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"Shoulder dislocation"

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https://www.readbyqxmd.com/read/28388821/outcome-reporting-in-randomized-trials-for-shoulder-disorders-literature-review-to-inform-the-development-of-a-core-outcome-set
#1
Matthew J Page, Hsiaomin Huang, Arianne P Verhagen, Joel J Gagnier, Rachelle Buchbinder
Objectives To explore the outcome domains and measurement instruments reported across randomized trials of any interventions for various shoulder disorders. Methods We searched for shoulder trials included in Cochrane reviews published up to Issue 10, 2015, or indexed in PubMed between 2006 and 2015. Trials were eligible for inclusion if they focused on any intervention for rotator cuff disease, adhesive capsulitis, shoulder instability, glenohumeral or acromioclavicular osteoarthritis, shoulder dislocation, proximal humeral or humeral head fractures, or unspecified shoulder pain...
April 7, 2017: Arthritis Care & Research
https://www.readbyqxmd.com/read/28377932/understanding-preferences-for-treatment-after-hypothetical-first-time-anterior-shoulder-dislocation-surveying-an-online-panel-utilizing-a-novel-shared-decision-making-tool
#2
Ben Streufert, Shelby D Reed, Lori A Orlando, Dean C Taylor, Joel C Huber, Richard C Mather
BACKGROUND: Although surgical management of a first-time anterior shoulder dislocation (FTASD) can reduce the risk of recurrent dislocation, other treatment characteristics, costs, and outcomes are important to patients considering treatment options. While patient preferences, such as those elicited by conjoint analysis, have been shown to be important in medical decision-making, the magnitudes or effects of patient preferences in treating an FTASD are unknown. PURPOSE: To test a novel shared decision-making tool after sustained FTASD...
March 2017: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/28372969/the-triple-dislocation-fracture-anterior-shoulder-dislocation-with-concomitant-fracture-of-the-glenoid-rim-greater-tuberosity-and-coracoid-process-a-series-of-six-cases
#3
Fabian Plachel, Jakob E Schanda, Reinhold Ortmaier, Alexander Auffarth, Herbert Resch, Robert Bogner
BACKGROUND: A combined fracture of the glenoid rim, greater tuberosity, and coracoid process after anterior shoulder dislocation is a rare event. Only 1 patient has been reported in the literature. METHODS: All patients with a first-time traumatic anterior shoulder dislocation in a level A trauma center were retrospectively reviewed. Among the 2068 patients treated between 1998 and 2013, we identified 6 patients (0.3%; 1 female, 5 male) with "triple dislocation fracture" (anterior shoulder dislocation with concomitant fracture of the glenoid rim, greater tuberosity, and coracoid process)...
March 31, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28361219/shoulder-arthroplasty-for-locked-anterior-shoulder-dislocation-a-role-for-the-reversed-design
#4
Joseph M Statz, Bradley S Schoch, Joaquin Sanchez-Sotelo, John W Sperling, Robert H Cofield
INTRODUCTION: Locked anterior shoulder dislocation (LASD) is an uncommon condition associated with bone, articular cartilage, and soft tissue damage. In selected cases, shoulder arthroplasty (SA) may be the best treatment. The purpose of this study was to assess outcomes of SA for LASD. MATERIALS AND METHODS: Between 1976 and 2013, 19 SAs [three hemiarthroplasties (HA), seven total shoulder arthroplasties (TSA), and nine reverse shoulder arthroplasties (RSA), mean age 62 years] were performed for LASD...
March 30, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28356560/brain-activity-in-the-right-frontal-pole-and-lateral-occipital-cortex-predicts-successful-post-operatory-outcome-after-surgery-for-anterior-glenoumeral-instability
#5
Davide Zanchi, Gregory Cunningham, Alexandre Lädermann, Mehmet Ozturk, Pierre Hoffmeyer, Sven Haller
Shoulder apprehension is more complex than a pure mechanical problem of the shoulder, creating a scar at the brain level that prevents the performance of specific movements. Surgery corrects for shoulder instability at the physical level, but a re-dislocation within the first year is rather common. Predicting which patient will be likely to have re-dislocation is therefore crucial. We hypothesized that the assessment of neural activity at baseline and follow-up is the key factor to predict the post-operatory outcome...
March 29, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28351205/arthroscopic-versus-open-latarjet-in-the-treatment-of-recurrent-anterior-shoulder-dislocation-with-marked-glenoid-bone-loss
#6
Yiming Zhu, Chunyan Jiang, Guanyang Song
BACKGROUND: Very few studies have compared open Latarjet versus arthroscopic Latarjet procedures. PURPOSE: To compare the clinical and computed tomographic outcomes between open and arthroscopic Latarjet procedures. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: A prospective, comparative study was performed. The open Latarjet group included 44 patients, and the arthroscopic Latarjet group included 46 patients...
March 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28315143/unclassified-mr-arthrography-pattern-evaluation-in-patients-with-episodes-of-recurrent-antero-inferior-shoulder-dislocation
#7
Luca Saba, Massimo De Filippo
PURPOSE: To evaluate prospectively the incidence of unclassifiable MR arthrography patterns of glenoid anterior-inferior labrum lesions, in patients with at least two episodes of recurrent antero-inferior shoulder dislocation. MATERIALS AND METHODS: The MR shoulder Arthrography images of 36 patients, with at least two episodes of recurrent antero-inferior dislocation, were prospectively evaluated, during a period between November 2015 and Mai 2016. All patients were contacted after 6 months of the MR arthrography to evaluate their course of treatment...
March 17, 2017: La Radiologia Medica
https://www.readbyqxmd.com/read/28303281/long-term-results-of-arthroscopic-bankart-repair-minimum-10%C3%A2-years-of-follow-up
#8
Tapio Flinkkilä, Rony Knape, Kai Sirniö, Pasi Ohtonen, Juhana Leppilahti
PURPOSE: This study investigated the long-term results of arthroscopic Bankart repair in terms of rates and timelines of recurrence of instability, with special interest in young adult patients aged ≤20 years. METHODS: Between 2000 and 2005, 186 shoulders [182 patients, 50 women, median age 26 (range 15-58) years] were operated on at a university hospital using arthroscopic Bankart repair because of instability after traumatic anteroinferior shoulder dislocation...
March 16, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28295125/treatment-of-locked-posterior-shoulder-dislocation-with-bone-defect
#9
Yousuf M Khira, Adel M Salama
Locked posterior shoulder dislocation is an uncommon condition and is associated with a reverse Hill-Sachs lesion in 50% of cases. The condition is likely to occur in cases of violent trauma, seizures, or electric shock. Unrecognized dislocation with humeral head fracture affects joint function and humeral head vascularity and may lead to chronic instability, osteonecrosis, and osteoarthritis. A group of 12 patients, including 10 men and 2 women, with neglected locked posterior shoulder dislocation with a reverse Hill-Sachs lesion were treated with the modified McLaughlin technique...
March 14, 2017: Orthopedics
https://www.readbyqxmd.com/read/28285907/-elbow-dislocation
#10
B de Pablo Márquez, P Castillón Bernal, M C Bernaus Johnson, N M Ibañez Aparicio
Elbow dislocation is the most frequent dislocation in the upper limb after shoulder dislocation. Closed reduction is feasible in outpatient care when there is no associated fracture. A review is presented of the different reduction procedures.
March 9, 2017: Semergen
https://www.readbyqxmd.com/read/28251280/a-systematic-comparison-of-the-closed-shoulder-reduction-techniques
#11
H Alkaduhimi, J A van der Linde, N W Willigenburg, D F P van Deurzen, M P J van den Bekerom
PURPOSE: To identify the optimal technique for closed reduction for shoulder instability, based on success rates, reduction time, complication risks, and pain level. METHODS: A PubMed and EMBASE query was performed, screening all relevant literature of closed reduction techniques mentioning the success rate written in English, Dutch, German, and Arabic. Studies with a fracture dislocation or lacking information on success rates for closed reduction techniques were excluded...
March 1, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28245853/a-neuromuscular-exercise-programme-versus-standard-care-for-patients-with-traumatic-anterior-shoulder-instability-study-protocol-for-a-randomised-controlled-trial-the-sinex-study
#12
Henrik Eshoj, Sten Rasmussen, Lars Henrik Frich, Inge Hvass, Robin Christensen, Steen Lund Jensen, Jens Søndergaard, Karen Søgaard, Birgit Juul-Kristensen
BACKGROUND: Anterior shoulder dislocation is a common injury and may have considerable impact on shoulder-related quality of life (QoL). If not warranted for initial stabilising surgery, patients are mostly left with little to no post-traumatic rehabilitation. This may be due to lack of evidence-based exercise programmes. In similar, high-impact injuries (e.g. anterior cruciate ligament tears in the knee) neuromuscular exercise has shown large success in improving physical function and QoL...
February 28, 2017: Trials
https://www.readbyqxmd.com/read/28243338/the-bony-bankart-lesion-how-to-measure-the-glenoid-bone-loss
#13
REVIEW
Jarosław Skupiński, Małgorzata Zofia Piechota, Wojciech Wawrzynek, Jarosław Maczuch, Anna Babińska
An osseous Bankart lesion is commonly seen in patients with an anterior shoulder dislocation. It is defined as a detachment of the anteroinferior labrum associated with a glenoid rim fracture. Radiological studies are crucial not only for detecting glenoid bone defects but also for measuring the amount of bone loss. The precise quantification of the bony defect is crucial for the therapeutic desicion-making and clinical outcomes. Although we know that major glenoid bone loss requires surgical intervention, none of the studies performed so far answered the question what size of the defect should be an indication for open surgery procedures...
2017: Polish Journal of Radiology
https://www.readbyqxmd.com/read/28228434/sagittal-sinus-thrombosis-in-jak2-v617f-mutation-without-overt-myeloproliferative-disorder
#14
Prashant Ramesh Bhand, Supriya Ramesh Karde, Nagabathula Ramesh
We describe a case of a man aged 41 years who presented with a history of generalised headaches for 1 week and an acute episode of tonic-clonic seizures. He had no history of medical illness, was non-smoker, with an extensive family history of haematological disorders. Initial CT brain with contrast did not show any abnormalities in brain parenchyma. X-ray and CT right shoulder showed shoulder dislocation secondary to trauma associated with seizure prior to hospital admission. Subsequently, MRA and MRV brain was arranged, which revealed extensive expansible occlusive filling defect dominating the middle of superior sagittal sinus with left frontal cortical and subcortical acute oedema...
February 22, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28214462/the-arthroscopic-latarjet-a-bony-solution-for-a-bony-injury
#15
REVIEW
David Ding, Robert Meislin
Treatment of shoulder instability has greatly evolved over the past century. Open capsulolabral repairs and bony augmentation procedures have slowly been replaced with arthroscopy. As arthroscopy and arthroscopic instruments have improved, surgeons have gravitated toward more minimally invasive procedures. The open Latarjet procedure has been historically very successful in preventing recurrent shoulder dislocation. While there is a steep learning curve, the arthroscopic Latarjet procedure as developed by Lafosse in 2007 can be effective in preventing shoulder instability in patients with significant bone loss of up to 30%...
January 2017: Bulletin of the Hospital for Joint Diseases
https://www.readbyqxmd.com/read/28206959/association-of-polymorphisms-rs1800012-in-col1a1-with-sports-related-tendon-and-ligament-injuries-a-meta-analysis
#16
REVIEW
Chunguang Wang, Hao Li, Kang Chen, Bing Wu, Haifeng Liu
It has been reported that the single nucleotide polymorphism (SNP) rs1800012 in COL1A1 might be associated with the susceptibility to sports-related tendon and ligament injuries such as ACL injuries, Achilles tendon injuries, shoulder dislocations and tennis elbow. But the data from different studies have been conflicting. Here we attempted to systematically summarize and clarify the association between the SNP and sports-related tendon and ligament injuries risk. Six eligible studies including 933 cases and 1,381 controls were acquired from PubMed, Web Of Science and Cochrane library databases...
February 11, 2017: Oncotarget
https://www.readbyqxmd.com/read/28193141/the-results-of-bankart-repair-without-capsular-plication-in-patients-with-recurrent-traumatic-anterior-shoulder-dislocation
#17
İsmail Kalkar, Cem Zeki Esenyel, Mehmet Selçuk Saygılı, Ayşın Esenyel, Hakan Gürbüz
PURPOSE: The aim of this study was to evaluate the results of patients with recurrent anterior shoulder dislocation, who had been treated with repair of the Bankart lesion without capsuler plication. MATERIAL AND METHOD: The study included 22 shoulders of 22 patients (16 males and 6 females) with a mean age of 28 years, who underwent Bankart repair between 2011 and 2014. Patients with bilateral shoulder instability, multiple instability, >25% glenoid bone loss, and those with a history of shoulder surgery were not included in the study...
January 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28149732/arthroscopic-reduction-and-balloon-humeroplasty-in-the-treatment-of-acute-hill-sachs-lesions
#18
Drew Ratner, Jeffrey Backes, John M Tokish
Shoulder instability is often associated with an impaction fracture of the humeral head, commonly referred to as a "Hill-Sachs lesion." This lesion is present in both anterior and posterior instability. Forty percent to 90% of anterior shoulder dislocations have associated Hill-Sachs lesions, whereas 29% to 86% of posterior shoulder dislocations have reverse Hill-Sachs lesions. Both of these lesions can contribute to recurrent instability of the shoulder and require surgery to be treated. Currently, the most common procedures to address Hill-Sachs lesions are the remplissage procedure (transfer of the infraspinatus into the posterior humeral head defect), capsular shift, disimpaction technique, humeral head resurfacing, bone block transfer, or shoulder arthroplasty...
December 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28149718/arthroscopic-bone-grafting-for-anteroinferior-glenoid-defect-using-template
#19
Wichan Kanchanatawan, Jatupon Kongtharvonskul, Kaiwan Sriruanthong, Gem Dorjiee
Significant anteroinferior glenoid bone loss is widely accepted as a major pathology of recurrent anterior shoulder dislocation, particularly after failed arthroscopic Bankart repair. Numerous surgical techniques for glenoid bone grafting have been described and have been reported to yield successful outcomes. Both open and arthroscopic approaches have been used, with the coracoid and the iliac crest being commonly used for bone graft. When compared with open surgery, an arthroscopic approach has many advantages...
December 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28135677/bilateral-irreducible-inferior-shoulder-dislocation-a-case-report
#20
Hassan Khedr, Adnan Al-Zahrani, Azzam Al-Zahrani, Mohammad M Al-Qattan
INTRODUCTION: Bilateral inferior shoulder dislocation is rare; but the dislocation is almost always reducible by closed means. We present a unique case of irreducible bilateral inferior shoulder dislocation. PRESENTATION OF CASE: A 35-year old male fell down from height. Direct axial loading while both shoulders were fully abducted resulted in bilateral inferior shoulder dislocation. All attempts of closed reduction failed. Open reduction revealed that the cause of irreducibility was the entrapment of the humeral head in a button-hole through the inferior joint capsule and the surrounding soft tissue envelope...
2017: International Journal of Surgery Case Reports
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