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"Shoulder dislocation"

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https://www.readbyqxmd.com/read/29402585/modified-latarjet-procedure-without-capsulolabral-repair-for-the-treatment-of-failed-previous-operative-stabilizations-in-athletes
#1
Maximiliano Ranalletta, Luciano A Rossi, Agustin Bertona, Ignacio Tanoira, Gastón D Maignon, Santiago L Bongiovanni
PURPOSE: To analyze time to return to sport, functional outcomes, and recurrences of the modified Latarjet procedure without capsulolabral repair in athletes with recurrent anterior shoulder instability after a failed previous operative stabilization. METHODS: We included athletes with recurrent anterior shoulder instability with a previous failed operative stabilization treated with the modified Latarjet procedure without capsulolabral repair with a minimum of 2-year follow-up...
February 3, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29399448/arthroscopic-bone-grafting-of-the-humeral-head-for-treatment-of-a-deep-hill-sachs-lesion
#2
Jin Tang, Caiqi Xu, Jinzhong Zhao
Recurrent anterior shoulder dislocation often leads to the presence of a Hill-Sachs lesion. A large Hill-Sachs lesion compromises shoulder stability and should be addressed with bone augmentation when it is too deep. Here, we introduce a method of arthroscopic bone grafting of the humeral head for the treatment of a deep Hill-Sachs lesion in patients with anterior shoulder instability. Our indication for this procedure is a deep off-track Hill-Sachs lesion measuring at least 8 mm in depth and 10 mm in width...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29388030/the-effect-of-subscapularis-tenotomy-in-athletes-operated-on-for-recurrent-anterior-shoulder-dislocation
#3
C Iorio, R M Lanzetti, D Lupariello, A Vadalà, M Fabbri, A Ciompi, A Ferretti, A De Carli
PURPOSE: Some authors consider preservation of the subscapularis tendon as one of the most important elements for a successful long-term outcome in patients operated on with open capsulorrhaphy for recurrent anterior shoulder dislocation. The purpose of this study was to evaluate whether vertical tenotomy of the subscapularis tendon might affect internal rotation strength recovery in patients operated on with open capsulorrhaphy for recurrent anterior shoulder dislocation. METHODS: Ninety-six patients were retrospectively followed up at a mean of 72...
January 31, 2018: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/29386732/functional-outcome-after-arthroscopic-management-of-traumatic-recurrent-dislocation-shoulder-using-bankart-repair-and-remplissage-techniques
#4
Munish Sood, Amresh Ghai
Background: Recurrent dislocation shoulder is one of the common shoulder injuries encountered by the orthopedic surgeon in clinical practice. Bankart repair using the arthroscopic method has become one of the standard techniques in the management of recurrent dislocation shoulder. Remplissage technique can be used as adjunct to Bankart repair in certain conditions. Method: In this case series, we have assessed the functional outcome and return to activity at midterm follow-up after arthroscopic management...
January 2018: Medical Journal, Armed Forces India
https://www.readbyqxmd.com/read/29375257/evaluation-of-surgical-treatment-of-patients-with-shoulder-instability
#5
Roberto Yukio Ikemoto, Joel Murachovsky, Luis Gustavo Prata Nascimento, Rogerio Serpone Bueno, Luiz Henrique Oliveira Almeida, Claudio Kojima
Objective: To evaluate the results of arthroscopic surgery in patients with traumatic anterior shoulder dislocation. Methods: This retrospective study analyzed 76 patients with a mean age of 28 and mean postoperative follow-up period of 62 months. Evaluation consisted of physical examination, and X-rays; results were classified according to the UCLA and Rowe scales. Results: Patients showed decrease of range of motion in all planes, except elevation and lateral rotation with 90º abduction...
November 2017: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/29373217/an-effective-treatment-in-the-austere-environment-a-critical-appraisal-into-the-use-of-intra-articular-local-anesthetic-to-facilitate-reduction-in-acute-shoulder-dislocation
#6
REVIEW
Fraser John Gould
Acute shoulder dislocation is a common injury in the outdoor environment. The objective of this systematic review of the literature was to determine if intra-articular local anesthetic (IAL) is an effective treatment that could have prehospital application. A methodical search of MEDLINE, PubMed, and EMBASE databases targeted publications from January 1, 1990 until January 1, 2017. Eligible articles compared IAL with other analgesic techniques in patients 16 years or older experiencing acute glenohumeral dislocation...
January 16, 2018: Wilderness & Environmental Medicine
https://www.readbyqxmd.com/read/29350537/cartilage-morphological-and-histological-findings-after-reconstruction-of-the-glenoid-with-an-iliac-crest-bone-graft
#7
Alexander Auffarth, Herbert Resch, Nicholas Matis, Martin Hudelmaier, Wolfgang Wirth, Rosemarie Forstner, Daniel Neureiter, Andreas Traweger, Philipp Moroder
BACKGROUND: The J-bone graft is presumably representative of iliac crest bone grafts in general and allows anatomic glenoid reconstruction in cases of bone defects due to recurrent traumatic anterior shoulder dislocations. As a side effect, these grafts have been observed to be covered by some soft, cartilage-like tissue when arthroscopy has been indicated after such procedures. PURPOSE: To evaluate the soft tissue covering of J-bone grafts by use of magnetic resonance imaging (MRI) and histological analysis...
January 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29345427/review-article-best-practice-management-of-common-shoulder-injuries-and-conditions-in-the-emergency-department-part-4-of-the-musculoskeletal-injuries-rapid-review-series
#8
REVIEW
Kirsten Strudwick, Megan McPhee, Anthony Bell, Melinda Martin-Khan, Trevor Russell
Shoulder injuries are a commonly presenting complaint to the ED. In the absence of an obvious deformity, they can be difficult to assess and definitively diagnose because of the multiple structures that cause shoulder pain, the acuity and severity of pain and the lack of range of motion in the ED setting. The quality of ED care provided to patients with musculoskeletal shoulder pain is crucial to ensure the best possible outcomes for the patient. This rapid review investigated best practice for the assessment and management of common shoulder injuries and conditions in the ED...
January 18, 2018: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/29321108/surgical-stabilization-for-first-time-shoulder-dislocators-a-multicenter-analysis
#9
Caitlin M Rugg, Carolyn M Hettrich, Shannon Ortiz, Brian R Wolf, Alan L Zhang
BACKGROUND: Anterior shoulder dislocations in young patients are associated with high rates of recurrent instability. Although some surgeons advocate for surgical stabilization after a single dislocation event in this population, there is sparse research evaluating surgical treatment for first-time dislocators. METHODS: Patients undergoing surgical stabilization for anterior shoulder instability were prospectively enrolled at multiple institutions from 2015-2017 and stratified by number of dislocations before surgery...
January 8, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29320219/modified-latarjet-without-capsulolabral-repair-in-rugby-players-with-recurrent-anterior-glenohumeral-instability-and-significant-glenoid-bone-loss
#10
Maximiliano Ranalletta, Luciano A Rossi, Agustin Bertona, Ignacio Tanoira, Ignacio Alonso Hidalgo, Gastón D Maignon, Santiago L Bongiovanni
BACKGROUND: The optimal management of recurrent anterior shoulder instability with significant glenoid bone loss in high-demand collision athletes remains a challenge. PURPOSE: To analyze the time to return to sport, clinical outcomes, and recurrences following a modified Latarjet procedure without capsulolabral repair in rugby players with recurrent anterior shoulder instability and significant glenoid bone loss. STUDY DESIGN: Case series; Level of evidence, 4...
January 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29310407/shoulder-dislocation-combined-with-proximal-humerus-fracture-in-children-a-case-report-and-literature-review
#11
Sheng Jin, Haiqing Cai, Yunlan Xu
RATIONALE: Proximal humerus fracture occuring simultaneously with dislocation of a shoulder in children is extremely rare, with only a few recent reports of on such cases having been reported. PATIENT CONCERNS: A 6-year-old girl fell from a ladder and landed on her dominant right arm with pain in the right shoulder and unable to perform movements; her shoulder did not allow for passive movements as well. DIAGNOSES: Proximal humerus fracture combined with shoulder dislocation...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29299668/the-open-modified-bankart-procedure-long-term-follow-up-a-16-26-year-follow-up-study
#12
Thomas Berendes, Nina Mathijssen, Hennie Verburg, Gerald Kraan
INTRODUCTION: A Bankart procedure is a surgical technique for the repair of recurrent shoulder joint dislocations. This study reports the long-term results of the 'open'-modified Bankart procedure. METHODS: We performed a retrospective cohort study in which patients are studied who had open-modified Bankart surgery for instability problems in the absence of a substantial osseous glenoid defect after a traumatic shoulder dislocation, 16-26 years ago, in a large regional hospital...
January 3, 2018: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/29299498/epidemiology-of-joint-dislocations-and-ligamentous-tendinous-injuries-among-2-700-patients-five-year-trend-of-a-tertiary-center-in-iran
#13
Mohammad H Nabian, Shayan Abdollah Zadegan, Leila Oryadi Zanjani, Saeed R Mehrpour
Background: The epidemiology of traumatic dislocations and ligamentous/tendinous injuries is poorly understood. In this study, we aimed to evaluate the prevalence and distribution of various dislocations and ligamentous/tendinous injuries in a tertiary orthopedic hospital in Iran. Methods: Musculoskeletal injuries in an academic tertiary health care center in Tehran February 2005 to October 2010 were recorded. The demographic details of patients with pure dislocations and ligamentous/tendinous injuries were extracted and the type and site of injuries were classified according to their specific age/gender groups...
November 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/29246239/individualized-coracoid-osteotomy-and-3d-congruent-arc-reconstruction-of-glenoid-for-the-treatment-of-recurrent-anterior-shoulder-dislocation
#14
Hongxin Zhang, Jicheng Gong, Meiming Xie, Kanglai Tang
BACKGROUND: The present study investigated individualized coracoid osteotomy for 3D congruent arc glenoid reconstruction and evaluated the clinical outcomes in recurrent anterior shoulder dislocation. METHODS: From January 2005 to July 2015, 78 patients with glenoid defect underwent coracoid and conjoint tendon transposition. The patients were divided into the individualized group (n = 34) and the non-individualized group (n = 44). All patients had CT data to reconstruct the shoulder model using Mimics software...
December 15, 2017: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29245218/bilateral-anterior-shoulder-dislocation-as-a-result-of-manipulation-a-case-report
#15
Kuan-Lin Chen, Sen-Yung Liu, Ta-Sen Wei
RATIONALE: Bilateral anterior shoulder dislocation is clinically rare and has been reported to be related to high-speed sports. PATIENT CONCERNS: A 76-year-old woman presented with bilateral shoulders pain after traditional Chinese manipulation. DIAGNOSES: She was diagnosed with bilateral anterior dislocations, and a closed reduction was immediately performed. INTERVENTION: The patient was referred for rehabilitation 3 days later, and bilateral rotator cuff injuries were identified from musculoskeletal ultrasound...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29242794/bilateral-anterior-shoulder-dislocation-in-the-elderly-a-case-report-and-review-of-the-literature
#16
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
#17
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/29216740/new-concepts-of-radiologic-preoperative-evaluation-of-anterior-shoulder-instability-on-track-and-off-track-lesions
#18
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/29203220/bilateral-spontaneous-anterior-shoulder-dislocation-a-missed-orthopedic-injury-mistaken-as-proximal-neuropathy
#19
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/29197942/five-year-prevalence-of-recurrent-shoulder-dislocation-in-the-entire-polish-population
#20
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
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