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Shoulder dislocation rehabilitation

Naveen Sharma, Avinash Mandloi, Ashish Agrawal, Shailendra Singh
INTRODUCTION: The clavicle, humerus and acromioclavicular (AC) joint separately are very commonly involved in traumatic injuries around the shoulder. Acromioclavicular joint dislocation with distal clavicle fracture is a well recognized entity in clinical practice. AC joint dislocation with mid shaft clavicle fracture is uncommon and only few cases have been reported in literature. However, to the best of our knowledge, this is the first case report to describe an acromioclavicular dislocation with ipsilateral mid shaft clavicle, mid shaft humerus and coracoid process fracture...
April 2016: Journal of Orthopaedic Case Reports
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
Chuanzhi Xiong, Yaojia Lu, Qiang Wang, Gang Chen, Hansheng Hu, Zhihua Lu
PURPOSE: The aim of this study was to evaluate the outcome of a minimally invasive surgical technique for the treatment of patients with acromioclavicular joint dislocation. METHODS: Sixteen patients with complete acromioclavicular joint dislocation were enrolled in this study. All patients were asked to follow the less active rehabilitation protocol post-operatively. Computed tomography with 3-D reconstruction of the injured shoulder was performed on each patient post operatively for the assessment of the accuracy of the suture anchor placement in the coracoid process and the reduction of the acromioclavicular joint...
September 2, 2016: International Orthopaedics
Benjamin W Szerlip, Brent J Morris, T Bradley Edwards
Reverse shoulder arthroplasty has become increasingly popular for the treatment of complex shoulder injuries, including proximal humerus fractures and fixed glenohumeral dislocation, in the elderly population. The early to midterm results of reverse shoulder arthroplasty for the treatment of proximal humerus fractures are promising compared with the results of unconstrained humeral head replacement, and patients may have more predictable improvement with less dependence on bone healing and rehabilitation. However, long-term follow-up is needed, and surgeons must be familiar with various complications that are specific to reverse shoulder arthroplasty...
2016: Instructional Course Lectures
D J Bokor, A Sundaram, P L Graham
A consecutive series of patients sustaining their index anterior instability while playing Rugby League and requiring shoulder reconstruction was retrospectively reviewed and evaluated. The details of their on-field position and hand dominance at time of injury, the side of injury, and mechanism of injury were collated and statistically analyzed. A total of 173 Bankart repairs were performed on 132 patients, and 102 players had one injury while 30 had 2 or more injuries. Players are more likely to injure their non-dominant side (P=0...
June 2016: International Journal of Sports Medicine
Ismail Emre Ketenci, Tahir Mutlu Duymus, Ayhan Ulusoy, Hakan Serhat Yanik, Serhat Mutlu, Mehmet Oguz Durakbasa
INTRODUCTION: Posterior dislocation of the shoulder is a rare and commonly missed injury. Unilateral dislocations occur mostly due to trauma. Bilateral posterior shoulder dislocations are even more rare and result mainly from epileptic seizures. Electrical injury is a rare cause of posterior shoulder dislocation. Injury mechanism in electrical injury is similar to epileptic seizures, where the shoulder is forced to internal rotation, flexion and adduction. PRESENTATION OF CASE: This report presents a case of bilateral posterior shoulder dislocation after electrical shock...
December 2015: Annals of Medicine and Surgery
D Fattoretto, A Borgo, C Iacobellis
Complex proximal humerus fractures are often difficult to treat. Their frequency is high, especially in the elderly, and their treatment is still controversial. The aim of this study was to analyze the clinical and radiological results achieved by patients with complex proximal humerus fractures, treated with PHILOS plate only. A cohort of 55 patients was selected. The mean age was 63.4 (range 33-89), while the mean follow-up time was 21.5 months (range 6-75). Clinical outcome was evaluated with the "Constant-Murley shoulder score...
August 2016: Musculoskeletal Surgery
Lennard Funk
Rugby is a high-impact collision sport, with impact forces. Shoulder injuries are common and result in the longest time off sport for any joint injury in rugby. The most common injuries are to the glenohumeral joint with varying degrees of instability. The degree of instability can guide management. The three main types of instability presentations are: (1) frank dislocation, (2) subluxations and (3) subclinical instability with pain and clicking. Understanding the exact mechanism of injury can guide diagnosis with classical patterns of structural injuries...
February 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
G Vrgoč, M Japjec, P Jurina, G Gulan, S Janković, B Šebečić, M Starešinić
INTRODUCTION: Acromioclavicular (AC) joint dislocations usually occur in a young active population as a result of a fall on the shoulder. Rockwood divided these dislocations into six types. Optimal treatment is still a matter of discussion. Many operative techniques have been developed, but the main choice is between open and minimally-invasive arthroscopic procedures. The aim of this study was to compare two different surgical methods on two groups of patients to find out which method is superior in terms of benefit to the patient...
November 2015: Injury
Helen H G Handoll, Stig Brorson
BACKGROUND: Fracture of the proximal humerus, often termed shoulder fracture, is a common injury in older people. The management of these fractures varies widely. This is an update of a Cochrane Review first published in 2001 and last updated in 2012. OBJECTIVES: To assess the effects (benefits and harms) of treatment and rehabilitation interventions for proximal humeral fractures in adults. SEARCH METHODS: We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, and other databases, conference proceedings and bibliographies of trial reports...
2015: Cochrane Database of Systematic Reviews
Gustavo Gonçalves Arliani, Artur Yudi Utino, Eduardo Misao Nishimura, Bernardo Barcellos Terra, Paulo Santoro Belangero, Diego Costa Astur
OBJECTIVE: To evaluate the approaches and procedures used by Brazilian orthopedic surgeons in treatment and rehabilitation of acromioclavicular dislocation of the shoulder. METHODS: A questionnaire comprising eight closed questions that addressed topics relating to treatment and rehabilitation of acromioclavicular dislocation was applied to Brazilian orthopedic surgeons over the three days of the 45th Brazilian Congress of Orthopedics and Traumatology, in 2013. RESULTS: A total of 122 surgeons completely filled out the questionnaire and formed part of the sample analyzed...
September 2015: Revista Brasileira de Ortopedia
Jolly Roy, Abdul Halim Mokhtar, Samihah Abdul Karim, Santhosh Ayathupady Mohanan
BACKGROUND: The article highlights an athlete's cognitive appraisals form the onset to return to play. The narrative provides how an athlete constructs a sense of self within personal and situational factors and describes the subjective experiences during rehabilitation. OBJECTIVES: The study examined the cognitive appraisal and psychological response within the backdrop of personal and situational factors in an injured athlete. PATIENTS AND METHODS: The study is contextualized within the injury rehabilitation experiences of a cycling national athlete aged about 18 years old who was presented with the complaint of right shoulder pain, following a right shoulder dislocation...
September 2015: Asian Journal of Sports Medicine
Sang-Eun Park, Jae-Jung Jeong, Karnav Panchal, Jong-Yun Lee, Hyung-Ki Min, Jong-Hun Ji
PURPOSE: The purpose of the present study was to describe the use of a novel hybrid surgical technique-arthroscopic-assisted plate fixation-and evaluate its clinical and anatomical outcomes in the management of large, displaced greater tuberosity (GT) fractures with comminution. METHODS: From 2009 to 2011, this novel technique was performed in 11 patients [2 men and 9 women; median age, 64 years (range 41-83 years)] with large, comminuted GT fractures, with fragment displacements of >5 mm...
September 29, 2015: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
F Dlimi, M Mahfoud, A Lahlou, A El Bardouni, M S Berrada, M El Yaacoubi
Bilateral anterior dislocation of the shoulders with fractures of both greater tuberosities is very rare. A 76-year-old woman sustained a bilateral anterior dislocation of her shoulders with fractures of the greater tuberosity on both sides after a fall on stairs. Her arms were abducted and externally rotated. Radiological examination revealed the bilateral anterior dislocation and also the bilateral fractures of the greater tuberosity. Prompt closed reduction followed by a 3 weeks immobilization and subsequent rehabilitation allows a good outcome...
December 2012: Journal of Clinical Orthopaedics and Trauma
Thorsten Jentzsch, Valentin Neuhaus, Burkhardt Seifert, Georg Osterhoff, Hans-Peter Simmen, Clément M L Werner, Rudolf Moos
BACKGROUND: The socioeconomic status has been associated with disparities in the incidence and mortality of traumatic injuries. However, there is a lack of studies on the level of health insurance with regard to various epidemiologic data of traumatic injuries, which this study opted to clarify. MATERIALS AND METHODS: All consecutive 6595 patients admitted to a level one trauma center in 2012 and 2013 were included in this retrospective cohort study. Patients were grouped according to their health insurance status (public versus private extended health care insurance) and compared with regard to several epidemiologic variables, that is, the type of injuries, inhospital outcome, and surgical procedures...
January 2016: Journal of Surgical Research
Umile Giuseppe Longo, Giacomo Rizzello, Mattia Loppini, Joel Locher, Stefan Buchmann, Nicola Maffulli, Vincenzo Denaro
PURPOSE: To analyze outcomes of surgical and conservative treatment options for multidirectional instability (MDI). METHODS: A systematic review of the literature according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was performed. A comprehensive search of the PubMed, MEDLINE, CINAHL, Cochrane, EMBASE, and Google Scholar databases using various combinations of the keywords "shoulder," "multidirectional instability," "dislocation," "inferior instability," "capsulorrhaphy," "capsular plication," "capsular shift," "glenoid," "humeral head," "surgery," and "glenohumeral," over the years 1966 to 2014 was performed...
December 2015: Arthroscopy: the Journal of Arthroscopic & related Surgery
K Ayadi, M Trigui, A Abid, A Cheniour, M Zribi, H Keskes
INTRODUCTION: Arthrogryposis is a condition existing at birth, seen in different diseases that have in common the existence of multiple joint stiffness. The clinical presentation is diversified and the functional prognosis depends on the etiology, which makes therapeutic options different from one case to another. The objective of this study was to describe clinical manifestations observed in arthrogrypotic patients and show the different therapeutic methods and functional results. METHODS: This was a retrospective study over a period of 12 years from 2000 to 2012, based on clinical examinations of 23 patients with arthrogryposis...
August 2015: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
I Riccio, A de Sire, C Latte, F Pascarella, F Gimigliano
PURPOSE: The aim of this case series study was to evaluate the efficacy of a rehabilitative approach to restoring stability, range of motion, and function of shoulder joint in non-operated adults presenting a first episode of traumatic anterior shoulder dislocation. METHODS: In this case series study, we evaluated patients aged from 20 to 44 years, with diagnosis of first episode of traumatic anterior shoulder dislocation. All participants underwent a conservative treatment protocol, lasting 3 months...
August 2015: Musculoskeletal Surgery
Dirk Maier, Kaywan Izadpanah, Peter Ogon, Maximilian Mützel, Jörg Bayer, Norbert Paul Südkamp, Martin Jaeger
INTRODUCTION: The purpose of this study was a detailed analysis of clinical and radiological results following open fixation of acute-traumatic, displaced anterior glenoid rim fractures with bioresorbable pins. MATERIALS AND METHODS: This retrospective study included 17 patients with glenoid defect sizes ≥20 %, as directly measured in preoperative sagittal en face CT. The mean glenoid defect size was 25.3 % (20-35, SD 4.7). Two or three polylactid pins were used for fixation...
July 2015: Archives of Orthopaedic and Trauma Surgery
Bruce Ziran, Ali Nourbakhsh
BACKGROUND: We performed a retrospective and descriptive study to determine the feasibility of proximal humerus derotational osteotomy in younger patients with significant humeral head depression, who may not be good candidates for shoulder arthroplasty. METHODS: Rotational osteotomy was done on four patients with a mean age of 40 for locked posterior dislocation associated with a reverse Hill-Sachs lesion from 2000-2011. The average age was 40 +/- 11 years old and the average follow up was 22 +/- 8 months...
2015: Patient Safety in Surgery
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