306 results match your criteria Joint Reduction Shoulder Dislocation Anterior


Which factors influence the ED length-of-stay after anterior shoulder dislocations: a retrospective chart review in 716 cases.

BMC Emerg Med 2020 May 20;20(1):41. Epub 2020 May 20.

Dijklander Ziekenhuis, Maelsonstraat 3, 1624, NP, Hoorn, the Netherlands.

Background: Anterior shoulder dislocations (ASD) are commonly seen in Emergency Departments (ED). ED overcrowding is increasingly burdening many healthcare systems. Little is known about factors influencing ED length-of-stay (LOS) for ASD. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12873-020-00336-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7238621PMC

[Axillary nerve injury associated with shoulder dislocation: case report].

Acta Ortop Mex 2019 May-Jun;33(3):182-184

Universidad de Rosario. Colombia.

Isolated lesion of the axillary (or circumflex) nerve is infrequent, this is usually associated with a brachial plexus injury. In our institution, in a period comprised between the years 2015-2017, a frequency of only 0.4% of this injury has been observed. Read More

View Article

Download full-text PDF

Source

Does the ZipTightTM effective to maintain reduction after the treatment of acute acromioclavicular joint dislocation?

Medicine (Baltimore) 2020 Feb;99(9):e19387

Sakarya Üniversitesi Eğitim ve Araştirma Hastanesi Ortopedi ve Travmatoloji Anabilim Dali, Sakarya.

Background: The present study evaluated the functional and radiographic outcomes of acute acromioclavicular (AC) joint reconstruction performed using the mini-open technique and a knotless suspensory loop device METHODS:: A total of 25 patients (20 male and 5 female patients; mean age, 30.7 years; standard deviation, 10 years; range, 17-57 years) who fulfilled the inclusion criteria were included in the study. A functional assessment was performed using the Constant and University of California Los Angeles score. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000019387DOI Listing
February 2020

[Treatment of anterior glenohumeral dislocations with manual reduction of WU medical school].

Zhongguo Gu Shang 2019 Dec;32(12):1165-1167

Department of Orthopaedics, Suzhou Hospital of Traditional Chinese Medicine, Suzhou 215009, Jiangsu, China.

Objective: To investigate the technique, mechanism and clinical efficacy of manual reduction of WU medical school in the treatment of anterior glenohumeral dislocations.

Methods: From January 2016 to December 2017, 181 patients with anterior glenohumeral dislocations were treated with our manual reduction, including 71 males and 110 females, ranging in age from 19 to 94 years old, with a mean age of(61.1±16. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3969/j.issn.1003-0034.2019.12.020DOI Listing
December 2019

Complications and Long-Term Outcomes of Open Reduction and Plate Fixation of Proximal Humeral Fractures.

J Bone Joint Surg Am 2019 Dec;101(23):2129-2139

The Edinburgh Shoulder Clinic, New Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.

Background: The optimal treatment of complex proximal humeral fractures in adults remains controversial. We evaluated the risk of complications and the long-term outcomes in patients with a severely displaced fracture or a fracture-dislocation of the proximal part of the humerus treated with open reduction and plate fixation (ORIF).

Methods: Between 1995 and 2012, 5,897 consecutive patients with a proximal humeral fracture were referred to a specialist shoulder clinic for surgical assessment. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2106/JBJS.19.00595DOI Listing
December 2019

Severe traumatic valgus instability of the elbow: pathoanatomy and outcomes of primary operation.

J Orthop Surg Res 2019 Nov 8;14(1):347. Epub 2019 Nov 8.

Department of Orthopaedics, The Second Affiliated Hospital of Soochow University, 1055 Sanxiang Road, Suzhou, 215006, China.

Background: The objective of the study was to depict the pathoanatomy of traumatic valgus instability of the elbow and to report clinical outcomes of primary operation.

Methods: Thirty-one patients presented with traumatic valgus instability of the elbow without dislocation. Thirty-one patients underwent surgical intervention of radial head fractures (28 open reduction and internal fixation and 3 radial head resection) and anatomical repair of the anterior bundle of medial collateral ligament (AMCL) with suture anchors. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13018-019-1374-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6839221PMC
November 2019
3 Reads
1.577 Impact Factor

Shoulder-Preserving Surgery in Case of Defect of more than half of the Joint Surface: A Case Report.

Authors:
Murat Gurger

J Orthop Case Rep 2019 ;9(2):76-79

Department of Orthopedics and Traumatology, Faculty of Medicine, Firat University, Elazig, Turkey.

Introduction: This report highlights chronic locked posterior shoulder dislocation, which is of special interest because the patient who had a reverse Hill-Sachs and Hill-Sachs lesion, with >50% joint surface defects was treated with a shoulder-preserving surgery.

Case Report: A 42-year-old man presented to our clinic with complaints of pain and limited movement in his left shoulder. The patient's complaints began after he experienced a fall 7 months ago. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.13107/jocr.2250-0685.1380DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6727453PMC
January 2019
1 Read

Isolated displaced type II partial articular radial head fracture: correlation of preoperative imaging with intraoperative findings of lateral ulnar collateral ligament tear.

J Shoulder Elbow Surg 2020 Jan 11;29(1):132-138. Epub 2019 Sep 11.

Orthopaedic and Trauma Unit, University of Modena and Reggio Emilia, Modena, Italy.

Background: The aim of this study was to determine the lateral ulnar collateral ligament (LUCL) injury associated with isolated radial head fracture (RHF) and the relationship of the ligament injury with the displacement of the fragment-loss of contact-in unstable displaced partial articular RHF in individuals without any history of ulnohumeral dislocation.

Methods: We retrospectively identified 131 consecutive patients who underwent open reduction and internal fixation of isolated closed Mason type II RHF performed at our institution. We identified 3 subsets by the pattern of RHF and the position of the unstable fragment (anterior or posterior) relative to the capitulum humeri: displaced stable (group I), displaced anterior unstable (group II), and displaced posterior unstable (group III). Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S10582746193047
Publisher Site
http://dx.doi.org/10.1016/j.jse.2019.07.006DOI Listing
January 2020
2 Reads

The Number of Injury Events Associated With the Critical Size of Bipolar Bone Defects in Rugby Players With Traumatic Anterior Shoulder Instability.

Am J Sports Med 2019 10 19;47(12):2803-2808. Epub 2019 Aug 19.

Department of Orthopaedics and Sports Surgery, Faculty of Medicine, Juntendo University, Tokyo, Japan.

Background: The size of a glenoid bone defect is responsible for reduction in shoulder stability and is correlated with the number of instability events. Biomechanical studies have suggested that it should be considered concomitantly with the Hill-Sachs lesion as "bipolar" bone defects for assessing structural degradation, but the definitive number of instability events associated with the critical size has not been investigated.

Purpose: To (1) confirm that the number of instability events is the predictor of a critical size of bipolar bone defects and (2) demonstrate the cutoff value of the number of instability events for these defects in rugby players with traumatic anterior shoulder instability. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0363546519869673DOI Listing
October 2019
4 Reads

Cochrane in CORR®: Conservative Management Following Closed Reduction of Traumatic Anterior Dislocation of the Shoulder.

Clin Orthop Relat Res 2019 09;477(9):1984-1990

C. Prada, M. Bhandari, Division of Orthopaedics, Department of Surgery, McMaster University, Hamilton, ON Canada, Centre for Evidence-Based Orthopaedics, 293 Wellington St. N, Suite 110, Hamilton, ON L8L 8E7 Canada.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/CORR.0000000000000907DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7000072PMC
September 2019
2 Reads

Dexmedetomidine versus Midazolam-Fentanyl in Procedural Analgesia Sedation for Reduction of Anterior Shoulder Dislocation: A Randomized Clinical Trial.

Rev Recent Clin Trials 2019 ;14(4):269-274

Department of Biostatistics and Epidemiology, Faculty of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Background: Shoulder joint dislocation is the most common dislocation of joints in the body. To reduce the anterior shoulder dislocation, it is necessary to have analgesia and sedation.

Methods: In this randomized clinical trial, patients were divided into two equal groups. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2174/1574887114666190809160419DOI Listing
May 2020
5 Reads

Reducing shoulder dislocation without anaesthesia or assistant: Validation of a new reduction manoeuvre.

Chin J Traumatol 2019 Oct 6;22(5):274-277. Epub 2019 Jul 6.

MM Institute of Medical Sciences & Research, Ambala, 133207, India.

Purpose: Shoulder dislocation comprises 60% of all major joint dislocations worldwide and a number of reduction techniques are described in the literature with varying degrees of success. The description of a large number of techniques speaks for itself that no method is effective all the times and one should be acquainted with more than one technique. An ideal method of reduction should be simple, easily reproducible, relatively painless that can be performed unassisted without sedation or anaesthesia with minimal or no further complications. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.cjtee.2019.05.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6823674PMC
October 2019
7 Reads

Idiopathic anterior dislocation of the radial head: symptoms, radiographic findings, and management of 8 patients.

J Shoulder Elbow Surg 2019 Aug;28(8):1468-1475

Department of Orthopedic Surgery, Osaka Medical College, Takatsuki, Japan.

Background: Radial head dislocation may occur during trauma or in association with congenital diseases, or it may be developmental or idiopathic. Reports of idiopathic dislocation of the radial head have been scarce. The symptoms, radiographic findings, and management of idiopathic dislocation of the radial head have not been well described in the literature. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2019.02.031DOI Listing
August 2019
3 Reads

Comparison between new modified external rotation method and external rotation method for reduction of ASD.

Am J Emerg Med 2019 Jul 2. Epub 2019 Jul 2.

Health Science University Antalya Training and Research Hospital, Department of Emergency Medicine, Antalya, Turkey. Electronic address:

Introduction: Dislocation of the shoulder joint is common and is mainly anterior. Several reduction methods have been described and the external reduction method (ERM) is one of the newest. We modified the ERM by making some additions in hopes to develop a less painful, quick and simple method. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ajem.2019.07.001DOI Listing
July 2019
6 Reads

Isolated Radial Nerve Palsy as a Complication After Anterior Dislocation of the Glenohumeral Joint: A Case Report and Clinical Review.

J Investig Med High Impact Case Rep 2019 Jan-Dec;7:2324709619844289

1 General Hospital of Heraklion-Venizeleio, Crete, Greece.

Shoulder dislocation is the most common feature in emergencies, while the anterior dislocation of the glenohumeral joint is the most frequent and requires reduction. Accompanied nerve injury is common with an incidence of 21%, while radial nerve palsy is very rare. We describe the case of a 56-year-old man who presented with an anterior dislocation of the left shoulder due to a fall on an outstretched hand with wrist drop 8 hours after injury. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2324709619844289DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6537276PMC
May 2020
9 Reads

Conservative management following closed reduction of traumatic anterior dislocation of the shoulder.

Cochrane Database Syst Rev 2019 05 10;5:CD004962. Epub 2019 May 10.

Institute for Evidence in Medicine (for Cochrane Germany Foundation), Medical Center - University of Freiburg, Breisacher Str. 153, Freiburg, Germany, 79110.

Background: Acute anterior shoulder dislocation, which is the most common type of dislocation, usually results from an injury. Subsequently, the shoulder is less stable and is more susceptible to re-dislocation or recurrent instability (e.g. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/14651858.CD004962.pub4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6510174PMC
May 2019
8 Reads

All-Arthroscopic Reconstruction of Severe Chronic Acromioclavicular Joint Dislocations.

Arthroscopy 2019 05;35(5):1324-1335

iULS (Institut Universitaire Locomoteur et du Sport), Hôpital Pasteur 2, University Côte d'Azur, Nice, France.

Purpose: To report the outcomes of all-arthroscopic coracoclavicular (CC) ligament reconstruction and simultaneous diagnosis and treatment of glenohumeral pathologies in patients with symptomatic, chronic (>6 weeks), complete (Rockwood type III-V) acromioclavicular joint (ACJ) separations.

Methods: We prospectively followed up 57 consecutive patients treated arthroscopically for chronic Rockwood type III (n = 11), type IV (n = 19), and type V (n = 27) ACJ dislocations. Previous ACJ surgery failed in 11 (19%). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.arthro.2018.11.058DOI Listing
May 2019
10 Reads

Open anterior glenohumeral dislocation with associated supraspinatus avulsion: A case report.

World J Clin Cases 2019 Apr;7(7):849-854

Department of Radiology and Medical Imaging, University of Medicine and Pharmacy "Victor Babes", Timis, Timișoara 300736, Romania.

Background: Open dislocation of the glenohumeral joint is a very rare complication with only six cases described in the literature. Most cases resulted in severe complications like avascular necrosis of the humeral head or septic arthritis with poor functional results. The "mandatory" treatment of choice is surgery, with accurate debridement and reconstruction of the damaged soft tissues. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.12998/wjcc.v7.i7.849DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6473123PMC
April 2019
9 Reads

Management of haemarthrosis induced anterior shoulder dislocation with arthroscopic washout and haemostasis.

Trauma Case Rep 2019 Jun 9;21:100171. Epub 2019 Apr 9.

Department of Trauma and Orthopaedics, Harrogate and District NHS Foundation Trust, Lancaster Park Road, HG2 7SX, United Kingdom.

Spontaneous heamarthrosis is a known and previously described complication of anticoagulant therapy. The knee and the shoulder joints are amongst the most commonly affected joints [1,2]. Subsequent dislocation/subluxation of the shoulder is also previously described reporting acute anterior shoulder dislocation complicating a non-traumatic haemarthrosis [3], and a further report of a severely subluxed glenohumeral joint that was initially mis-diagnosed as anterior atraumatic dislocation [4]. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.tcr.2019.100171DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6460298PMC
June 2019
9 Reads

A case report of ten-month-neglected anterior shoulder dislocation managed by open reduction combined with Latarjet procedure.

Int J Surg Case Rep 2019 21;57:93-96. Epub 2019 Mar 21.

Department of Orthopaedics and Traumatology, Cipto Mangunkusumo General Hospital/Faculty of Medicine Universitas Indonesia, Salemba Raya No. 6, Jakarta 10430, Indonesia.

Introduction: Neglected shoulder dislocation is a rare case and may be accompanied by pathological changes in bony and soft tissue structure. Therefore, it requires extensive surgical procedure. Until now, there is no standard treatment protocol to overcome this case and it is still a challenging case. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijscr.2019.03.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6441765PMC
March 2019
9 Reads

Position of Coracoid Button Predicts Loss of Reduction in Acromioclavicular Joint Dislocation Patients Treated With the Suture-Button.

J Invest Surg 2019 Mar 28:1-6. Epub 2019 Mar 28.

a Department of Orthopaedic Surgery , the Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, and Zhejiang Provincial Key Laboratory of Orthopaedics , Wenzhou , Zhejiang , China.

Background: Loss of reduction is the most common complication after acromioclavicular (AC) joint dislocation treated with the suture-button. Some predictors of it are known, but finding new predictors is an ongoing process. In this study, we evaluate the importance of the position of the coracoid button. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/08941939.2019.1593557DOI Listing
March 2019
26 Reads

Intraoperative and Postoperative Complications after Arthroscopic Coracoclavicular Stabilization.

Clin Orthop Surg 2019 Mar 18;11(1):103-111. Epub 2019 Feb 18.

Department of Orthopaedic Surgery, Eulji Hospital, Eulji University School of Medicine, Seoul, Korea.

Background: Arthroscopic stabilization of torn coracoclavicular (CC) ligaments gained popularity recently. However, loss of reduction after the operation and complications unique to this technique involving tunnel placement through the distal clavicle and coracoid process are concerns. The purpose of this study was to report intraoperative and early postoperative complications associated with this procedure. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4055/cios.2019.11.1.103DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389532PMC
March 2019
30 Reads

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/os.12422DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430452PMC
February 2019
19 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 03 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0363546518819199DOI Listing
March 2019
38 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

View Article

Download full-text PDF

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

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

View Article

Download full-text PDF

Source
https://www.cureus.com/articles/15138-a-three-dimensional-pr
Publisher Site
http://dx.doi.org/10.7759/cureus.3536DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318112PMC
November 2018
34 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0300060518811270DOI Listing
December 2018
30 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jemermed.2018.10.018DOI Listing
February 2019
27 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2325967118783717DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6055321PMC
July 2018
9 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

View Article

Download full-text PDF

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

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 08 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

View Article

Download full-text PDF

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

Arthroscopic Bankart repair for the acute anterior shoulder dislocation: systematic review and meta-analysis.

Int Orthop 2018 10 7;42(10):2413-2422. Epub 2018 Jul 7.

Hamad Medical Corporation, Hamad General Hospital, Doha, Qatar.

Background: The ideal treatment of acute anterior shoulder dislocation remains one of the topics that spark debate over the value of primary repair for the first-time anterior shoulder dislocation. The high rate of complications especially in young adults, such as recurrent instability, residual pain, and inability to return to sports, has led to the quest for an ideal management of such injuries.

Objective: In this meta-analysis, we compare between the immediate arthroscopic repair and conservative treatment of primary anterior shoulder dislocation as well as arthroscopic reconstruction of recurrent anterior shoulder dislocation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00264-018-4046-0DOI Listing
October 2018
48 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijsu.2018.06.007DOI Listing
August 2018
31 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1753193418766274DOI Listing
June 2018
23 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1302/0301-620X.100B3.BJJ-2017-0557.R1DOI Listing
March 2018
6 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

View Article

Download full-text PDF

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

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2106/JBJS.17.00687DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5882288PMC
March 2018
2 Reads

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2174/1874325001711011001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5789581PMC
August 2017
16 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2017.12.009DOI Listing
June 2018
18 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000008913DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5728781PMC
December 2017
13 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2174/1874325001711011394DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5721343PMC
November 2017
29 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

View Article

Download full-text PDF

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

[Reduction of shoulder dislocation with the Cunningham method].

Laeknabladid 2017 Sep;103(9):373-376

Introduction: The Cunningham technique has been shown to be an effective and simple method to reduce a dislocated shoulder. It is based on the theory that the humeral head remains outside the glenoid fossa due to tension in the long biceps tendon. In the beginning of 2013 doctors at the emergency department in Landspitali University Hospital (LUH) in Reykjavik were instructed in the Cunningham method for reduction of anterior dislocation without sedation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.17992/lbl.2017.09.150DOI Listing
September 2017
8 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.otsr.2017.07.017DOI Listing
December 2017
37 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjsem-2016-000116DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5569260PMC
March 2017
17 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00113-017-0405-3DOI Listing
February 2018
6 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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.12816/0031528DOI Listing
September 2017
51 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

View Article

Download full-text PDF

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