280 results match your criteria Joint Reduction Shoulder Dislocation Anterior


Treatment of Anterior Sternoclavicular Joint Dislocation with Acromioclavicular Joint Hook Plate.

Orthop Surg 2019 Feb 6;11(1):91-96. Epub 2019 Feb 6.

Department of Orthopaedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Objective: To evaluate the safety and efficacy of using acromioclavicular joint hook plates for the treatment of anterior sternoclavicular joint dislocation.

Methods: Ten patients who suffered anterior sternoclavicular joint dislocation were retrospectively analyzed, and underwent acromioclavicular joint hook plate surgeries from January 2015 to May 2017. There were 7 male and 3 female patients, with a mean age of 43. Read More

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http://dx.doi.org/10.1111/os.12422DOI Listing
February 2019
3 Reads

A Prospective Analysis of Patients With Anterior Versus Posterior Shoulder Instability: A Matched Cohort Examination and Surgical Outcome Analysis of 200 Patients.

Am J Sports Med 2019 Mar 30;47(3):682-687. Epub 2019 Jan 30.

The Steadman Clinic, Vail, Colorado, USA.

Background:: Anterior and posterior shoulder instabilities are entirely different entities. The presenting complaints and symptoms vastly differ between patients with these 2 conditions, and a clear understanding of these differences can help guide effective treatment.

Purpose:: To compare a matched cohort of patients with anterior and posterior instability to clearly outline the differences in the initial presenting history and overall outcomes after arthroscopic stabilization. Read More

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http://dx.doi.org/10.1177/0363546518819199DOI Listing
March 2019
9 Reads

Axillary Artery Injury Following Closed Reduction of an Age-Indeterminate Anterior Glenohumeral Dislocation.

J Orthop Case Rep 2018 Jul-Aug;8(4):53-56

Department of Orthopaedics, University of Virginia, Charlottesville, Virginia, USA.

Introduction: Axillary artery injury is a rare and potentially devastating sequelae of glenohumeral dislocation. While neurovascular exam is critical in all presentations, the presence of "soft" and/or "hard" signs should prompt a more thorough examination and possible employment of advanced imaging techniques.

Case Report: We present a case of a 51-year-old male with an axillary artery injury associated with an anterior glenohumeral dislocation. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1158DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343555PMC
January 2019
1 Read

A Three-dimensional Printed Low-cost Anterior Shoulder Dislocation Model for Ultrasound-guided Injection Training.

Cureus 2018 Nov 2;10(11):e3536. Epub 2018 Nov 2.

Emergency Medicine, Thomas Jefferson University, Philadelphia, USA.

Anterior shoulder dislocations are the most common, large joint dislocations that present to the emergency department (ED). Numerous studies support the use of intraarticular local anesthetic injections for the safe, effective, and time-saving reduction of these dislocations. Simulation training is an alternative and effective method for training compared to bedside learning. Read More

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https://www.cureus.com/articles/15138-a-three-dimensional-pr
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http://dx.doi.org/10.7759/cureus.3536DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318112PMC
November 2018
7 Reads

New technique for reduction of irreducible anterior glenohumeral shoulder dislocation.

J Int Med Res 2018 Dec 19:300060518811270. Epub 2018 Dec 19.

1 Orthopedic Department, Emek Medical Center, Afula, Israel.

Objective: This study was performed to describe a new technique for reduction of anterior glenohumeral dislocation in four non-sedated patients in whom traditional techniques were unsuccessful.

Methods: Four patients with clinically and radiographically proven acute anterior glenohumeral dislocations were admitted to the emergency department. An oral analgesic and local infiltration of lidocaine into the glenohumeral joint were administered prior to the reduction attempts. Read More

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http://dx.doi.org/10.1177/0300060518811270DOI Listing
December 2018
11 Reads

The Elbow Technique: A Novel Reduction Technique for Anterior Shoulder Dislocations.

J Emerg Med 2019 Feb 6;56(2):201-204. Epub 2018 Dec 6.

Department of Orthopaedic Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Orthopaedics, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.

Background: Anterior dislocation of the glenohumeral joint is a common upper extremity injury in orthopedic and emergency medicine. The aim of this study was to introduce a novel reduction technique, "elbow technique," for anterior shoulder dislocations.

Discussion: This study included 26 patients with anterior shoulder dislocation who were treated using the elbow technique in our hospital's emergency department between October 2014 and December 2015. Read More

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http://dx.doi.org/10.1016/j.jemermed.2018.10.018DOI Listing
February 2019
2 Reads

Treatment of First-Time Traumatic Anterior Dislocation of the Sternoclavicular Joint With Surgical Repair of the Anterior Capsule Augmented With Internal Bracing.

Orthop J Sports Med 2018 Jul 10;6(7):2325967118783717. Epub 2018 Jul 10.

Division of Orthopaedics, Addenbrooke's Hospital, Cambridge University Hospitals Trust, Cambridge, UK.

Background: Traumatic anterior dislocations of the sternoclavicular joint (SCJ) are rare. Although they can usually be treated by a closed reduction, the reported subsequent recurrence rate is 50%.

Purpose: To determine whether further instability after first-time traumatic anterior dislocation would be prevented by a minimally invasive open repair of the anterior SCJ capsule, augmented with internal bracing. Read More

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http://dx.doi.org/10.1177/2325967118783717DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6055321PMC
July 2018
5 Reads

Functional outcome of arthroscopic double row repair for Bankart lesion.

J Orthop 2018 Sep 22;15(3):792-797. Epub 2018 Mar 22.

Department of Orthopedics, Seth G.S. Medical College and KEM Hospital, Parel, Mumbai, India.

Introduction: The shoulder joint is the most common major joint to dislocate. Population aged younger than 20 years, recurrent dislocation rates have been reported to be as high as 90%. For those individuals that continue to experience dislocations surgery is often a good decision. Read More

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http://dx.doi.org/10.1016/j.jor.2018.03.021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6043874PMC
September 2018

The Incidence of Glenohumeral Bone and Cartilage Lesions at the Time of Anterior Shoulder Stabilization Surgery: A Comparison of Patients Undergoing Primary and Revision Surgery.

Am J Sports Med 2018 Aug 9;46(10):2449-2456. Epub 2018 Jul 9.

Investigation performed at the Department of Orthopedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.

Background: Intra-articular glenohumeral joint changes frequently occur after shoulder instability events.

Purpose: (1) To compare demographic characteristics, baseline patient-reported outcomes, and intraoperative findings for patients undergoing primary or revision shoulder stabilization surgery and (2) to determine the incidence of glenohumeral bone and cartilage lesions in this population while identifying factors independently associated with these lesions.

Study Design: Cross-sectional study; Level of evidence, 3. Read More

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http://dx.doi.org/10.1177/0363546518781331DOI Listing
August 2018
352 Reads

Comparison of post-operative numbness and patient satisfaction using minimally invasive plate osteosynthesis or open plating for acute displaced clavicular shaft fractures.

Int J Surg 2018 Aug 8;56:21-25. Epub 2018 Jun 8.

Department of Orthopedics, Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine, No. 75, JinXiu Road, WenZhou, 325000, ZheJiang, China. Electronic address:

Background: Anterior chest wall numbness after plate fixation of clavicular shaft fractures is a common complication. This is usually related to damage of the branches of the supraclavicular nerve in conventional open plating. We investigated whether the use of minimally invasive plate osteosynthesis could reduce the incidence of post-operative numbness and improve patients' satisfaction compared to open plating. Read More

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http://dx.doi.org/10.1016/j.ijsu.2018.06.007DOI Listing
August 2018
22 Reads

Treatment of dorsal fracture-dislocations of the proximal interphalangeal joint using the shotgun approach.

J Hand Surg Eur Vol 2018 Jun 28;43(5):499-505. Epub 2018 Mar 28.

Bone and Joint Reconstruction Research Center, Iran University of Medical Sciences, Tehran, Iran.

This study assessed the outcome of open reduction and internal fixation of proximal interphalangeal joint fracture-dislocations through a shotgun approach, while keeping hemi-hamate arthroplasty as a back-up plan. After using the shotgun approach, fixation was carried out when the anterior fragment was large enough to accept two 1.5 mm screws. Read More

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http://dx.doi.org/10.1177/1753193418766274DOI Listing
June 2018
12 Reads

Risk factors for recurrent instability or revision surgery following arthroscopic Bankart repair.

Bone Joint J 2018 03;100-B(3):324-330

NYU Langone Medical Center, Hospital for Joint Diseases, 333 East 38th Street, New York, NY 10016, USA.

Aims: The factors that predispose to recurrent instability and revision stabilization procedures after arthroscopic Bankart repair for anterior glenohumeral instability remain unclear. We sought to determine the rate and risk factors associated with ongoing instability in patients undergoing arthroscopic Bankart repair for instability of the shoulder.

Materials And Methods: We used the Statewide Planning and Research Cooperative System (SPARCS) database to identify patients with a diagnosis of anterior instability of the shoulder undergoing arthroscopic Bankart repair between 2003 and 2011. Read More

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http://dx.doi.org/10.1302/0301-620X.100B3.BJJ-2017-0557.R1DOI Listing
March 2018
2 Reads

An unusual case of bilateral anterior shoulder dislocations.

Radiol Case Rep 2018 Feb 6;13(1):197-199. Epub 2017 Nov 6.

Department of Emergency Medicine, Lehigh Valley Hospital and Health Network/USF MCOM, CC & I-78, Allentown, PA 18103.

A 23-year-old man was transported to a trauma center after injuring himself while snowboarding. He presented with bilateral shoulder pain and associated deformity to both shoulders. His exam was otherwise unremarkable, and his x-rays confirmed bilateral shoulder dislocations. Read More

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http://dx.doi.org/10.1016/j.radcr.2017.09.030DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5853139PMC
February 2018
1 Read

Teaching Patients How to Reduce a Shoulder Dislocation: A Randomized Clinical Trial Comparing the Boss-Holzach-Matter Self-Assisted Technique and the Spaso Method.

J Bone Joint Surg Am 2018 Mar;100(5):375-380

Orthopedic Department, Parc Taulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Sabadell, Spain.

Background: There are many different techniques for reducing acute anterior dislocations of the shoulder, and their use depends on surgeon preference. The objective of this study was to compare the pain experienced by a patient performing a self-reduction technique with the pain felt during a reduction performed by a trained physician.

Methods: The study was carried out at the emergency department of a tertiary referral center. Read More

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http://dx.doi.org/10.2106/JBJS.17.00687DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5882288PMC

Controversies in the Management of the First Time Shoulder Dislocation.

Open Orthop J 2017 31;11:1001-1010. Epub 2017 Aug 31.

Department of Orthopedic Surgery, Hospital MAZ, Zaragoza, Spain.

Background: Traditionally, initial management of first anterior shoulder dislocations consists of reduction of the glenohumeral joint followed by a period of immobilization and subsequent physical therapy to recover shoulder range of motion and strength. This traditional approach in management is now controversial due to the high rate of recurrence. The aim of this paper is to review and discuss the literature about the global management of patients presenting with first-time traumatic anterior glenohumeral dislocation, analyzing the factors that affect shoulder instability after the first episode of dislocation. Read More

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http://dx.doi.org/10.2174/1874325001711011001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5789581PMC
August 2017
9 Reads

A prospective study of coracoclavicular ligament reconstruction with autogenous peroneus longus tendon for acromioclavicular joint dislocations.

J Shoulder Elbow Surg 2018 Jun 1;27(6):e178-e188. Epub 2018 Feb 1.

Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.

Background: Anatomic coracoclavicular (CC) ligament reconstruction (ACCR) provides good outcomes for Rockwood type III and VI acromioclavicular (AC) joint dislocations. Various grafts have been used, but complications from graft harvesting are not uncommon. This study examined the clinical and radiographic outcomes of patients with AC joint dislocations repaired with the autogenous anterior half of the peroneus longus tendon (AHPLT) to achieve ACCR. Read More

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http://dx.doi.org/10.1016/j.jse.2017.12.009DOI Listing
June 2018
9 Reads

Traumatic C1-2 posterolateral dislocation with dens fracture, injury of the transverse atlantal ligament, and unilateral facet fracture with subluxation of C6-7: A case report.

Medicine (Baltimore) 2017 Dec;96(48):e8913

Department of Orthopaedic Surgery and Spine Center, Seoul National University Bundang Hospital, Sungnam, Korea.

Rationale: Traumatic C1-2 dislocation associated with contiguous or noncontiguous cervical spine injury is rare. Moreover, there have been no reports describing traumatic C1-2 dislocation associated with multiple contiguous and noncontiguous cervical injuries.

Patient Concerns: The authors present a case of a 20-year-old male with painful limitation of motion of the neck. Read More

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http://dx.doi.org/10.1097/MD.0000000000008913DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5728781PMC
December 2017
8 Reads

Complex Elbow Dislocations and the "Terrible Triad" Injury.

Open Orthop J 2017 30;11:1394-1404. Epub 2017 Nov 30.

Coventry and Warwickshire Shoulder and Elbow Unit, University Hospitals Coventry & Warwickshire NHS Trust, Clifford Bridge Road, Coventry, CV2 2DX, UK.

Background: The elbow is the second most commonly dislocated joint in adults and up to 20% of dislocations are associated with a fracture. These injuries can be categorised into groups according to their mechanism and the structures injured.

Methods: This review includes a literature search of the current evidence and personal experiences of the authors in managing these injuries. Read More

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http://dx.doi.org/10.2174/1874325001711011394DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5721343PMC
November 2017
14 Reads

New concepts of radiologic preoperative evaluation of anterior shoulder instability: on-track and off-track lesions.

Acta Radiol 2018 Aug 7;59(8):966-972. Epub 2017 Dec 7.

2 Department of Radiology, UT Southwestern Medical Center, Dallas, TX, USA.

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. Read More

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http://dx.doi.org/10.1177/0284185117745573DOI Listing
August 2018
9 Reads

Eponymous terms in anterior shoulder stabilization surgery.

Orthop Traumatol Surg Res 2017 12 20;103(8):1257-1263. Epub 2017 Sep 20.

Department of Orthopedic Surgery, OLVG Hospital Amsterdam, Netherlands.

Shoulder dislocation and its treatment are probably as old as time. Surgical treatment has gained acceptance recently, especially in recurrent cases. Within roughly the last 100years, numerous treatment strategies have been developed and questions elucidated regarding the entity of shoulder instability. Read More

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http://dx.doi.org/10.1016/j.otsr.2017.07.017DOI Listing
December 2017
20 Reads

Pitch-side management of acute shoulder dislocations: a conceptual review.

BMJ Open Sport Exerc Med 2016 12;2(1):e000116. Epub 2017 Mar 12.

Queens Medical Centre, Department of Academic Orthopaedics and Sports Trauma, The University of Nottingham, Nottingham, UK.

The shoulder, specifically the glenohumeral joint, by virtue of its anatomical characteristics and biomechanics confers a large range of movement, which ultimately results in a joint that is inherently prone to becoming unstable. The incidence of acute traumatic shoulder dislocation varies within the sporting environment, commonly occurring following direct trauma. Anterior dislocations account for nearly 90% of all dislocations. Read More

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http://dx.doi.org/10.1136/bmjsem-2016-000116DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5569260PMC
March 2017
11 Reads

[Initial management of traumatic ventral shoulder dislocation].

Unfallchirurg 2018 Feb;121(2):100-107

Centrum für Muskuloskeletale Chirurgie, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Deutschland.

Background: In the current literature a consensus on the specific management of primary anterior traumatic shoulder instability has not been reached. While the steps of the initial diagnostic and therapeutic procedures are mostly well-defined, a variety of factors need to be considered for the planning of further treatment.

Objective: This article aims at giving an overview of the essential aspects of the initial management in the rescue center, clinical and radiological diagnostic procedures and the subsequent treatment options. Read More

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http://dx.doi.org/10.1007/s00113-017-0405-3DOI Listing
February 2018
2 Reads

COMPARATIVE STUDY on the MANAGEMENT of GLENOHUMERAL JOINT DISLOCATION. Closed Reduction vs. Arthroscopic Remplissage with Bankart Lesion Repair.

J Med Liban 2016 Jul-Sep;64(3):175-80

Background: Conservative treatment of posttraumatic anteroinferior shoulder instability leads to a high failure rate and consequently high recurrence in young and active population. Each recurrence can increase the structural damage of both bony structures and soft tissues (Hill-Sachs lesion, Bankart lesion). Remplissage technique combined with Bankart repair have been proposed as a treatment option. Read More

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September 2017
24 Reads

A Rare Case of Massive Rotator Cuff Tear and Biceps Tendon Rupture with Posterior Shoulder Dislocation in a Young Adult - Surgical Decision-making and Outcome.

J Orthop Case Rep 2017 Mar-Apr;7(2):82-86

Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.

Introduction: Massive rotator cuff tears (RCTs) in the context of shoulder dislocations are relatively uncommon in the young adult (<40 years) and if reported are more commonly described in association with acute traumatic anterior glenohumeral dislocations. They have rarely been described with posterior dislocations, regardless of patient age. This is the 1 case reported in the context of posterior dislocations, where a triad of biceps tendon rupture, posterior dislocation, and RCTs was observed during surgery. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.762DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553845PMC
August 2017
14 Reads

Latarjet procedure: evolution of the bone block and correspondent clinical relevance-a clinical and radiological study.

Musculoskelet Surg 2017 Dec 29;101(Suppl 2):113-120. Epub 2017 Jul 29.

Orthopaedic Unit and "Kirk Kilgour" Sports Injury Centre, S. Andrea Hospital, University of Rome "La Sapienza", Via grotta rossa 1053, 00100, Rome, Italy.

Purpose: The purpose of this study was to correlate the bone block graft position, its dimension, its reabsorption and its integration with clinical outcome in patients operated on for recurrent anterior shoulder instability.

Methods: Twenty-four patients affected by recurrent anterior shoulder dislocation and operated on using the Latarjet procedure were enrolled in this study. At 6 and 24 months, patients were evaluated with the following scales: ROWE, WOSI, Oxford instability score, UCLA, DASH and Constant score. Read More

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http://dx.doi.org/10.1007/s12306-017-0482-zDOI Listing
December 2017
2 Reads

Biomechanical reposition techniques in anterior shoulder dislocation: a randomised multicentre clinical trial- the BRASD-trial protocol.

BMJ Open 2017 Jul 20;7(7):e013676. Epub 2017 Jul 20.

UCSF/Fresno, Fresno, California, USA.

Introduction: Glenohumeral (shoulder) dislocations are the most common large joint dislocations seen in the emergency department (ED). They cause pain, often severe, and require timely interventions to minimise discomfort and tissue damage. Commonly used reposition or relocation techniques often involve traction and/or leverage. Read More

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http://dx.doi.org/10.1136/bmjopen-2016-013676DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5577902PMC
July 2017
4 Reads

Position of Immobilization After First-Time Traumatic Anterior Glenohumeral Dislocation: A Literature Review.

Med Sci Monit 2017 Jul 15;23:3437-3445. Epub 2017 Jul 15.

Department of Traumatology, Clinical Department of Traumatology and Hand Surgery, Wrocław Medical University, Wrocław, Poland.

Anterior glenohumeral dislocation affects about 2% of the general population during the lifetime. The incidence of traumatic glenohumeral dislocation ranges from 8.2 to 26. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5523960PMC

Treatment of Irreducible Traumatic Anterior Shoulder Dislocation Caused by Subscapularis Tendon Interposition.

Arthrosc Tech 2017 Jun 12;6(3):e737-e741. Epub 2017 Jun 12.

Orthopaedic and Traumatology Department, Faculty of Medicine, Al Azhar University, Assiut Branch, Assiut, Egypt.

Irreducible shoulder dislocation is an uncommon event. When it does occur, blocks to reduction can include bone, labrum, rotator cuff musculature, or tendon. Concomitant rotator cuff tear at the time of initial dislocation is not an exclusive complication of anterior shoulder dislocation in the older population. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22126287173003
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http://dx.doi.org/10.1016/j.eats.2017.02.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5495691PMC
June 2017
2 Reads

Irreducible Anterior Shoulder Dislocation with Interposition of the Long Head of the Biceps and Greater Tuberosity Fracture: A Case Report and Review of the Literature.

Open Orthop J 2017 27;11:327-334. Epub 2017 Apr 27.

Department of Shoulder & Elbow Surgery, Patras University Hospital, Patras, Greece.

Background: Failure of closed manipulative reduction of an acute anterior shoulder dislocation is seldom reported in the literature and is usually due to structural blocks such as soft tissue entrapment (biceps, subscapularis, labrum), bony fragments (glenoid, greater tuberosity) and severe head impaction (Hill-Sachs lesion).

Case Report: We present a case of an irreducible anterior shoulder dislocation in a 57-year-old male patient after a road-traffic accident. He had severe impaction of the head underneath glenoid rim and associated fracture of the greater tuberosity. Read More

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http://dx.doi.org/10.2174/1874325001711010327DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5427706PMC
April 2017
11 Reads

The "triple dislocation fracture": anterior shoulder dislocation with concomitant fracture of the glenoid rim, greater tuberosity and coracoid process-a series of six cases.

J Shoulder Elbow Surg 2017 Sep 31;26(9):e278-e285. Epub 2017 Mar 31.

Department of Orthopaedics and Traumatology, Paracelsus Medical University Salzburg, Salzburg, Austria. Electronic address:

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. Read More

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http://dx.doi.org/10.1016/j.jse.2017.01.022DOI Listing
September 2017
14 Reads

A systematic comparison of the closed shoulder reduction techniques.

Arch Orthop Trauma Surg 2017 May 1;137(5):589-599. Epub 2017 Mar 1.

Shoulder and Elbow Unit, Joint Research, OLVG, Oosterpark 9, Amsterdam, 1091 AC, The Netherlands.

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. Read More

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http://dx.doi.org/10.1007/s00402-017-2648-4DOI Listing
May 2017
6 Reads

Modified axillary radiograph of the shoulder: a new position.

Rev Bras Ortop 2017 Jan-Feb;52(1):115-118. Epub 2016 Dec 9.

Universidade Federal Fluminense, Serviço de Ortopedia e Traumatologia, Niterói, RJ, Brazil.

Obtaining axillary radiographs of the shoulder in acute trauma is not always feasible. The authors present a new modification of this radiographic view, in order to assess the anatomic relationship between the humeral head and the glenoid cavity. The incidence is performed with the patient sitting on X-ray table, with the affected limb supported thereon. Read More

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http://dx.doi.org/10.1016/j.rboe.2016.12.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5290079PMC
December 2016
4 Reads

[Fracture-separation of the medial clavicular epiphysis: about 6 cases and review of the literature].

Pan Afr Med J 2016 22;25:19. Epub 2016 Sep 22.

Service d'Orthopédie-Traumatologie de l'Hôpital Général de Grand Yoff, Dakar, Sénégal.

This study aims to describe the epidemiological characteristics and the different anatomo-clinical entities of the fracture-separation of the medial clavicular epiphysis but also to relate the morphological and functional results of bloody reduction followed by osteosuture using non absorbable thread. Five boys and one girl (mean age 14 years) showed a closed and isolated shoulder girdle trauma. Clinical examination and medical imaging, especially CT scan, allowed the diagnosis of epiphyseal separation and to classify the degree of medial clavicular epiphysiseal ossification indicating the direction of displacement as well as the nature of displacement according to the Salter-Harris classification. Read More

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http://dx.doi.org/10.11604/pamj.2016.25.19.8787DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5268753PMC
March 2017
14 Reads

Comparison of Ultrasound and MRI for the Diagnosis of Glenohumeral Dysplasia in Brachial Plexus Birth Palsy.

J Bone Joint Surg Am 2017 Jan;99(2):123-132

1Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, Connecticut 2Department of Orthopaedic Surgery, University of Cincinnati School of Medicine, Cincinnati, Ohio 3Temple University School of Medicine, Philadelphia, Pennsylvania 4Shriners Hospitals for Children, Philadelphia, Pennsylvania 5Arkansas Specialty Orthopaedics, Little Rock, Arkansas.

Background: In this study, we investigated the agreement between measurements made on ultrasound and those made on magnetic resonance imaging (MRI) in the assessment of glenohumeral dysplasia resulting from brachial plexus birth palsy.

Methods: Thirty-nine patients (14 male and 25 female) with brachial plexus birth palsy were evaluated at 2 tertiary care centers. All patients underwent ultrasonography and MRI for suspected glenohumeral dysplasia. Read More

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http://Insights.ovid.com/crossref?an=00004623-201701180-0000
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http://dx.doi.org/10.2106/JBJS.15.01116DOI Listing
January 2017
11 Reads

When is it safe to reduce fracture dislocation of shoulder under sedation? Proposed treatment algorithm.

Eur J Orthop Surg Traumatol 2017 Apr 3;27(3):335-340. Epub 2017 Jan 3.

Department of Trauma and Orthopaedics, University Hospital of Wales, Cardiff, UK.

Introduction: Shoulder dislocations are common. It is known that incongruent shoulder should be promptly reduced. However, when associated with fracture of the proximal humerus, there is a clinical dilemma if reduction under sedation is a safe option. Read More

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http://link.springer.com/10.1007/s00590-016-1899-z
Publisher Site
http://dx.doi.org/10.1007/s00590-016-1899-zDOI Listing
April 2017
5 Reads

A systematic and technical guide on how to reduce a shoulder dislocation.

Turk J Emerg Med 2016 Dec 18;16(4):155-168. Epub 2016 Nov 18.

Shoulder and Elbow Unit, Joint Research, Department of Orthopaedic Surgery OLVG, Amsterdam, The Netherlands.

Objectives: Our objective is to provide a systematic and technical guide on how to reduce a shoulder dislocation, based on techniques that have been described in literature for patients with anterior and posterior shoulder instability.

Materials And Methods: A PubMed and EMBASE query was performed, screening all relevant literature on the closed reduction techniques. Studies regarding open reduction techniques and studies with fracture dislocations were excluded. Read More

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http://dx.doi.org/10.1016/j.tjem.2016.09.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5154590PMC
December 2016
4 Reads

Reduction of anterior glenohumeral dislocations: a new closed reduction technique.

Phys Sportsmed 2017 02 25;45(1):22-25. Epub 2016 Dec 25.

a Department of Orthopaedic Surgery , NYU Hospital for Joint Diseases , New York , NY , USA.

Objective: A new closed reduction technique for anterior glenohumeral dislocations and tuberosity fracture dislocations is introduced.

Methods: Forty-one consecutive patients with an acute anterior glenohumeral dislocation or tuberosity fracture dislocation underwent closed reduction by an orthopaedic surgeon employing this new method.

Results: Closed reduction was successful in 88% of patients using the reduction maneuver. Read More

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http://dx.doi.org/10.1080/00913847.2017.1272400DOI Listing
February 2017
6 Reads

Comparison of Intra-articular Findings and Clinical Features Between Patients With Symptomatic Anterior Instability After Recurrent Shoulder Subluxation and Dislocation.

Arthroscopy 2017 Mar 1;33(3):527-533. Epub 2016 Nov 1.

Department of Orthopeadic Surgery, Ewha Womans University, School of Medicine, Seoul, Republic of Korea.

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. Read More

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http://dx.doi.org/10.1016/j.arthro.2016.08.019DOI Listing
March 2017
19 Reads

Balloon humeroplasty reconstruction for acute Hill-Sachs injury: A technical note.

Hand Surg Rehabil 2016 09 27;35(4):250-254. Epub 2016 Jul 27.

Hôpital Saint-Antoine, 184, rue du Faubourg-Saint-Antoine, 75012 Paris, France.

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. Read More

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http://dx.doi.org/10.1016/j.hansur.2016.07.001DOI Listing
September 2016
65 Reads

Anterior Shoulder Instability in the Military Athlete.

Sports Health 2016 Nov/Dec;8(6):514-519. Epub 2016 Oct 1.

Steadman Hawkins Clinic of the Carolinas, Greenville, South Carolina.

Context: Given its young, predominately male demographics and intense physical demands, the US military remains an ideal cohort for the study of anterior shoulder instability.

Evidence Acquisition: A literature search of PubMed, MEDLINE, and the Cochrane Database was performed to identify all peer-reviewed publications from 1950 to 2016 from US military orthopaedic surgeons focusing on the management of anterior shoulder instability.

Study Design: Clinical review. Read More

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http://dx.doi.org/10.1177/1941738116672161DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5089361PMC
August 2017
12 Reads

Posterior shoulder fracture-dislocation: double approach treatment. Our experience.

Acta Biomed 2016 09 13;87(2):184-90. Epub 2016 Sep 13.

Department of Orthopaedics and Traumatology Santa Maria Hospital 43043 Borgo Val di Taro (PR) Italy.

Background: About 4% of glenohumeral dislocations are posterior and only 1% is associated with fracture of the humeral head. Most frequent causes are high energy traumas, seizures and electrocution. The fracture and the posterior dislocation, associated with the trauma and capsular lesion can cause an important vascular damage of the humeral head. Read More

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September 2016
4 Reads
1 Citation

Effect of glenoid concavity loss on shoulder stability- a case report in a professional wrestler.

BMC Musculoskelet Disord 2016 08 22;17(1):357. Epub 2016 Aug 22.

Department of Traumatology and Sports Injuries, Paracelsus Medical University, Muellner Hauptstrasse 48, 5020, Salzburg, Austria.

Background: Current glenoid defect measurement techniques only quantify bone loss in terms of defect diameter or surface. However, the glenoid depth plays an important role in shoulder stabilization by means of concavity compression.

Case Presentation: We present a case of a professional wrestler who suffered from anterior shoulder instability after sustaining a bony Bankart lesion without loss of glenoid surface area but flattening of the concavity due to medialization of the fragment. Read More

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http://bmcmusculoskeletdisord.biomedcentral.com/articles/10.
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http://dx.doi.org/10.1186/s12891-016-1210-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4994269PMC
August 2016
17 Reads

Atraumatic Bilateral Neglected Anterior Shoulder Dislocation: Case Report of a Jehovah's Witness 28-Year-Old Male Affected by Iron-Deficiency Anemia and Treated with Bilateral Latarjet Procedure.

J Orthop Case Rep 2015 Jul-Sep;5(3):81-3

Department of Orthopaedics and Traumatology, University of Pisa, Italy.

Introduction: Neglected bilateral anterior shoulder dislocation is a very rare condition, often related to seizures or major trauma. Open reduction is recommended whenever Hill-Sachs lesion is >25% of the joint and the dislocation is elder than 3 weeks.

Case Report: We describe a case report of a 28-year-old man left handed Jehovah's Witness laborer assessed 12 weeks after bilateral anterior shoulder dislocation. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.317DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4719412PMC
June 2016
5 Reads

Glenohumeral Hematoma Mimicking Persisting Anterior Shoulder Dislocation After Reduction.

J Emerg Med 2016 Aug 31;51(2):185-6. Epub 2016 May 31.

Department of Emergency Medicine, Medical Centre Haaglanden-Bronovo, The Hague, The Netherlands.

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http://dx.doi.org/10.1016/j.jemermed.2016.03.023DOI Listing
August 2016
1 Read

The Effectiveness of the Latarjet Procedure in Patients with Chronic Locked Anterior Shoulder Dislocation: A Retrospective Study.

J Bone Joint Surg Am 2016 May;98(10):813-23

Sports Medicine Service, Beijing Jishuitan Hospital, Xicheng District, Beijing, Republic of China

Background: Chronic locked anterior shoulder dislocation is a difficult clinical problem for patients and surgeons. Prior studies have proposed a variety of surgical techniques to address this problem; however, the failure rate is high. To our knowledge, there have been no previously published studies on the clinical outcome of the Latarjet procedure for the treatment of chronic locked anterior shoulder dislocation. Read More

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http://dx.doi.org/10.2106/JBJS.15.00832DOI Listing
May 2016
12 Reads

Posterior sternoclavicular Salter-Harris fracture-dislocation in a patient with unossified medial clavicle epiphysis.

Skeletal Radiol 2016 Aug 23;45(8):1123-7. Epub 2016 Apr 23.

Department of Orthopedic Surgery, University of Texas Health Science Center, 6400 Fannin Street; Suite 1700, Houston, TX, 77030, USA.

Sternoclavicular injuries are relatively rare, composing less than 1 % of all musculoskeletal fractures or dislocations. When sternoclavicular injuries do occur, they typically present as an isolated dislocation of the sternoclavicular joint without associated fracture of the clavicle or manubrium. However, in patients with unfused medial clavicle physis, sternoclavicular joint injuries can present as a fracture-dislocation through the unfused physis. Read More

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http://dx.doi.org/10.1007/s00256-016-2399-2DOI Listing
August 2016
40 Reads

Bedside ultrasonography for verification of shoulder reduction: A long way to go.

Chin J Traumatol 2016 ;19(1):45-8

Emergency Department, Alborz University of Medical Sciences, Karaj, Iran.

Purpose: Shoulder dislocation is a common joint dislocation managed by the emergency physicians in the emergency departments. Pre- and post-reduction radiographic examinations have long been the standard practice to confirm the presence of dislocation and the successful reduction. However, shoulder ultrasonography has recently been proposed as an alternative to the radiographic examination. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4897826PMC
March 2017
3 Reads

Double Dislocation of Interphalangeal Joints Accompanied with Contralateral Shoulder Dislocation: A Case Report.

Orthop Surg 2016 Feb;8(1):85-8

Department of Orthopaedics, Ninewells Hospital and Medical School, Dundee, UK.

Dislocation of any joint is an orthopaedic emergency and needs immediate attention by the attending physician. A delay in reducing a dislocated joint can lead to disastrous complications both immediately as well as in the long run. Although anterior dislocation of a shoulder joint is by far the commonest dislocation encountered by any emergency care physician, other joints may also get dislocated. Read More

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http://dx.doi.org/10.1111/os.12217DOI Listing
February 2016
8 Reads

Outcomes Following Closed Axillary Nerve Injury: A Case Report and Review of the Literature.

Mil Med 2016 Mar;181(3):e291-7

Orthopaedic Surgery Service, Madigan Army Medical Center, 9040 Jackson Avenue, Tacoma, WA, 98431.

We report a case of a 43-year-old male who sustained an axillary nerve injury secondary to a glenohumeral joint dislocation at a young age, and who has served over 20 years in the military with near normal shoulder function. In addition, we review the literature for the natural history of axillary nerve injury. A 43-year-old male sustained a left anterior glenohumeral dislocation in a motor vehicle accident as an 18-year-old. Read More

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http://dx.doi.org/10.7205/MILMED-D-15-00205DOI Listing
March 2016
4 Reads