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Shoulder dislocation

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https://www.readbyqxmd.com/read/29242794/bilateral-anterior-shoulder-dislocation-in-the-elderly-a-case-report-and-review-of-the-literature
#1
Kristian Nikolaus Schneider, Benedikt Schliemann, Salomon M Manz, Pranai K Buddhdev, Georg Ahlbäumeri
Introduction: Bilateral shoulder dislocations are rare and a diagnostic as well as a therapeutic challenge. Case Report: We report the case of a 67-year-old male who fell while skiing and suffered a bilateral anterior shoulder dislocation associated with a four-part proximal humerus fracture on the left side and an osseous avulsion of the rotator cuff, a Pulley lesion, and a Hill-Sachs lesion on the right side. In addition, we searched the PubMed database using the terms "bilateral shoulder dislocation" and also "bilateral glenohumeral dislocation"...
September 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29236126/-structural-damage-after-shoulder-dislocation-and-development-of-surgical-treatment-from-a-historical-perspective
#2
REVIEW
P Habermeyer, P Magosch
In the nineteenth century there was a high incidence of habitual shoulder instability caused by epileptic seizures and accompanied by therapeutic dilettantism, which led to socioeconomic problems in the working population. In the preradiography era the pathomechanism of shoulder dislocation was only known on the basis of cadaver studies and autopsy findings. The underlying structural disorders of habitual shoulder instability in the Bismarck era were published by Malgaigne, Broca and Hartmann. In1898 the first surgical reconstructive stabilization procedure for habitual shoulder dislocation was performed by Wilhelm Müller in Rostock...
December 13, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/29234592/experience-of-total-scapular-excision-for-musculoskeletal-tumor-and-reconstruction-in-eastern-asian-countries
#3
Katsuhiro Hayashi, Xiaohui Niu, Xiaodong Tang, Vivek Ajit Singh, Apichat Asavamongkolkul, Akira Kawai, Norio Yamamoto, Toshiharu Shirai, Akihiko Takeuchi, Hiroaki Kimura, Shinji Miwa, Hiroyuki Tsuchiya
Total scapulectomy and reconstruction has been performed for scapular tumor, however, most of the reconstruction methods have resulted in poor functional outcomes and there is still room for improvement. Most of the reports of reconstruction after scapulectomy are from a single institution. In the present study, we investigated functional outcomes after total scapulectomy in a multicenter study in The Eastern Asian Musculoskeletal Oncology Group (EAMOG). Thirty-three patients who underwent total scapulectomy were registered at EAMOG affiliated hospitals...
November 2017: Journal of Bone Oncology
https://www.readbyqxmd.com/read/29230427/biomechanical-comparison-of-single-versus-double-row-capsulolabral-repair-for-shoulder-instability-a-review
#4
REVIEW
Matthew John Yousif, James Bicos
Background: The glenohumeral joint is the most commonly dislocated joint in the body. Failure rates of capsulolabral repair have been reported to be approximately 8%. Recent focus has been on restoration of the capsulolabral complex by a double-row capsulolabral repair technique in an effort to decrease redislocation rates after arthroscopic capsulolabral repair. Purpose: To present a review of the biomechanical literature comparing single- versus double-row capsulolabral repairs and discuss the previous case series of double-row fixation...
December 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29224192/short-term-outcomes-of-arthroscopic-tightrope%C3%A2-fixation-are-better-than-hook-plate-fixation-in-acute-unstable-acromioclavicular-joint-dislocations
#5
Hamid Rahmatullah Bin Abd Razak, Eng-Meng Nicholas Yeo, William Yeo, Tijauw-Tjoen Denny Lie
AIM: The aim of this study was to compare the short-term outcomes of arthroscopic TightRope® fixation with that of hook plate fixation in patients with acute unstable acromioclavicular joint dislocations. PATIENTS AND METHODS: We conducted a prospective case-control study of twenty-six patients with an acute ACJ dislocation who underwent surgical repair with either an arthroscopic TightRope® fixation or a hook plate from 2013 to 2016. Clinical and radiological data were collected prospectively...
December 9, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29222664/anatomical-reconstruction-to-treat-acromion-fractures-following-reverse-shoulder-arthroplasty
#6
Florian Hess, Ralph Zettl, Daniel Smolen, Christoph Knoth
PURPOSE: Scapular fractures after reverse shoulder arthroplasty (RSA) are often associated with substantial shoulder impairment. Patient outcomes following either conservative or operative treatment have not been favourable, and consensus is lacking on the best treatment approach. We describe a technique for anatomic reconstruction of fractured lateral and basal acromion in patients at higher risk for diminished function or those for which conservative treatment has already failed. METHODS: Of the 95 patients who underwent RSA at our institution between December 2013 and December 2016, three had post-operative acromion fractures (type II)...
December 8, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/29219854/reconstruction-of-the-scapula-in-pediatric-and-adolescent-patients-after-total-scapulectomy-a-report-of-10-patients-treated-by-extracorporeal-irradiation-and-reimplantation-of-the-scapula
#7
Ahmed M El Ghoneimy, Mohamed S Zaghloul, Iman Zaky, Hala Taha, Ahmed Elgammal, Magdy El Sherbiny, Nehal Kamal
BACKGROUND: Ewing sarcoma of the scapula is uncommon. Restoration of shoulder function after total scapulectomy is challenging. Extracorporeal irradiation and reimplantation is a well-known method of biological reconstruction in orthopaedic oncology; yet very few reports in the literature describe its specific use in tumors of the scapula. PATIENTS AND METHODS: Ten patients with the diagnosis of Ewing sarcoma of the scapula were surgically treated by total scapulectomy and extracorporeal irradiation and reimplantation of the scapula...
December 6, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29217350/clinical-factors-that-affect-perceived-quality-of-life-in-arthroscopic-reconstruction-for-acromioclavicular-joint-dislocation
#8
F Abat, I Gich, L Natera, M Besalduch, J Sarasquete
OBJECTIVE: To analyse the results of arthroscopic repair of acromioclavicular dislocation in terms of health-related quality of life. MATERIAL AND METHOD: Prospective study of patients with acromioclavicular dislocation Rockwood grade iii-v, treated arthroscopically with a mean follow up of 25.4 months. The demographics of the series were recorded and evaluations were performed preoperatively, at 3 months and 2 years with validated questionnaires as Short Form-36 Health Survey (SF-36), visual analogue scale (VAS), The Disabilities of the Arm, Shoulder and Hand (DASH), Constant-Murley Shoulder Outcome Score (Constant) and Walch-Duplay Score (WD)...
December 4, 2017: Revista Española de Cirugía Ortopédica y Traumatología
https://www.readbyqxmd.com/read/29216740/new-concepts-of-radiologic-preoperative-evaluation-of-anterior-shoulder-instability-on-track-and-off-track-lesions
#9
Aishwarya Gulati, Riham Dessouky, Vibhor Wadhwa, Drew Sanders, Avneesh Chhabra
The shoulder is the most frequently dislocated joint in the body due to a larger range of motion and a small area of articulation between the humeral and glenoid surfaces. Traumatic shoulder dislocations, especially those associated with injury to the labroligamentous or bony stabilizers of the joint, lead to further reduction of articular surface contact with resultant glenohumeral instability and recurrent shoulder dislocations. Imaging plays an increasingly important role in the preoperative evaluation of patients with traumatic shoulder instability by evaluating glenohumeral bone loss (uni- or bipolar), assessing soft tissue injuries and identifying patients at risk of postoperative recurrence...
January 1, 2017: Acta Radiologica
https://www.readbyqxmd.com/read/29205983/treatment-of-proximal-humerus-fractures-in-the-elderly
#10
Antti P Launonen, Bakir O Sumrein, Vesa Lepola
A proximal humerus fracture typically occurs when an elderly woman falls directly onto her shoulder or on her outstretched arm. Local pain in the shoulder and immobility of the upper arm raise a suspicion of a significant injury. Other bone and tendon injuries in the shoulder region as well as dislocation of the shoulder should be considered on differential diagnosis. Diagnosis is achieved by plain X-ray. Most fractures can be treated conservatively. Consultation with an orthopedist is needed, if there are several fracture fragments with extensive dislocation...
2017: Duodecim; Lääketieteellinen Aikakauskirja
https://www.readbyqxmd.com/read/29203220/bilateral-spontaneous-anterior-shoulder-dislocation-a-missed-orthopedic-injury-mistaken-as-proximal-neuropathy
#11
Khalil Ahmad, Saeed Bin Ayaz, Heyyan Bin Khalil, Sumeera Matee
A number of orthopedic injuries can occur during epileptic seizures. Anterior shoulder dislocation is one such orthopedic injury that is quite rare. The shoulder dislocation may injure the brachial plexus. Besides seizures, the nerves can also be damaged by anticonvulsive therapy. Muscle wasting following a seizure can misguide a clinician to investigate only neural or muscular pathologies. We report here an individual with epilepsy who was referred to us for electrodiagnostic evaluation of proximal muscle wasting related to a suspected proximal neuropathy...
November 4, 2017: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/29201302/antibiotic-spacers-in-shoulder-arthroplasty-comparison-of-stemmed-and-stemless-implants
#12
Eric M Padegimas, Alexia Narzikul, Cassandra Lawrence, Benjamin A Hendy, Joseph A Abboud, Matthew L Ramsey, Gerald R Williams, Surena Namdari
Background: Antibiotic spacers in shoulder periprosthetic joint infection deliver antibiotics locally and provide temporary stability. The purpose of this study was to evaluate differences between stemmed and stemless spacers. Methods: All spacers placed from 2011 to 2013 were identified. Stemless spacers were made by creating a spherical ball of cement placed in the joint space. Stemmed spacers had some portion in the humeral canal. Operative time, complications, reimplantation, reinfection, and range of motion were analyzed...
December 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/29198379/operative-shoulder-instability-injury-management-in-australian-football-league-players-a-case-series
#13
Jason Bonacci, Brent Manson, Steven J Bowe, Stephen Gill, Hugh Seward, Greg Hoy, Richard Page
OBJECTIVES: The purpose of this study was to review the surgical management procedures of shoulder instability injuries in Australian Football League (AFL) players, and determine outcomes regarding return to sport and injury recurrence. DESIGN: Retrospective cohort study. METHODS: Elite AFL players with shoulder instability resulting in surgery were assessed in a retrospective cohort design (72 players/77 shoulders). Type of initial injury, surgical management, return to sport and injury recurrence were obtained...
November 27, 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/29197943/two-stage-revision-of-infected-shoulder-arthroplasty-using-prosthesis-of-antibiotic-loaded-acrylic-cement-minimum-three-year-follow-up
#14
Sung Hyun Lee, Se Jin Kim, Seng Hwan Kook, Jeong Woo Kim
PURPOSE: This study aimed to evaluate the clinical outcomes and persistent infection rate of two-stage revision of infected shoulder arthroplasty. METHODS: We enrolled 12 patients who developed an infection after undergoing shoulder arthroplasty between January 2009 and January 2014. They underwent a two-stage revision with PROSTALAC implantation and shoulder re-implantation in the first- and second-stage surgery, respectively. The mean follow-up period was 40.88 months (range, 36-52 months)...
December 2, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/29197942/five-year-prevalence-of-recurrent-shoulder-dislocation-in-the-entire-polish-population
#15
Karol Szyluk, Andrzej Jasiński, Pawel Niemiec, Michal Mielnik, Bogdan Koczy
PURPOSE: The aim of this study was to evaluate five-year prevalence of recurrent shoulder dislocation in the entire Polish population. METHODS: The study involved the entire Polish population between 01 January 2010 and 31 December 2014. Demographic data were retrieved from the Central Statistical Office of Poland. Data on the number of shoulder joint dislocations were retrieved from the database of the National Health Fund. RESULTS: We identified 32,253 Polish residents with shoulder instability...
December 2, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/29195899/ibuprofen-impairs-capsulolabral-healing-in-a-rat-model-of-anterior-glenohumeral-instability
#16
Jonathan D Packer, Arya G Varthi, David S Zhu, Frances G Javier, Jason D Young, Jennie V Garver, Havalee Henry, Steven M Tommasini, Theodore A Blaine
BACKGROUND: Failure of glenoid labrum and capsular healing after glenohumeral dislocation can lead to persistent shoulder instability. The purpose of this study was to determine the effect of nonsteroidal anti-inflammatory drugs (NSAIDs) on the healing glenoid labrum and capsule after glenohumeral dislocation in a rat model. METHODS: Sixty-six rats had surgically induced anterior-inferior labral tears and anterior glenohumeral dislocation. Postoperatively, the animals were assigned to either normal (n = 32) or ibuprofen drinking water (n = 31)...
November 29, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29184968/hippocratic-method-for-reduction-of-chronic-locked-anterior-shoulder-dislocations
#17
Hao Su, Hongzhi Liu, Kang Sun, Xin Wang
PURPOSE: Old shoulder dislocations are usually treated by a variety of surgical approaches. Closed reduction of chronic unreduced dislocation is less widely reported. This study was to evaluate the outcome of reduction of old anterior shoulder dislocations using the Hippocratic method. METHODS: Between January 2008 and July 2016, patients with unilateral old shoulder dislocations included 10 women and three men with an average age of 60.00 ± 2.83 years. Eight dislocations involved the right shoulder and five the left shoulder...
November 28, 2017: Der Orthopäde
https://www.readbyqxmd.com/read/29182021/injuries-depicted-in-sport-related-films
#18
Robert P Olympia, Hannah Wakefield, Bryan Wakefield, Christopher J Weber
The perception that children and adolescents have of injuries may be influenced by their depiction in sport-related films. The objective of this study was to determine the depiction of injuries in a select number of sport-related films. Forty-four films were analyzed. Injury category, on-the-field management, and long-term management were determined for each injury. Major injuries were defined as injuries requiring prompt intervention and immediate discontinuation of sport participation. A total of 49 injuries were depicted, categorized as fracture (n = 11), contusion (n = 10), brain concussion (n = 8), muscle cramps (n = 5), laceration/abrasion (n = 4), ligamentous knee injury (n = 4), shoulder dislocation (n = 2), rotator cuff injury (n = 2), ankle sprain (n = 2), and unspecified injury (n = 1)...
November 1, 2017: Clinical Pediatrics
https://www.readbyqxmd.com/read/29172635/midterm-clinical-results-in-rugby-players-treated-with-the-bristow-procedure
#19
Takayuki Kawasaki, Yoshinori Hasegawa, Takefumi Kaketa, Yuki Shiota, Yoshinori Gonda, Shogo Sobue, Hideo Kobayashi, Jun Yamakawa, Yoshiaki Itoigawa, Kazuo Kaneko
BACKGROUND: Although surgical shoulder stabilization by coracoid transfer is effective for collision athletes and has a low reinjury rate, no reports have described the midterm results of this procedure in specific patient cohorts of sufficient number or provided subjective assessments of these patients. PURPOSE: To evaluate midterm results after treatment of shoulder instability with the Bristow procedure in a large cohort of rugby players. STUDY DESIGN: Case series; Level of evidence, 4...
November 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29159662/correction-to-traumatic-inferior-shoulder-dislocation-a-review-of-management-and-outcome
#20
Mithun Nambiar, David Owen, Peter Moore, Ashley Carr, Malcolm Thomas
The original version of this article unfortunately contained mistakes. The presentation of the author names was incorrect.
November 20, 2017: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
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