357 results match your criteria Joint Reduction Shoulder Dislocation Anterior

Simultaneous Bilateral Anterior Glenohumeral Fracture Dislocation: A Case Report.

Cureus 2022 Apr 17;14(4):e24199. Epub 2022 Apr 17.

Orthopedics, Sri Ramaswamy Memorial (SRM) Medical College Hospital and Research Centre, Chengalpattu, IND.

Simultaneous anterior glenohumeral dislocations are rare in occurrence and difficult to diagnose and treat. Here, we present a case of a 33-year-old male with simultaneous anterior glenohumeral fracture dislocation after an episode of seizure. Closed reduction of both the shoulders was performed. Read More

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Primary traumatic shoulder dislocation associated with rotator cuff tear in the elderly.

Int J Surg Case Rep 2022 Jun 16;95:107200. Epub 2022 May 16.

Department of Orthopaedics and Traumatology, Faculty of Medicine, Universitas Padjadjaran, Bandung, West Java, Indonesia.

Introduction And Importance: The shoulder is one of the most unstable joints of the body. Shoulder dislocation accounts for up to 60% of all major joint dislocations. This study reports two cases of primary traumatic shoulder dislocation and shows that in the elderly, primary traumatic shoulder dislocation is associated with a rotator cuff tear (RCT). Read More

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Transient postoperative inferior subluxation of the shoulder after surgical stabilization of recurrent anterior dislocation in a patient with myasthenia gravis: a case report.

Clin Shoulder Elb 2022 May 11. Epub 2022 May 11.

Department of Orthopaedic Surgery, Konkuk University School of Medicine, Seoul, Korea.

The authors present a case of transient postoperative inferior subluxation of the shoulder after arthroscopic surgical stabilization for recurrent anterior dislocation. The patient was a 61-year-old woman with myasthenia gravis (MG). The first anterior shoulder dislocation occurred because of a fall to the ground. Read More

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When can anterior dislocations of the shoulder with an isolated fracture of the greater tuberosity be safely reduced in the emergency department?

Br J Hosp Med (Lond) 2022 Apr 6;83(4):1-8. Epub 2022 Apr 6.

Department of Trauma and Orthopaedics, Barts Health NHS Trust, The Royal Hospital, London, UK.

Following dislocation of the glenohumeral joint with an isolated greater tuberosity fracture, closed reduction in the emergency department can lead to fracture propagation or iatrogenic fractures. This article assesses the evidence regarding when anterior dislocations of the shoulder with an isolated fracture of the greater tuberosity can be safely reduced in the emergency department, as there is currently no clear guidance on this. A total of eight articles described 172 cases which underwent closed reduction, which resulted in 22 cases of iatrogenic fractures. Read More

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Coracoid Osteotomy, Greater Tuberosity Take Down and Latarjet Procedure for Missed Bilateral Locked Anterior Shoulder Fracture-Dislocations in a Young Man.

J Orthop Case Rep 2021 Oct;11(10):25-29

Department of Orthopaedics, East Surrey Hospital, Canada Avenue, Redhill, United Kingdom, RH1 5RH, United Kingdom.

Introduction: It is rare to see chronic bilateral anterior fracture-dislocations as a result of seizure, and we present a case of this type and review of the literature. Despite the signs and symptoms of shoulder dislocation being well documented, and X-ray imaging being good at identifying such pathology, there are a few cases in the literature of missed or chronic shoulder dislocation (a shoulder that has been dislocated for more than 3 weeks) but these are extremely rare. Our case represents the first example of chronic bilateral locked anterior fracture-dislocations requiring open reduction and coracoid osteotomy with GT takedown to gain adequate exposure and allow soft tissue release to facilitate joint reduction. Read More

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October 2021

Operative treatment outcomes of anterior sternoclavicular joint dislocation using two experimental methods - an acromioclavicular joint hook plate versus a locking plate: a retrospective study.

BMC Musculoskelet Disord 2022 Apr 11;23(1):350. Epub 2022 Apr 11.

Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430022, Wuhan, People's Republic of China.

Background: We aimed to compare the intraoperative and early postoperative clinical outcomes of using an acromioclavicular joint hook plate (AJHP) versus a locking plate (LP) in the treatment of anterior sternoclavicular joint dislocation.

Methods: Seventeen patients with anterior sternoclavicular joint dislocation were retrospectively analyzed from May 2014 to September 2019. Six patients were surgically treated with an AJHP, and 11 were surgically treated with an LP. Read More

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Primary Open Latarjet Procedure Results in Functional Differences but No Structural Changes in Subscapularis Muscle Quality vs the Healthy Contralateral Shoulder at Long-term Follow-up.

Am J Sports Med 2022 05 22;50(6):1495-1502. Epub 2022 Mar 22.

Department of Orthopedics, Balgrist University Hospital, University of Zurich, Zurich, Switzerland.

Background: There are concerns that the Latarjet procedure results in loss of glenohumeral rotation and strength and in subscapularis dysfunction. The long-term effects of this procedure on subscapularis quality, glenohumeral rotation, and strength are unknown.

Purpose/hypothesis: To analyze the long-term effect of the primary open Latarjet procedure using a muscle-splitting approach on internal and external rotation and strength, as well as subscapularis muscle quality as compared with the healthy contralateral side. Read More

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Imaging of traumatic shoulder injuries - Understanding the surgeon's perspective.

Eur J Radiol Open 2022 2;9:100411. Epub 2022 Mar 2.

Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA 02215, USA.

Imaging plays a key role in the assessment and management of traumatic shoulder injuries, and it is important to understand how the imaging details help guide orthopedic surgeons in determining the role for surgical treatment. Imaging is also crucial in preoperative planning, the longitudinal assessment after surgery and the identification of complications after treatment. This review discusses the mechanisms of injury, key imaging findings, therapeutic options and associated complications for the most common shoulder injuries, tailored to the orthopedic surgeon's perspective. Read More

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Chronic Unreduced Anterior Shoulder Dislocation Managed by Latarjet Procedure: A Prospective Study.

Cureus 2022 Jan 31;14(1):e21769. Epub 2022 Jan 31.

Department of Orthopaedics, Lokmanya Tilak Municipal General Hospital (LTMGH) and Sion Hospital, Mumbai, IND.

The shoulder joint is the most common joint to undergo dislocation, with the anterior subtype being the most common. The most accepted definition of chronic dislocation is a shoulder joint that has remained dislocated for a minimum of three weeks. Due to rare presentation, there is a lack of consensus among surgeons regarding the optimal management option of chronic shoulder dislocation. Read More

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January 2022

Arthroscopic Assisted Percutaneous Screw Fixation of a Postage Stamp Anterior Glenoid Fracture.

Acta Chir Orthop Traumatol Cech 2021 ;88(6):456-460

Halic University, Faculty of Health Sciences, Istanbul, Turkey.

Bio-absorbable anchors are widely used for Bankart repair in shoulder instability surgery. Suture anchor placement for labral repair may give rise to osteolysis and/or create stress risers in the glenoid rim, which may be the underlying reasons for glenoid rim fracture with a fracture line passing through previous anchor placement sites, the so-called "postage stamp fracture". Intraarticular fractures of the glenoid have been treated via open reduction and internal fixation through an arthrotomy, which may lead to potential postoperative complications like infection, neurovascular injuries, joint stiffness, and a long recovery period. Read More

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January 2022

Return to play following open Bankart repair in collision athletes aged 18 years or less.

J Shoulder Elbow Surg 2022 Jun 11;31(6S):S8-S12. Epub 2021 Dec 11.

Department of Orthopaedic Surgery, Sports Surgery Clinic, Dublin, Ireland.

Hypothesis: The purpose of this study was to evaluate clinical outcomes, return to play (RTP), and recurrence rates in patients aged 18 years or less who underwent open Bankart repair (OBR) for anterior shoulder instability.

Methods: A retrospective review of collision athletes under 18 years old who underwent OBR by 2 surgeons between the years 2010 and 2019 was carried out. An OBR using a subscapularis split was performed in all patients. Read More

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The biomechanical effect of injury and repair of the inferior glenohumeral ligament on glenohumeral stability: Contribution of the posterior band.

Clin Biomech (Bristol, Avon) 2022 01 25;91:105540. Epub 2021 Nov 25.

Clinique des Maussins, 67, rue de Romainville, 75019 Paris, France.

Background: Many surgical procedures are proposed to manage shoulder instability with recurrent dislocation but there is still a high rate of failure or complications. Repairs are often limited to anterior part of inferior glenohumeral ligament but some authors are reporting better clinical results if its posterior band is also repaired. This biomechanical study aimed to investigate the impact of a supplementary posterior injury compared with an isolated anterior injury and to analyze the contribution of a posterior repair of the inferior glenohumeral ligament compared with an isolated anterior repair. Read More

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January 2022

Capsulolabral Reconstruction During the Open Latarjet Procedure.

Arthrosc Tech 2021 Nov 6;10(11):e2397-e2406. Epub 2021 Oct 6.

Research Department, La Tour Hospital, 1217 Meyrin, Switzerland.

Surgical treatment of anterior glenohumeral joint instability can be challenging and carries the inherent risk of recurrent instability, dislocation arthropathy, and postoperative loss of external rotation. In the current manuscript, a technique for combined reconstruction of anterior labrum and capsule, with concomitant reduction of the humeral head during anterior capsule reconstruction in open Latarjet procedure, is presented. Analogous to other techniques, the coracoid graft is fixed on the anteroinferior part of the glenoid between 3 and 5 o'clock. Read More

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November 2021

Hybrid coracoclavicular and acromioclavicular reconstruction in chronic acromioclavicular joint dislocations yields good functional and radiographic results.

Knee Surg Sports Traumatol Arthrosc 2022 Jun 29;30(6):2084-2091. Epub 2021 Nov 29.

Department of Bone and Joint Surgery, Spedali Civili, Brescia, Italy.

Purpose: Optimal treatment of chronic unstable acromioclavicular (AC) joint dislocations (stage 3-5 according the Rockwood classification) is still debated. Anatomic coracoclavicular (CC) reconstruction is a reliable option in terms of two-dimensional radiographic reduction, clinical outcomes, and return to sports, but there remain concerns regarding anterior-posterior stability of the AC joint with CC ligament reconstruction alone. The aim of the present study was to describe the mid-term results of a new hybrid technique with CC and AC ligament reconstruction for chronic AC joint dislocations. Read More

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Instability Severity Index Score Does Not Predict the Risk of Shoulder Dislocation after a First Episode Treated Conservatively.

Int J Environ Res Public Health 2021 11 16;18(22). Epub 2021 Nov 16.

Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, 00128 Rome, Italy.

The first purpose of this study was to verify the association between Instability Severity Index Score (ISIS) and Recurrent Shoulder Dislocation (RSD) after a first episode treated conservatively. The second aim is to identify the risk factors associated with RSD after a primary acute shoulder anterior dislocation treated conservatively. A total of 111 patients with first traumatic anterior shoulder dislocation treated at a single trauma centre between January 2014 and March 2016 were enrolled. Read More

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November 2021

Patterns of Nerve Injury and Recovery Rates of Infraclavicular Brachial Plexus Lesions Following Anterior Shoulder Dislocation.

J Hand Surg Am 2021 Nov 10. Epub 2021 Nov 10.

Upper Limb Unit, Wrightington Hospital, Hall Lane, Appley Bridge, Wigan, UK. Electronic address:

Purpose: We reviewed our cases of infraclavicular brachial plexus injuries associated with anterior shoulder dislocation to determine patterns of injury, recovery rates, and factors associated with a poor motor outcome.

Methods: This was a retrospective review of patients who had sustained a concomitant nerve injury following dislocation of the glenohumeral joint treated with closed manipulation. The data collected included patient demographics, injury factors, and patterns of neurological deficits. Read More

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November 2021

[Anterior-superior dislocation of the shoulder: case report and review of the literature].

Pan Afr Med J 2021 2;40. Epub 2021 Sep 2.

Service de Traumatologie et d´Orthopédie à la Faculté de Médecine et de Pharmacie, Université Cadi Ayyad, Marrakech, Maroc.

Traumatic dislocations of the shoulder joint are generally described as an antero-inferior dislocations. Anterior-superior dislocations are extremely rare. We report a rare case of traumatic dislocation of the anterior-superior shoulder in a 45-year-old patient whose physical examination showed an anterior-superior subcutaneous protrusion of the head filling the subacromial space. Read More

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October 2021

Evaluation and Management of Sternoclavicular Dislocation in the Emergency Department.

J Emerg Med 2021 11 10;61(5):499-506. Epub 2021 Sep 10.

Department of Emergent Medicine, Rush University Medical Center, Chicago, Illinois.

Background: Sternoclavicular dislocation (SCD) is a rare injury but can result in hemodynamic and neurovascular complications. Emergency clinicians play an integral role in the evaluation and management of these injuries.

Objective: This article provides a narrative review of the diagnosis and management of SCD for the emergency clinician. Read More

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November 2021

Return to Professional Australian Rules Football After Surgery for Traumatic Anterior Shoulder Instability.

Am J Sports Med 2021 09 16;49(11):3066-3075. Epub 2021 Aug 16.

Melbourne Orthopaedic Group, Melbourne, Victoria, Australia.

Background: The treatment of traumatic anterior shoulder instability in professional Australian Football League (AFL) players is challenging, with an emphasis on early return to play and avoidance of instability recurrence.

Purpose: To investigate return-to-sport (RTS) outcomes and complications after 2 different procedures for traumatic anterior shoulder instability in professional AFL players.

Study Design: Cohort study; Level of evidence, 3. Read More

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September 2021

Pediatric anterior elbow dislocation due to a rare mechanism of injury: A case report.

Int J Surg Case Rep 2021 Aug 20;85:106210. Epub 2021 Jul 20.

The Lady Ridgeway Specialized Children Hospital, Sri Lanka.

Introduction & Importance: Elbow dislocations are rare among the pediatric population as their ligaments are stronger than bones. Anterior dislocations of the elbow are even rarer entity usually caused by anteriorly directed force on the hyper-flexed elbow. We present a case of a rotational force on an extended elbow causing anterior dislocation of the shoulder in an 11-year-old boy. Read More

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Anterior Shoulder Instability Part I-Diagnosis, Nonoperative Management, and Bankart Repair-An International Consensus Statement.

Arthroscopy 2022 02 29;38(2):214-223.e7. Epub 2021 Jul 29.

NYU Langone Health, New York, New york, USA.

Purpose: The purpose of this study was to establish consensus statements via a modified Delphi process on the diagnosis, nonoperative management, and Bankart repair for anterior shoulder instability.

Methods: A consensus process on the treatment using a modified Delphi technique was conducted, with 65 shoulder surgeons from 14 countries across 5 continents participating. Experts were assigned to one of 9 working groups defined by specific subtopics of interest within anterior shoulder instability. Read More

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February 2022

Surgical treatment of anterior sternoclavicular dislocation associated with midshaft clavicle fracture: A case report.

Jt Dis Relat Surg 2021 11;32(2):560-565. Epub 2021 Jun 11.

Department of Orthopaedics and Traumatology, Landesklinikum Baden-Mödling, 2340 Mödling, Austria.

A combination of an anterior sternoclavicular (SC) joint dislocation with a midshaft clavicle fracture is an extremely rare injury. If left untreated, it can lead to severely impaired function of the shoulder with a high risk for complications. A 45-year-old male patient presented with pain and impaired range of motion (ROM) in the left shoulder after a mountain bike crash. Read More

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Open Reduction and Suture Fixation of Acute Sternoclavicular Fracture-Dislocations in Children.

JBJS Essent Surg Tech 2020 Jul-Sep;10(3). Epub 2020 Sep 18.

Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Background: Acute sternoclavicular fracture-dislocation is associated with high-energy trauma and is being increasingly recognized in children. These injuries are associated with compression of mediastinal structures and can be life-threatening. The management of acute sternoclavicular fracture-dislocation includes closed reduction or open surgical stabilization; however, limited success is reported with closed reduction. Read More

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September 2020

Deciphering acute shoulder trauma with normal initial X-ray: Contributions of ultrasonography and MRI.

Orthop Traumatol Surg Res 2021 09 24;107(5):102965. Epub 2021 May 24.

Service de Chirurgie de l'Arthrose et du Sport, Urgences Traumatiques des Membres. CHU de Grenoble-Alpes, Hôpital Sud, avenue de Kimberley, BP 338, 38434 Échirolles cedex, France.

Introduction: Shoulder trauma with normal radiographs is a frequent emergency presentation. The predominance of pain makes clinical examination unreliable, and complementary imaging is often needed for diagnosis. The aim of the present study was to assess the contribution of ultrasonography (US) and magnetic resonance imaging (MRI) in deciphering such trauma. Read More

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September 2021

Atraumatic Anterior Hip Dislocation as High Grade of Hip Instability: A Case Report.

JBJS Case Connect 2021 04 14;11(2). Epub 2021 Apr 14.

Shoulder and Elbow, Orthopaedics, Macquarie University Hospital, Sydney, Australia.

Case: Fifty-year-old woman who presented an atraumatic anterior hip dislocation during a local traditional dance exhibition. The dislocation occurred during a dance step in which extreme hip position in extension and external rotation was held. After urgent closed reduction under general anesthesia, the patient underwent conservative management with a follow-up of 24 months. Read More

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Locked Anterior-Inferior Sternoclavicular Joint Dislocation: A Case Report.

JBJS Case Connect 2021 04 22;11(2). Epub 2021 Apr 22.

Department of Orthopaedic Surgery, Division of Shoulder and Elbow, New York University Langone Health, Grossman School of Medicine, New York, New York.

Case: We report a rare variant of sternoclavicular joint (SCJ) dislocation, namely locked anterior-inferior dislocation, with unique clinical, radiographic, and intraoperative findings. In this variant, the medial clavicle was displaced anteriorly and inferiorly and locked in the manubrial-intercostal space, with corresponding mechanical dysfunction of the ipsilateral shoulder girdle joints. Symptoms unique to this variant included painful neck spasms and limited glenohumeral elevation. Read More

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Superior sternoclavicular joint dislocation presented with shoulder motion limitation: A case report and literature review.

Int J Surg Case Rep 2021 May 15;82:105887. Epub 2021 Apr 15.

Joint Reconstruction Research Center, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran; Joint Reconstruction Research Center, Orthopedic Surgery Department, Imam Khomeini Hospital, End of Keshavarz Blvd, Tehran, 1419733141, Iran. Electronic address:

Introduction And Importance: Sternoclavicular joint dislocation accounts for 1 percent of the human joint dislocations. Sternoclavicular joint dislocation most commonly occurs in anterior or posterior dislocation. To the best of the authors knowledge, only six cases of superior sternoclavicular joint dislocation are reported in the literature. Read More

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Management of Neglected Locked Anterior Dislocation of Shoulder: A Report of Two Cases.

Cureus 2021 Mar 12;13(3):e13843. Epub 2021 Mar 12.

Orthopaedics, All India Institute of Medical Sciences, New Delhi, IND.

There is a paucity of literature regarding a neglected shoulder dislocation, as it is unusual to miss it clinically due to the apparent deformity. Nevertheless, in some cases, particularly those who received the primary treatment from a local bonesetter, present with neglected dislocation. No high-level studies comparing different treatment modalities in such a situation are available. Read More

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Arthroscopy-Assisted Reconstruction of the Coracoclavicular and Acromioclavicular Ligaments Using a Tendon Graft and Knot-Hiding Clavicular Implants in Chronic Acromioclavicular Separations.

Arthrosc Tech 2021 Mar 15;10(3):e855-e859. Epub 2021 Feb 15.

Department of Orthopaedics and Traumatology, Tampere University Hospital, Tampere, Finland.

The purpose of this study is to introduce an arthroscopy-assisted technique to treat chronic acromioclavicular (AC) dislocation. The method involves reconstructing both the coracoclavicular (CC) and AC ligaments in a practical and reliable way using a semi-tendon graft and knot-hiding implants. In the CC reconstruction, the anterior graft limb replaces the trapezoid ligament, whereas the dorsal limb is wrapped around the dorsal edge of the clavicle to reconstruct the conoid ligament. Read More

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Multidirectional Shoulder Instability With Circumferential Labral Tear and Bony Reverse Hill Sachs: Treatment with 270° Labral Repair and Fresh Talus Osteochondral Allograft to the Humeral Head.

Arthrosc Tech 2021 Mar 15;10(3):e781-e787. Epub 2021 Feb 15.

The Steadman Clinic, Vail, Colorado, U.S.A.

Traumatic posterior dislocations of the shoulder can result in bony defects, labral tears, and cartilage injuries of the glenohumeral joint. Although traditional Hill-Sachs lesions from anterior dislocations are more commonly identified, reverse Hill-Sachs lesions caused by posterior dislocation often leads to recurrent engagement of the humeral head with the glenoid and significantly greater damage to the humeral chondral surface. In severe traumatic cases, concomitant damage of the capsulolabral soft tissues, such as circumferential labral lesions, can lead to chronic shoulder instability and residual glenoid bone loss. Read More

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