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https://www.readbyqxmd.com/read/27916190/editorial-commentary-natural-history-of-shoulder-dislocation-is-recurrence-our-only-metric
#1
EDITORIAL
Brett D Owens
The natural history of a traumatic anterior glenohumeral dislocation has been the subject of significant study, often with differing results depending on the population studied. Most studies have focused on recurrent dislocation as the primary outcome of interest, whereas metrics such as subluxation, return to athletics, and patient-reported outcome scores are also available in limited studies. The known risk factors for recurrence include young age and male gender. Surgical stabilization should be considered in populations at higher risk of recurrence and has been shown in Level I studies to result in reduction of recurrence and improvement in patient-reported outcomes...
December 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27908322/-traumatic-bilateral-posterior-shoulder-dislocation-after-a-seizure
#2
Mazaher Azizpour, Peter Anton Suder, Rebekka Fonnesbæk
We report a rare case in which a 52-year-old man was found lying on the floor of a sauna. He was confused and complained of pain in both shoulders. He had previously had surgery of a benign meningioma. The initial X-ray examination of both shoulders showed bilateral posterior shoulder dislocation, but no fractures were detected. An attempt to reposition the shoulder dislocation was performed but with no success. Intraoperative examination on the next day detected bilateral fractures with partially destroyed joint head...
November 28, 2016: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/27896323/intra-articular-lidocaine-versus-intravenous-sedative-and-analgesic-for-reduction-of-anterior-shoulder-dislocation
#3
Parvin Kashani, Fatemeh Asayesh Zarchi, Hamid Reza Hatamabadi, Abbas Afshar, Marzieh Amiri
OBJECTIVE: This prospective clinical trial was performed to compare the safety and efficiency of intra-articular lidocaine (IAL) versus intravenous sedative and analgesic (IVSA) in reduction of anterior shoulder dislocation. MATERIALS AND METHODS: Patients with anterior shoulder dislocation were randomly divided into 2 groups to receive IAL and IVSA. One group patients received an intravenous dose of 0.05 mg/kg midazolam and 1 μg/kg fentanyl, while the other group received 20 mL intra-articular lidocaine (1%)...
June 2016: Turkish Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27876488/arthroscopic-subscapularis-augmentation-of-bankart-repair-in-chronic-anterior-shoulder-instability-with-bone-loss-less-than-25-and-capsular-deficiency-clinical-multicenter-study
#4
Marco Maiotti, Carlo Massoni, Raffaele Russo, Steffen Schroter, Antonio Zanini, Diana Bianchedi
PURPOSE: To assess the short-term outcomes of the arthroscopic subscapularis augmentation (ASA) technique, consisting of a tenodesis of the upper third of the subscapularis tendon and a Bankart repair, and its effect on shoulder external rotation. METHODS: Patients selected for this study were involved in contact sports, with a history of traumatic recurrent shoulder dislocations and a minimum of 2-year follow-up. Inclusion criteria were patients with glenoid bone loss (GBL) ranging from 5% to 25%, anterior capsular deficiency, and Hill-Sachs lesion who underwent ASA technique...
November 19, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27863887/comfort-and-acceptability-of-various-immobilization-positions-using-a-shoulder-external-rotation-and-abduction-brace
#5
Taku Hatta, Nobuyuki Yamamoto, Hirotaka Sano, Eiji Itoi
BACKGROUND: Immobilization with shoulder braces is used for conservative treatment of an initial shoulder dislocation. Various arm positions have been investigated to determine optimal position in terms of the anatomical reduction of the Bankart lesion. Recently, the effect of immobilization in shoulder abduction as well as in external rotation has been reported. However, there are few studies assessing subjects' acceptability of the brace in various arm positions. We hypothesized that a certain arm position regarding abduction or external rotation for immobilization would induce significant discomfort during activities of daily living...
November 15, 2016: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/27855874/the-importance-of-glenoid-version-in-patients-with-anterior-dislocation-of-the-shoulder
#6
Ümit Aygün, Yalkın Çalik, Cengiz Işik, Hilal Şahin, Rula Şahin, Derya Öktem Aygün
BACKGROUND: Although increased retroversion of the glenoid has been shown to be an important factor in posterior instability of the shoulder, there are few studies reporting glenoid bone structure as a risk factor in anterior dislocation of the shoulder. This study aimed to compare glenoid version in patients with anterior dislocation of the shoulder and individuals in a control group with no shoulder problems before undergoing computed tomography and to assess a possible relationship between demographic characteristics and glenoid version angle...
December 2016: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/27815009/comparison-of-intra-articular-findings-and-clinical-features-between-patients-with-symptomatic-anterior-instability-after-recurrent-shoulder-subluxation-and-dislocation
#7
Sang-Jin Shin, Young-Won Ko, Yoon Sang Jeon, Juyeob Lee, Rag Gyu Kim, Hyungki Baek
PURPOSE: The purpose of this study was to compare the prevalence of concomitant intra-articular pathologies and clinical manifestations after arthroscopic stabilization between patients with symptomatic anterior instabilities following recurrent shoulder subluxations and dislocations. METHODS: Among patients who underwent arthroscopic stabilization, 28 patients who experienced shoulder subluxations (subluxation group, 26.7 ± 1.8 years) and 84 who had shoulder dislocations (dislocation group, 25...
November 1, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27781987/balloon-humeroplasty-reconstruction-for-acute-hill-sachs-injury-a-technical-note
#8
F Jacquot, D Zbili, J-M Feron, A Sautet, L Doursounian, A-C Masquelet
Posterior Hill-Sachs humeral defects are present in 80% to 100% of cases of anterior shoulder dislocation and are a factor in recurrent instability. Several techniques have been described to fill the defect and avoid recurrence. We developed a percutaneous technique to fill the newly created defect in which a percutaneous balloon, analogous to the one used in vertebral kyphoplasty, is used to reduce the defect, which is then filled with calcium phosphate cement. One patient with an acute anterior dislocation of the shoulder with no previous history was treated using this method...
September 2016: Hand Surgery and Rehabilitation
https://www.readbyqxmd.com/read/27780512/a-six-months-old-neglected-anterior-shoulder-dislocation-managed-by-closed-reduction-and-latarjet-procedure
#9
Deepak Chaudhary, Deepak Joshi, Vineet Jain, Mukul Mohindra, Nitin Mehta
A neglected shoulder dislocation is a rarer entity and only few cases are reported in the literature. An anterior dislocation of the shoulder is rarely missed as patients present with limb in abduction and external rotation, an attitude very familiar to orthopaedic surgeon. Occasionally such cases are missed when they present with fracture of proximal humerus or when they receive treatment from unqualified practitioners who commonly practise in rural areas. Owing to very few reports there is paucity of literature and no standard treatment protocol exists for neglected anterior dislocation of the shoulder, though most such chronic cases are managed by open reduction...
October 1, 2016: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/27777396/incidence-of-posttraumatic-shoulder-dislocation-in-poland
#10
Karol J Szyluk, Andrzej Jasiński, Michał Mielnik, Bogdan Koczy
BACKGROUND The incidence of shoulder joint dislocation has been estimated at 11-26 per 100 000 population per year. In our opinion, basic epidemiological data need to be continually updated in studies of large populations. To study the incidence of posttraumatic dislocation of the shoulder joint in the Polish population. MATERIAL AND METHODS We retrospectively investigated the entire Polish population between 1 January 2010 and 1 January 2015. To identify the study group, data collected in the electronic database of the National Health Fund were used...
October 25, 2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/27735979/eden-hybinette-and-pectoralis-major-transfer-for-recurrent-shoulder-instability-due-to-failed-latarjet-and-chronic-subscapularis-rupture
#11
Xinning Li, Antonio Cusano, Josef Eichinger
Shoulder dislocations are a common injury, with anterior shoulder dislocation among male patients being the most common presentation. A patient with recurrent shoulder instability, anterior-superior escape, and chronic subscapularis tendon rupture following multiple shoulder stabilization surgeries presents the surgeon with a complex and challenging case. This report describes a 40-year-old man with an extensive left shoulder history that included a failed Latarjet procedure, an irreparable, chronic subscapularis tear with grade 4 Goutallier fatty infiltration, and associated anterior-superior escape...
October 13, 2016: Orthopedics
https://www.readbyqxmd.com/read/27703939/bbilateral-neglected-anterior-shoulder-dislocation-with-greater-tuberosity-fractures
#12
Tejas Upasani, Abhinav Bhatnagar, Sonu Mehta
INTRODUCTION: Shoulder dislocations are a very common entity in routine orthopaedic practice. Chronic unreduced anterior dislocations of the shoulder are not very common. Neurological and vascular complications may occur as a result of an acute anterior dislocation of the shoulder or after a while in chronic unreduced shoulder dislocation. Open reduction is indicated for most chronic shoulder dislocations. We report a case of neglected bilateral anterior shoulder dislocation with bilateral displaced greater tuberosity fracture...
April 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/27660661/accelerated-rehabilitation-after-arthroscopic-bankart-repair-in-professional-footballers
#13
Jo Gibson, Jim Kerss, Chris Morgan, Peter Brownson
BACKGROUND: Advances in arthroscopic surgery have resulted in biomechanically stronger repairs that might allow for accelerated rehabilitation protocols and hence faster return to play. Evidence for such regimes in the shoulder, particularly in elite athletes, is lacking. METHODS: This prospective single surgeon (PB) series included 34 professional footballers undergoing an accelerated rehabilitation programme following arthroscopic soft tissue stabilization subsequent to traumatic anterior shoulder dislocation...
October 2016: Shoulder & Elbow
https://www.readbyqxmd.com/read/27658507/dyspnea-in-a-case-of-shoulder-dislocation-to-beware-of-this-rare-life-threatening-symptom
#14
Satyen Praful Joshi, Nikhil Subhash Challawar, Parth Vinod Agrawal, Arpit S Gajjar
Shoulder dislocation is a common injury in orthopedic practice. In an acute presentation, closed reduction of the shoulder joint leads to an uneventful recovery. However, in the developing world neglected shoulder dislocation and treatments from quacks are not uncommon. Improper treatment and neglect can rarely become life threatening. We present one such case, emphasizing the need to investigate the symptom of dyspnea in a patient with history of shoulder dislocation.
2016: SICOT-J
https://www.readbyqxmd.com/read/27638551/-associated-injuries-with-greater-tuberosity-fractures-mechanism-of-injury-diagnostics-treatment
#15
M Muhm, S Arend, H Winkler, T Ruffing
BACKGROUND: To date, little attention has been given to greater tuberosity fractures (GTFs) in the literature. Several mechanisms of injury are described, but few authors report that a GTF is accompanied by a high rate of often unrecognized associated injuries. OBJECTIVES: The aim was to document the incidence of dislocation, to diagnose associated injuries and, based on these, these draw conclusions about the mechanism of injury concerning GTF. PATIENTS AND METHODS: From 2007-2015 the detection of a shoulder dislocation, the fracture extent (displacement, fragments, size), associated injuries, and the surgical treatment of GTF and associated injuries were documented in 46 patients with GTF who were less than 65 years of age...
September 14, 2016: Der Unfallchirurg
https://www.readbyqxmd.com/read/27618237/clinical-pearl-procedure-reducing-an-anterior-shoulder-dislocation-on-the-sideline
#16
JoAnna M McClelland, Kevin R Vincent
No abstract text is available yet for this article.
September 2016: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/27602916/septic-shoulder-presenting-as-a-shoulder-dislocation-in-the-pediatric-patient-a-case-report
#17
Kathleen J Maguire, Norman Y Otsuka
: Shoulder dislocation is relatively uncommon in the younger pediatric population. Because of the relative strength of the surrounding soft tissue structures of the shoulder compared with the proximal humeral physis, subluxation or dislocation resulting from a traumatic event or application of force is rare and instead a proximal humeral physeal injury occurs. Case presentation - We present a 5-year-old male who presented to the office with post-traumatic left shoulder pain for about 1 week...
September 3, 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27594329/editorial-commentary-glenoid-bone-reconstruction-for-recurrent-shoulder-instability-risk-or-benefit
#18
EDITORIAL
Nikhil N Verma
Bone reconstruction for management of glenohumeral instability to reduce postoperative recurrence rates is increasingly emphasized in our literature. Unfortunately, significant complication rates are associated with these procedures, particularly in the United States where training in bony glenoid reconstruction may be limited. The alternative of early intervention, specifically surgical treatment of first-time shoulder dislocation, could result in glenoid bone preservation and overall improvement in the results of soft-tissue stabilization procedures...
September 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27585264/the-effect-of-the-arthroscopic-augmentation-of-the-subscapularis-tendon-on-shoulder-instability-and-range-of-motion-a-biomechanical-study
#19
S Schröter, M Krämer, B Welke, C Hurschler, R Russo, M Herbst, U Stöckle, A Ateschrang, M Maiotti
BACKGROUND: Anterior shoulder dislocation is common. The treatment of recurrence with glenoid bone defect is still considered controversial. A new arthroscopic subscapularis augmentation has recently been described that functions to decrease the anterior translation of the humeral head. The purpose of the presented study was to examine the biomechanical effect on glenohumeral joint motion and stability. METHODS: Eight fresh frozen cadaver shoulders were studied by use of a force guided industrial robot fitted with a six-component force-moment sensor to which the humerus was attached...
October 2016: Clinical Biomechanics
https://www.readbyqxmd.com/read/27583119/chronic-irreducible-anterior-dislocation-of-the-shoulder-without-significant-functional-deficit
#20
Hoejeong Chung, Yeo-Seung Yoon, Ji-Soo Shin, John Junghun Shin, Doosup Kim
Shoulder dislocation is frequently encountered by orthopedists, and closed manipulation is often sufficient to treat the injury in an acute setting. Although most dislocations are diagnosed and managed promptly, there are rare cases that are missed or neglected, leading to a chronically dislocated state of the joint. They are usually irreducible and cause considerable pain and functional disability in most affected patients, prompting the need to find a surgical method to reverse the worsening conditions caused by the dislocated joint...
September 2016: Clinics in Orthopedic Surgery
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