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Shoulder dislocation

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https://www.readbyqxmd.com/read/29679723/comparison-of-hook-plate-with-versus-without-double-tunnel-coracoclavicular-ligament-reconstruction-for-repair-of-acute-acromioclavicular-joint-dislocations-a-prospective-randomized-controlled-clinical-trial
#1
Jian Yin, Zhaoyang Yin, Ge Gong, Chao Zhu, Chao Sun, Xinhui Liu
PURPOSE: This study was designed to compare the surgical outcomes of a hook plate with double-tunnel coracoclavicular (CC) ligament reconstruction by conjoined tendon transfer versus single hook plate surgery for the repair of acute type of Rockwood type III and V acromioclavicular (AC) joint dislocations. METHODS: The study cohort included 62 patients with acute (within 6 weeks after trauma) Rockwood type III and V AC joint dislocations who underwent surgery from February 2012 to September 2015...
April 18, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29675510/isolated-subscapularis-tendon-tear-in-a-skeletally-immature-soccer-player
#2
Paolo Avanzi, Luca Dei Giudici, Roberto Giovarruscio, Antonio Gigante, Claudio Zorzi
Subscapularis injury in adolescents, usually associated to an avulsion fracture of the lesser humeral tuberosity, accounts for less than 2% of all fractures of the proximal humerus. Isolated tears of the subscapularis tendon without a history of dislocation and associated avulsion fractures are an even rarer occurrence, and treatment is controversial. This article describes a rare case of a 12-year-old suffering from an isolated subscapularis tear and discusses its management. The patient was evaluated at presentation, and at 1 to 2...
March 2018: Joints
https://www.readbyqxmd.com/read/29664803/posterior-shoulder-dislocation-associated-with-the-head-splitting-and-humeral-neck-fracture-impact-of-understanding-radiologic-signs-and-experience-with-an-extended-deltopectoral-approach
#3
Kemal Gokkus, Ergin Sagtas, Hasan Kara, Ahmet T Aydin
In this paper, our main objective was to emphasize the competency of extended deltopectoral exposure, enforced with the supraspinatus and subscapularis detachment, to gain access to the entire head. The second important point in this paper was to underline the importance of the knowledge that is necessary for interpreting classic radiologic signs of posterior fracture-dislocation of the shoulder. A 47-year-old woman fell down directly onto her shoulder while she was skiing. She was diagnosed with posterior shoulder dislocation, associated with fracture of the head (head splitting) and humeral neck fracture, with the aid of plain radiographs and computed tomographic results...
April 11, 2018: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/29657841/locked-posterior-dislocation-of-the-shoulder-a-systematic-review
#4
Ozgur Basal, Recep Dincer, Bulent Turk
Locked posterior dislocation of the shoulder is very rare. Seizures and trauma are the most common causes of this injury.There is no current benchmark treatment strategy for these rare cases.This study has shown that reconstruction of the shoulder joint in an anatomical way in acute and chronic cases up to 16 weeks provides good results.The purpose of this study is to evaluate the results of different treatment procedures with outcomes and to compare the results of the same procedures in acute and chronic cases...
January 2018: EFORT Open Reviews
https://www.readbyqxmd.com/read/29650378/long-term-clinical-outcome-after-titanium-lunate-arthroplasty-for-kienb%C3%A3-ck-disease
#5
Timo Viljakka, Kaj Tallroth, Martti Vastamäki
PURPOSE: Titanium lunate arthroplasty (TLA) for Kienböck disease was introduced in 1984 to address the silicone-wear particle problem common to silicone lunate implants. We sought to study the outcome of TLA. METHODS: We identified 11 patients from our hospital database who had undergone TLA between 2001 and 2010. We evaluated pain, range of motion (ROM), function, and radiological outcome at a mean 11 years after surgery. We compared preoperative ROM and radiological findings with final follow-up in the ipsilateral wrist and also made comparisons with the contralateral wrists...
April 9, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29644319/traumatic-pediatric-shoulder-fracture-dislocation-treated-with-closed-reduction-and-intramedullary-nailing-a-case-report
#6
Ghazi Fannouch, Yasser I Al Khalife, Abdulaziz S Al Turki, Ayman H Jawadi
Background: Although rare, pediatric proximal humerus fractures may coexist with glenohumeral dislocations. Most of these injuries are Salter -Harris type of injuries. The treatment usually consists of closed or open reduction and k- wires fixation. The case: In this case report; a 10-year-old girl presented with a rare traumatic humeral surgical neck fracture with a posterior shoulder dislocation that was treated by closed reduction and flexible intramedullary nailing...
June 2017: Trauma Case Reports
https://www.readbyqxmd.com/read/29644296/bilateral-posterior-fracture-dislocation-of-the-shoulder-after-epileptic-seizure
#7
Michele Dario Gurzì, Daniele De Meo, Mattia Pugliese, Luigi Di Giorgio, Pietro Persiani, Ciro Villani
We present a case of a 61 year-old woman who suffered a bilateral posterior fracture-dislocation of the shoulder after an isolated episode of epileptic seizure. The patient was diagnosed at our Emergency department with x-rays and CT scans after being found unconscious. An indication for bilateral shoulder hemiprosthesis implant was initially given. However, given the peculiar pattern of the fracture, the hemiprosthesis was implanted on one side only, while the other side was treated with ORIF with four cannulated screws...
February 2018: Trauma Case Reports
https://www.readbyqxmd.com/read/29642925/atypical-traumatic-anterior-shoulder-instability-with-excessive-joint-laxity-recurrent-shoulder-subluxation-without-a-history-of-dislocation
#8
Sung-Jae Kim, Chong-Hyuk Choi, Yun-Rak Choi, Wonyong Lee, Woo-Seok Jung, Yong-Min Chun
BACKGROUND: No previously published studies have examined recurrent traumatic incomplete events in patients with excessive joint laxity. The purpose of this study is to investigate outcomes after arthroscopic stabilization for recurrent traumatic shoulder subluxation in patients with excessive joint laxity but no history of dislocation. METHODS: This study included 23 patients with glenoid bone defects less than 20% who underwent arthroscopic stabilization of recurrent shoulder subluxation and were available for at least 2 years follow-up...
April 11, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29623353/an-arthroscopic-bone-block-procedure-is-effective-in-restoring-stability-allowing-return-to-sports-in-cases-of-glenohumeral-instability-with-glenoid-bone-deficiency
#9
Ettore Taverna, Guido Garavaglia, Carlo Perfetti, Henri Ufenast, Luca Maria Sconfienza, Vincenzo Guarrella
PURPOSE: A group of patients affected by bone loss in the context of recurrent anterior shoulder instability were treated arthroscopically with a modified Eden-Hybinette technique since 2005. The last modification was made in 2013, consisting of fixation using a pair of specifically designed double round Endobuttons, which secure the bone graft to the glenoid rim placed through a guide. This report describes patients operated on after this last modification. No reports have described the results of this technique, and the purpose of this study was to assess early clinical and radiological results of an arthroscopic bone block procedure with double round Endobutton fixation...
April 6, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29619396/anthropometric-and-radiologic-measurements-of-coracoid-dimensions-and-clinical-implications-in-an-indian-population
#10
Deepak Joshi, Lalit Mohan Gupta, Milind Tanwar, Ajay Lal, Deepak Chaudhary
Background: Recurrent shoulder dislocation and anterior instability are most commonly attributed to pathology of the capsulolabral complex with the presence of bony loss at the humeral and glenoid surfaces. Unassessed bone loss has been a cause of failure of primary soft tissue procedures or recurrence of symptoms, despite adequate address of soft tissue pathology. Purpose: To study the anthropometric and radiologic dimensions of the coracoid in relation to glenoid bone loss, its adequacy in filling glenoid defects in an Indian population, and whether the choice of surgical technique (congruent arc vs classical) and graft positioning alters the surgical results...
March 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29613930/operative-experience-during-orthopaedic-residency-compared-with-early-practice-in-the-u-s
#11
Jessica M Kohring, Michael O Bishop, Angela P Presson, John J Harrast, J Lawrence Marsh, Theodore W Parsons, Charles L Saltzman
BACKGROUND: The goal of surgical education is to prepare the trainee for independent practice; however, the relevance of the current residency experience to practice remains uncertain. The purpose of this study was to identify the surgical procedures most frequently performed in orthopaedic residency and in early surgical practice and to identify surgical procedures performed more often or less often in orthopaedic residency compared with early surgical practice. METHODS: This retrospective cohort study included American Medical Association (AMA) Current Procedural Terminology (CPT) codes (n = 4,329,561 procedures) reported by all U...
April 4, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29613929/long-term-outcomes-of-glenohumeral-arthrodesis
#12
Eric R Wagner, Richard McLaughlin, Shumaila Sarfani, Robert H Cofield, John W Sperling, Joaquin Sanchez-Sotelo, Bassem T Elhassan
BACKGROUND: Glenohumeral arthrodesis is associated with a high rate of complications. Although patients experience reasonable pain relief and shoulder stability, they experience marked limitations in their upper-extremity function. The purpose of this study was to examine the clinical outcomes of glenohumeral arthrodesis. METHODS: Twenty-nine patients with 29 affected shoulders underwent primary glenohumeral arthrodesis between 1992 and 2009. Surgical indications included rotator cuff arthropathy and pseudoparalysis (n = 7), neurologic injuries (n = 12), chronic infection (n = 3), recurrent dislocations (n = 3), and proximal humeral or shoulder girdle tumors (n = 4)...
April 4, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29610970/male-gender-and-age-range-20-29-years-are-the-most-important-non-modifiable-risk-factors-for-recurrence-after-primary-post-traumatic-shoulder-dislocation
#13
Karol Szyluk, Andrzej Jasiński, Pawel Niemiec, Michal Mielnik, Wojciech Widuchowski, Bogdan Koczy
PURPOSE: The aim of the study was to identify and analyze non-modifiable risk factors for recurrence after a first-time post-traumatic dislocation of the shoulder in the entire Polish population. METHODS: The entire Polish population was included in a cohort study. Patients diagnosed with primary post-traumatic dislocation of the shoulder between January 1st, 2010 and December 31st, 2011 were identified and followed up from January 1st, 2010 to December 31st, 2014...
April 2, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29601243/arthroscopic-versus-open-latarjet-in-the-treatment-of-recurrent-anterior-shoulder-dislocation-with-marked-glenoid-bone-loss-a-prospective-comparative-study-response
#14
Chunyan Jiang
No abstract text is available yet for this article.
April 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29601238/arthroscopic-versus-open-latarjet-in-the-treatment-of-recurrent-anterior-shoulder-dislocation-with-marked-glenoid-bone-loss-a-prospective-comparative-study-letter-to-the-editor
#15
Sigitas Ryliškis, Konstantin Siomin
No abstract text is available yet for this article.
April 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29600205/open-reduction-and-internal-fixation-of-posterior-fracture-dislocation-of-the-shoulder-made-easy
#16
Waqar Saadat, Puneet Monga
Introduction: Posteriorly dislocated humeral head fracture has a great implication, as it is associated with high risk of avascular necrosis, limited access through the deltopectoral approach, and posterior approach to the posteriorly dislocated humeral fracture increases the risk to the remaining blood supply. Technical Tip: Posteriorly dislocated humeral fracture is approached through deltopectoral approach. Schanz pin is inserted into the humeral head to achieve purchase in the humeral head...
November 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29592987/seizure-induced-unilateral-posterior-dislocation-of-the-shoulder-a-diagnosis-not-to-be-missed
#17
Andrew Roy McKean, Shankar Kumar, Greg Michael McKean, Demitrios Tzias
A man in his mid-50s with a history of bladder carcinoma presented to the Emergency Department (ED) following a witnessed tonic-clonic seizure. Computed Tomography (CT) scanning of his brain revealed an indeterminate mass lesion in the left parietal region. The patient described bilateral shoulder pain prompting plain film radiographs with axial views, but no obvious abnormality was identified by the ED staff. Staging CT scanning did not reveal any evidence of underlying malignancy but revealed dislocation of the left humeral head with a large reverse Hill-Sachs lesion and posteriorly displaced reverse Bankart lesion...
March 28, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29591322/treatment-of-dorsal-fracture-dislocations-of-the-proximal-interphalangeal-joint-using-the-shotgun-approach
#18
Farid Najd Mazhar, Davod Jafari, Hamid Taraz, Alireza Mirzaei
This study assessed the outcome of open reduction and internal fixation of proximal interphalangeal joint fracture-dislocations through a shotgun approach, while keeping hemi-hamate arthroplasty as a back-up plan. After using the shotgun approach, fixation was carried out when the anterior fragment was large enough to accept two 1.5 mm screws. Sixty-three fracture-dislocations were treated in 61 patients, of whom 30 underwent internal fixation. Twenty-one of these were assessed in the final study. At a mean follow-up of 29 months, the mean range of joint motion was 80° and 102° for the injured and contralateral hand, respectively...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29589955/open-latarjet-procedures-produce-better-outcomes-in-competitive-athletes-compared-with-recreational-athletes-a-clinical-comparative-study-of-106-athletes-aged-under-30-years
#19
Laurent Baverel, Pierre-Emmanuel Colle, Mo Saffarini, Guillaume Anthony Odri, Johannes Barth
BACKGROUND: In cases of shoulder stabilization for anterior instability, the main goals of the surgery are a rapid and efficient return to sports and excellent long-term outcomes without recurrence of dislocation, particularly in young and competitive athletes. PURPOSE: To determine whether outcomes of open Latarjet procedure (OLPs) depend on the level of sports practiced by patients and to report clinical scores and complication rates for OLP at a minimum follow-up of 2 years...
March 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29581067/the-use-of-the-lars-system-in-the-treatment-of-ac-joint-instability-long-term-results-after-a-mean-of-7-4-years
#20
T M Tiefenboeck, S Boesmueller, D Popp, S Payr, J Joestl, H Binder, M Schurz, M Komjati, C Fialka, R C Ostermann
BACKGROUND: The acromioclavicular (AC) joint is of great importance for shoulder stability and one of the most frequently injured regions of the shoulder. HYPOTHESIS: AC joint reconstruction with the Ligament Augmentation & Reconstruction System (LARS™) leads to a good-to-excellent outcome at long-term follow-up. PATIENTS AND METHODS: This study was performed as a retrospective single-centre data analysis of a level-I trauma centre. All patients treated operatively for an acute AC dislocation with the LARS™ between 2003 and 2013 were included...
March 23, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
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