202 results match your criteria Joint Reduction Shoulder Dislocation Posterior


Soft tissue reconstruction on the very late presenting neglected acromioclavicular dislocation Rockwood type IV. A case report.

Int J Surg Case Rep 2022 Jun 6;95:107171. Epub 2022 May 6.

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

Introduction And Importance: Acromioclavicular (AC) joint dislocation Rockwood type IV is a rare condition characterized by the posterior displacement of the distal clavicle and soft tissue damage. The rate of soft tissue healing markedly decreases as time from injury increases. In this case report, we had a very late presenting neglected AC joint dislocation Rockwood type IV successfully treated by AC and coracoclavicular (CC) reconstruction. Read More

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Accuracy of Point-of-Care-Ultrasonography in Confirming Shoulder Reduction in Emergency Departments.

Ir Med J 2022 Jan 20;115(1):515. Epub 2022 Jan 20.

Emergency Department, Beaumont Hospital, Dublin, Ireland.

Aims Accurate identification of the successful reduction of a dislocated shoulder could avoid additional episodes of procedural sedation and repeated performance of X-rays. The objective of this study was to assess the diagnostic accuracy of point-of-care-ultrasound (POCUS) in the confirmation of a successful joint reduction in patients with shoulder dislocation. Methods This was a single-centre, prospective observational study set in an urban academic ED in Ireland, with a convenience sample of adult patients with shoulder dislocation on X-ray. Read More

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January 2022

[Posterior Dislocation of the Shoulder with Compression Fracture of the Humeral Head. Our Experience with McLaughlin Procedure and Its Modification].

Acta Chir Orthop Traumatol Cech 2022 ;89(1):60-67

Ortopedické oddělení, Pardubická nemocnice, Nemocnice Pardubického kraje, a.s., Pardubice.

PURPOSE OF THE STUDY The purpose of this study is to remind of the specific features of diagnosis and therapy of dorsal dislocations of the glenohumeral joint to prevent frequent neglect or misdiagnosis during primary treatment. Also, we strived to present our experience and outcomes of posterior dislocation treatment by McLaughlin procedure and its modified version. MATERIAL AND METHODS We retrospectively evaluated 7 patients who had been treated at our department in the period 2015-2019 by McLaughlin procedure or its modification. Read More

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Aortic Injury After Shoulder Reduction in a Patient with Multiple Rib Fractures: A Case Report.

JBJS Case Connect 2022 01 20;12(1). Epub 2022 Jan 20.

Department of Orthopaedic Surgery, Chungbuk National University Hospital, Cheongju, Korea.

Case: A 74-year-old woman presented with multiple rib fractures, hemothorax, spleen rupture, and right shoulder dislocation. Shoulder joint reduction was performed using the traction-countertraction method. An injury to the descending aorta, caused by the seventh rib, was confirmed. Read More

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January 2022

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

Emergent Management of Traumatic Posterior Sternoclavicular Joint Dislocation: A Case Report and Literature Review.

Cureus 2021 Oct 23;13(10):e18996. Epub 2021 Oct 23.

Emergency Medicine, Arrowhead Regional Medical Center, Colton, USA.

Sternoclavicular joint (SCJ) dislocation is a rare but serious orthopedic injury. Posterior dislocations are more concerning due to the SCJ's proximity to visceral structures such as the trachea, esophagus, subclavian vessels, and brachial plexus. Due to the potential long-term sequelae of missed diagnosis, clinical suspicion should be high when a patient presents with a compression-type injury to the shoulder girdle and pain or deformity to the SCJ. Read More

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October 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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Chronic locked posterior gleno-humeral dislocation: technical note on fibular grafting for restoration of humeral head sphericity.

J Orthop Surg Res 2021 Nov 18;16(1):683. Epub 2021 Nov 18.

Department of Orthopedics and Traumatology, Faculty of Medicine, Menoufia University, Gamal Abdel-Nasser Street, Shebien El-kom, Menoufia Governorate, Egypt.

Background: Reconstruction of reverse Hill-Sachs defect using osteo-chondral allograft has the advantages of spherical re-contouring and provision of smooth biological articular surface of the reconstructed humeral head. However, worldwide availability and risk of disease transmission of osteo-chondral allograft remain points of increasing concerns. As an alternative to lacking osteo-chondral allograft, the current technical note describes a reconstructive technique of reverse Hill-Sachs defect using autologous fibular grafting. 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

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

Pediatric Posterior Sternoclavicular Dislocation Closed Reduction and Management.

J Orthop Trauma 2021 08;35(Suppl 2):S11-S12

Departments of Orthopaedic Surgery, and.

Summary: Posterior sternoclavicular joint (SCJ) dislocations are rare shoulder girdle injuries. Despite the paucity of cases, posterior SCJ dislocations pose an important threat to patient safety because of the proximity of the medial clavicle to the mediastinum, resulting in possible compression and/or injury to these structures. Current guidelines recommend attempting closed reduction in the acute setting followed by open reduction if closed reduction is unsuccessful. Read More

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Acute massive rotator cuff rupture with posterior shoulder dislocation: arthroscopic novel repair of a rare injury. A case report.

J ISAKOS 2021 11 16;6(6):375-379. Epub 2021 Jun 16.

Radiology, Universidad de Antioquia, Medellin, Colombia.

Acute massive rotator cuff tears and posterior shoulder dislocations are an extremely rare association, and a vast majority are treated by open surgery. We present a case of a man in his 20s who suffered closed left shoulder trauma after a road traffic accident. He was initially diagnosed with posterior shoulder dislocation and a reduction was successfully performed. Read More

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November 2021

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

Traumatic Posterior Shoulder Dislocation during Judo in a Child and Literature Review.

J Orthop Case Rep 2020 May-Jun;10(3):43-46

Department of Orthopaedic Surgery, Necker-Enfants Malades University Hospital, 149 Rue de Sèvres, 75015 Paris, France.

Introduction: Traumatic posterior dislocation of the shoulder is exceedingly rare in pediatric patients. Main causes are obstetrical brachial plexus injury; congenital abnormalities of the glenohumeral joint; and voluntary dislocation, which are often multidirectional. Treatment is not consusual and depends on early diagnosis. 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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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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Recurrent Instability and Surgery Are Common After Nonoperative Treatment of Posterior Glenohumeral Instability in NCAA Division I FBS Football Players.

Clin Orthop Relat Res 2021 Apr;479(4):694-700

D. J. Tennent, K. L. Cameron, M. A. Posner, J. F. Dickens, John A. Feagin Jr. Orthopaedic Sports Medicine Fellowship at West Point, West Point, NY, USA.

Background: In-season return to play after anterior glenohumeral instability is associated with high rates of recurrent instability and the need for surgical stabilization. We are not aware of previous studies that have investigated in-season return to play after posterior glenohumeral instability; furthermore, as posterior shoulder instability in collision athletes occurs frequently, understanding the expected outcome of in-season athletes may improve the ability of physicians to provide athletes with a better understanding of the expected outcome of their injury and their ability to return to sport.

Questions/purposes: (1) What proportion of athletes returned to play during the season after posterior instability in collegiate football players? (2) How much time did athletes lose to injury, what proportion of athletes opted to undergo surgery, and what proportion of athletes experienced recurrent instability after a posterior instability episode during a collegiate football season?

Methods: A multicenter, prospective, observational study of National Collegiate Athletic Association (NCAA) Division 1 Football Bowl Subdivision athletes was performed at three US Military Service Academies. Read More

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Reconstruction of a Chronic Posterior Dislocation of the Shoulder using a Limited Posterior Deltoid-splitting Approach: A Case Report.

J Orthop Case Rep 2020 Nov;10(8):88-92

Department of Orthopaedic Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

Introduction: Chronic posterior dislocation is a very rare injury. Various methods have been described for its treatment. This report describes a rare case of post-traumatic chronic posterior dislocation of the shoulder. Read More

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November 2020

Injury of the brachial artery accompanying simple closed elbow dislocation: a case report.

Acta Biomed 2020 12 30;91(14-S):e2020030. Epub 2020 Dec 30.

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Background: Elbow dislocation is the second common dislocation in adults, after the shoulder. The anatomical proximity to the joint of the brachial artery could lead to concomitant vascular injuries, even if their occurrence remains very rare.

Method: It is reported the case of a right-hand-dominant  42-year-old man who sustained a simple closed  posterior elbow dislocation of  his left elbow, associated to a complete brachial artery rupture. Read More

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December 2020

Subclavius Tendon Autograft Reconstruction of Traumatic Posterior Dislocation of the Sternoclavicular Joint in Adolescence.

J Long Term Eff Med Implants 2020 ;30(3):161-164

Department of Orthopaedics and Orthopaedic Oncology, University of Padova, Padova, Italy.

Posterior dislocation of the sternoclavicular joint is a rare and emergent injury. Diagnosis is often missed or delayed. Treatment is challenging because of the joint's inherent instability. Read More

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October 2021

Osborne-Cotterill Lesion a Forgotten Injury: Review Article and Case Report.

Clin Shoulder Elb 2020 Mar 21;23(1):27-30. Epub 2020 Feb 21.

Department of Shoulder and Elbow, Fundación Santa Fé de Bogotá, Bogotá, Colombia.

Osborne-Cotterill lesion is an osteochondral fracture located in the posterolateral margin of the humeral capitellum, which may be associated with a defect of the radial head after an elbow dislocation. This lesion causes instability by affecting the lateral ulnar collateral ligament over its capitellar insertion, which is associated with a residual capsular laxity, thereby leading to poor coverage of the radial head, and hence resulting in frequent dislocations. We present a 54-year-old patient, a physician who underwent trauma of the left elbow after falling from a bike and suffered a posterior dislocation fracture of the elbow. Read More

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Results and complications of head-preserving techniques in chronic neglected shoulder dislocation: a systematic review.

J Shoulder Elbow Surg 2021 Mar 14;30(3):685-694. Epub 2020 Nov 14.

Indian Orthopaedics Research Group, Mumbai, Maharashtra, India.

Background: Humeral head-preserving procedures may be needed for chronic neglected shoulder dislocation because the presenting age of the patient is often reported to be less than 45 years. The aim of this systematic review was to evaluate the results of the various head-preserving procedures for chronic anterior dislocation (CAD) and chronic posterior dislocation (CPD). This review also aimed to evaluate the results of conservative neglect for CAD. Read More

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Arthroscopic reduction and subscapularis remplissage (ARR) of chronic posterior locked shoulder dislocation leads to optimized outcomes and low rate of complications.

Knee Surg Sports Traumatol Arthrosc 2021 Jul 19;29(7):2348-2355. Epub 2020 Oct 19.

Orthopedics and Sport Medicine Unit, Campolongo Hospital, Salerno, Italy.

Purpose: Unrecognized posterior shoulder dislocation with a concomitant humeral head fracture affects joint function and no consensus exists regarding treatment. The present study analyses clinical and radiographic outcomes of a novel arthroscopic technique for reducing chronic locked posterior shoulder dislocation associated with subscapularis remplissage.

Methods: The study comprises a retrospective analysis of consecutive chronic posterior locked shoulders (CPLS) with minimum 2-years follow-up of patients who had undergone McLaughlin technique arthroscopic modification for the treatment of CPLS with a reverse Hill-Sachs lesion. Read More

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[Injuries of the sternoclavicular joint].

Unfallchirurg 2020 11;123(11):879-889

Klinik für Orthopädie und Unfallchirurgie, DIAKOVERE Friederikenstift Hannover, Humboldstr. 5, 30169, Hannover, Deutschland.

Injuries of the sternoclavicular joint (SCJ) are rare accounting for 3% of all injuries to the shoulder girdle and are often overlooked. The SCJ is surrounded by tight ligamentous structures, thus substantial energy with corresponding force vectors is needed to cause dislocation. Causative are mostly high-energy traumas. Read More

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November 2020

Balser Plate Stabilization for Traumatic Sternoclavicular Instabilities or Medial Clavicle Fractures: A Case Series and Literature Review.

Orthop Surg 2020 Dec 6;12(6):1627-1634. Epub 2020 Sep 6.

Department of Orthopaedic Trauma, Hong Hui Hospital, Xi'an Jiaotong University School of Medicine, Xi'an, China.

Objective: This study was performed to observe the effect of internal Balser plate fixation for treating unstable sternoclavicular joints (SCJ) and displaced medial clavicle fractures.

Methods: From April 2009 to September 2016, 17 consecutive patients who underwent open reduction and internal Balser plate fixation for SCJ dislocations or medial clavicle fractures were retrospectively reviewed. There were 11 male and six female patients, with a mean age of 45. Read More

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December 2020

Migration of K-wire into the cavum pleura after the reduction of acromioclavicular dislocation, a case report and review of literature.

Int J Surg Case Rep 2020 29;74:192-195. Epub 2020 Aug 29.

Orthopaedic and Traumatology Department, Saiful Anwar Hospital, Jalan Jaksa Agung Suprapto No. 2, Klojen, Kota Malang, Jawa Timur, 65112, Indonesia. Electronic address:

Introduction: The use of K-wire (Kirschner wire) in acromioclavicular dislocation was the first trans-articular fixation technique to be described.

Presentation Of Case: A 40-years-old man was presented to the emergency room (ER) with shortness of breath. He had a history of acromioclavicular dislocation two years ago, which had been treated using two K-wires and tension band wiring. Read More

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Sternoclavicular Joint Instability: Symptoms, Diagnosis And Management.

Orthop Res Rev 2020 28;12:75-87. Epub 2020 Jul 28.

University Of Alabama At Birmingham, Department Of Orthopedic Surgery, Birmingham, AL 35294, USA.

Sternoclavicular joint (SCJ) instability is a rare condition and results from either a traumatic high energy impact, such as a motor vehicle crash or contact sports injury, or non-traumatically as a result of structural pathology. The infrequency of this injury has contributed to its diagnosis being missed as well as the paucity of literature on treatment and outcomes. Patients with SCJ instability often report diminished range of motion as well as shoulder girdle pain. Read More

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