented.

Arm↗
PubMed1985

Bristow-Latarjet repair for recurrent anterior shoulder instability; an eight-year study.

A follow-up study was made of 44 patients who underwent 47 should operations as described by Bristow and Latarjet. The group consisted of 32 recurrent shoulder dislocations and 15 so-called spontaneous shoulder instabilities. The average follow-up was 3.7 years. No significant complications occurred either per- or postoperatively and relapse of luxation was not seen. Only one patient had objectively confirmed shoulder instability after the operation. The average limitation of external rotation at 90 degrees abduction was 12 degrees.

Adolescent↗
PubMed1989

Reconsideration of the Putti-Platt procedure and its mode of action in recurrent traumatic anterior dislocation of the shoulder.

The Putti-Platt procedure and its mode of action were investigated clinically and by work on anatomic specimens. The clinical work comprised 72 cases (Group A) of recurrent traumatic anterior dislocation of the shoulder operated on by the classic Putti-Platt technique from 1961 to 1985 and 92 cases (Group B) treated by the simplified operation from 1966 to 1979. Sixty-five patients from Group A and 83 (85 shoulders) from Group B were reexamined. There were two recurrences in Group A and three in Group B. In Group A, lateral rotation of the arm was restored in 19 of the 65 patients; it was increased in 44 patients by 60 degrees to 70 degrees compared with immediate postoperative rotation, which was 20 degrees to 30 degrees from the neutral position. On anatomic specimens in which the classic Putti-Platt technique was used, lateral rotation could not reach neutral without disruption of the lateral stump from the labrum. Since the lateral stump of the subscapularis is tendinous and inelastic, the postoperative increase in lateral rotation among Group A patients could be explained if the lateral stump had become gradually detached from the labrum. Therefore, it seems that this difficult part of the classic Putti-Platt procedure may be omitted, rendering the operation simpler and shorter than the original technique but just as successful.(ABSTRACT TRUNCATED AT 250 WORDS)

Female↗