169 results match your criteria Joint Reduction Shoulder Dislocation Posterior


Recurrent Shoulder Posteroinferior Subluxation Status Post Reverse Remplissage.

Cureus 2020 Apr 3;12(4):e7522. Epub 2020 Apr 3.

Diagnostic Radiology, Florida Hospital-Orlando, Orlando, USA.

Posterior shoulder dislocation is an uncommon injury that typically follows intense contraction of the external rotator muscles, such as from seizure activity, high-velocity trauma, or intense electrical shock. The diagnosis is often missed or delayed, leading to complications such as functional deficits or osteonecrosis of the humeral head. Closed reduction can be utilized following an initial occurrence, however, repeated insult to the glenohumeral joint may lead to posterior instability. Read More

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http://dx.doi.org/10.7759/cureus.7522DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7198100PMC

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

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

Reduction of locked posterior glenohumeral dislocation using the posterior arthroscopic portal.

Authors:
S Raja Di Mascio L

Ann R Coll Surg Engl 2020 Mar 17;102(3):236-237. Epub 2019 Dec 17.

Trauma and Orthopaedics, Royal London Hospital, London, UK.

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http://dx.doi.org/10.1308/rcsann.2019.0170DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7027422PMC

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

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

[Suspected traumatic posterior shoulder luxation].

Ned Tijdschr Geneeskd 2019 10 11;163. Epub 2019 Oct 11.

Zuyderland Medisch Centrum, afd. Orthopedie, Heerlen.

BACKGROUND An obstetric brachial plexus lesion arises during childbirth as a consequence of excessive lateral traction of the neonate's head during shoulder dystocia. A small number of patients do not experience spontaneous recovery and secondary glenohumeral deformities can arise due to rotator cuff imbalance. CASE DESCRIPTION A 34-year-old man of Syrian descent with a history of a conservatively treated right-sided obstetric brachial plexus lesion went to the accident and emergency department (A and E) with acute pain in the right shoulder. Read More

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October 2019

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

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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

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

Posterosuperior shoulder dislocation due to the rupture of deltoid posterior fibers: a case report.

BMC Musculoskelet Disord 2019 Jul 27;20(1):345. Epub 2019 Jul 27.

Department of Orthopaedic Surgery, National Hospital Organization Tokyo Medical Center, 2-5-1, Higashigaoka, Meguro-ku, Tokyo, 152-8902, Japan.

Background: Superior shoulder dislocation is a rare type of shoulder dislocation. Its occurrence is thought to be associated with rupture of the deltoid; however, few reports are available on the mechanism of onset and the treatment of a superior shoulder dislocation. Here we describe a case of dislocation in the direction of the posterior acromion, referred to as posterosuperior shoulder dislocation, caused by the traumatic rupture of deltoid posterior fibers. Read More

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http://dx.doi.org/10.1186/s12891-019-2727-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6661095PMC
July 2019
14 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

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

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

The aetiology of posterior glenohumeral dislocations and occurrence of associated injuries: a systematic review.

Bone Joint J 2019 01;101-B(1):15-21

Tallaght University Hospital, Dublin, Republic of Ireland.

Aims: The glenohumeral joint is the most frequently dislocated articulation, but possibly due to the lower prevalence of posterior shoulder dislocations, approximately 50% to 79% of posterior glenohumeral dislocations are missed at initial presentation. The aim of this study was to systematically evaluate the most recent evidence involving the aetiology of posterior glenohumeral dislocations, as well as the diagnosis and treatment.

Materials And Methods: A systematic search was conducted using PubMed (MEDLINE), Web of Science, Embase, and Cochrane (January 1997 to September 2017), with references from articles also evaluated. Read More

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https://online.boneandjoint.org.uk/doi/10.1302/0301-620X.101
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http://dx.doi.org/10.1302/0301-620X.101B1.BJJ-2018-0984.R1DOI Listing
January 2019
21 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
27 Reads

Posterior shoulder dislocation: it's worth another look.

BMJ Case Rep 2018 Jul 30;2018. Epub 2018 Jul 30.

Emergency Department, University of Plymouth, Plymouth, UK.

A 40-year-old woman presented to the emergency department with a painful left shoulder following a fall from a mountain bike. A radiograph of the clavicle and shoulder was carried out. A diagnosis of fractured left clavicle was made, which was treated conservatively in a sling. Read More

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http://dx.doi.org/10.1136/bcr-2018-224486DOI Listing
July 2018
10 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

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

Current Approach to the Diagnosis and Management of Shoulder Dislocation in Children.

Authors:
Michael Gottlieb

Pediatr Emerg Care 2018 May;34(5):357-362

Assistant Professor and Director of Ultrasound, Department of Emergency Medicine, Rush University Medical Center, Chicago, IL.

Shoulder dislocations are a common presentation to the emergency department. Although many cases may be diagnosed by history and clinical examination alone, imaging may help diagnose more challenging cases. Three-view radiographs are important for identifying subtle posterior dislocations, and ultrasonography has been gaining evidence as an alternate diagnostic modality. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001474DOI Listing
May 2018
9 Reads

Posterior Shoulder Dislocation Associated With the Head (Splitting) and Humeral Neck Fracture: Impact of Understanding Radiologic Signs and Experience With an Extended Deltopectoral Approach.

Tech Hand Up Extrem Surg 2018 Jun;22(2):57-64

Ozel Memorial Antalya Hospital, Zafer Mah., Yildirim Beyazit Cad., Kepez/Antalya, Turkey.

In this paper, our main objective was to emphasize the competency of extended deltopectoral exposure, enforced with the supraspinatus and subscapularis detachment, to gain access to the entire head. The second important point in this paper was to underline the importance of the knowledge that is necessary for interpreting classic radiologic signs of posterior fracture-dislocation of the shoulder. A 47-year-old woman fell down directly onto her shoulder while she was skiing. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000190DOI Listing
June 2018
13 Reads

Seizure-induced unilateral posterior dislocation of the shoulder: a diagnosis not to be missed.

BMJ Case Rep 2018 Mar 28;2018. Epub 2018 Mar 28.

Department of Radiology, Ashford and St Peter's Hospitals NHS Foundation Trust, Surrey, UK.

A man in his mid-50s with a history of bladder carcinoma presented to the Emergency Department (ED) following a witnessed tonic-clonic seizure. Computed Tomography (CT) scanning of his brain revealed an indeterminate mass lesion in the left parietal region. The patient described bilateral shoulder pain prompting plain film radiographs with axial views, but no obvious abnormality was identified by the ED staff. Read More

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http://dx.doi.org/10.1136/bcr-2017-223160DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5878329PMC
March 2018
13 Reads

Figure-of-8 Reconstruction Technique for Chronic Posterior Sternoclavicular Joint Dislocation.

Arthrosc Tech 2017 Oct 2;6(5):e1749-e1753. Epub 2017 Oct 2.

Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, New York, U.S.A.

Dislocation of the sternoclavicular joint is a rare injury and typically requires high-energy forces applied through the joint. Initial treatment is dependent on the direction of dislocation, with acute reduction indicated for posterior dislocations presenting with signs of tracheal, esophageal, or neurovascular compression. Although most patients do well with conservative treatment after the initial trauma, some can have persistent pain and scapular dyskinesia due to instability or locked dislocation of the sternoclavicular joint. Read More

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http://dx.doi.org/10.1016/j.eats.2017.06.046DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5793942PMC
October 2017
7 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
13 Reads

Successful repair of thoracic outlet syndrome in a growing young patient due to posterior sternoclavicular joint dislocation.

J Thorac Dis 2017 Oct;9(10):E912-E915

Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine, Uijeongbu, Korea.

Posterior sternoclavicular dislocation is an extremely rare injury, usually related to heavy trauma, such as a traffic accident. The anatomical proximity of vital mediastinal structures often discourages a closed reduction during emergency situations. In this case report, we present a 17-year-old male patient who was admitted to our emergency department after having fallen down a flight of stairs five days previously. Read More

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http://dx.doi.org/10.21037/jtd.2017.08.139DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5723754PMC
October 2017
22 Reads

Arthroscopic Repair of Recurrent Posterior Shoulder Subluxation After Total Shoulder Arthroplasty: A Case Report.

JBJS Case Connect 2017 Jul-Sep;7(3):e71

1Department of Orthopaedics, University of Zürich, Balgrist University Hospital, Zürich, Switzerland.

Case: A 53-year-old man presented with osteoarthritis (Walch biconcave [B2] glenoid retroversion, 22°; glenohumeral subluxation index, 65%) and a partial rupture of the supraspinatus tendon in the left shoulder. Following anatomic total joint replacement, he developed disabling recurrent posterior subluxation despite a stable prosthesis and a correctly centered glenoid head, as observed with postoperative radiography and computed tomography. In order to avoid bone loss and the complications associated with revision arthroplasty, we performed arthroscopic reefing of the posterior capsule as an experimental minimally invasive treatment. Read More

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http://dx.doi.org/10.2106/JBJS.CC.17.00048DOI Listing
August 2018
15 Reads

Transfer of the lesser tuberosity for reverse Hill-Sachs lesions after neglected posterior dislocations of the shoulder: A retrospective clinical study of 13 cases.

Acta Orthop Traumatol Turc 2017 Oct 26;51(5):362-366. Epub 2017 Aug 26.

Koç University, School of Medicine, Department of Orthopedics and Traumatology, Istanbul, Turkey. Electronic address:

Objective: This study aimed to present middle-term functional and radiological outcomes of the transfer of the lesser tuberosity in the management of reverse Hill-Sachs lesions following posterior dislocations of the shoulder.

Patients And Methods: With a diagnosis of neglected posterior shoulder dislocation (8 locked, 5 recurrent), 13 male patients (age range: 28-72; mean age: 39.3 years) who underwent the transfer of the lesser tuberosity due to reverse Hill-Sachs lesions, were retrospectively reviewed based on functional and radiological data. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1017995X173017
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http://dx.doi.org/10.1016/j.aott.2017.07.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197171PMC
October 2017
32 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
28 Reads

Risk of Engagement of Bipolar Bone Defects in Posterior Shoulder Instability.

Am J Sports Med 2017 Oct 28;45(12):2835-2839. Epub 2017 Jun 28.

Center for Musculoskeletal Surgery, Campus Virchow-Klinikum, Charité-Universitaetsmedizin Berlin, Berlin, Germany.

Background: The risk of re-engagement of bipolar bone defects in posterior shoulder instability has not yet been investigated.

Hypothesis: Posterior glenoid defects can lead to the engagement of supposedly noncritical reverse Hill-Sachs lesions (RHSLs).

Study Design: Descriptive laboratory study. Read More

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http://dx.doi.org/10.1177/0363546517714456DOI Listing
October 2017
63 Reads

Brachial Plexus Injury in a 6-Year-Old Boy with 100% Displaced Proximal Humeral Metaphyseal Fracture: A Case Presentation.

PM R 2017 12 9;9(12):1294-1298. Epub 2017 Jun 9.

The University of North Carolina Department of Neurology, Chapel Hill, NC(†).

Posttraumatic brachial plexopathies can occur following displaced proximal humeral fractures, causing profound functional deficits. Described here is an unusual case of a displaced proximal humeral metaphyseal fracture in a young child. The patient underwent closed reduction and serial casting, but hand weakness and forearm sensory loss persisted. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19341482173065
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http://dx.doi.org/10.1016/j.pmrj.2017.05.009DOI Listing
December 2017
8 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
42 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
37 Reads

An Unusual Traumatic Presentation: Luxatio Erecta Humeri and Concomitant Hip Dislocation.

Case Rep Orthop 2016 19;2016:6910945. Epub 2016 Dec 19.

Istanbul Faculty of Medicine, Department of Orthopaedics and Traumatology, Istanbul University, Istanbul, Turkey.

Inferior dislocation of the glenohumeral joint, known as luxatio erecta humeri, and posterior hip dislocation are both rare presentations in the emergency department. The most common aetiology is falling for luxatio erecta humeri. The aim of this manuscript was to present a unique case in terms of luxatio erecta humeri, which has a different aetiology, treatment method, and concomitant injury. Read More

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http://dx.doi.org/10.1155/2016/6910945DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5204091PMC
December 2016
36 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
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http://dx.doi.org/10.1007/s00590-016-1899-zDOI Listing
April 2017
14 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
12 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
48 Reads

Acute high-grade acromioclavicular dislocations treated with triple button device (MINAR): Preliminary results.

Injury 2016 Nov 15;47(11):2512-2519. Epub 2016 Sep 15.

Department of Orthopaedic Surgery, University of Murcia, Los Arcos del Mar Menor General Hospital, Paraje Torre Octavio, 54, CP: 30739, Pozo Aledo, San Javier, Murcia, Spain.

Objective: Describe the clinical and radiological results of triple button device in the treatment of high-grade AC dislocations (Rockwood, type V) and assess whether improves vertical and horizontal stability compared to the techniques previously described.

Material And Methods: This retrospective study included 39 patients with type V acromioclavicular dislocations treated with Twin Tail TightRope™ system (triple button device). Of the 39 patients, 33 (26 men and 7 women) were able to participate in clinical and radiographic follow up. Read More

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http://dx.doi.org/10.1016/j.injury.2016.09.029DOI Listing
November 2016
29 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
109 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
8 Reads
1 Citation

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
52 Reads

Management and Prognostic Factors for Delayed Reconstruction of Neglected Posterior Shoulder Fracture-Dislocation.

Arch Trauma Res 2015 Dec 1;4(4):e29903. Epub 2015 Dec 1.

Orthopaedics and Traumatology, Selcuk University, Konya, Turkey.

Introduction: Posterior fracture-dislocations of the shoulder are rare conditions. Misdiagnosis can occur in 50% - 80% of the patients. Due to the size of the lesion, stability of the joint could not be achieved with transfer of subscapular tendon or tuberosity. Read More

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http://dx.doi.org/10.5812/atr.29903DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4733515PMC
December 2015
12 Reads

The Reduction in Stability From Combined Humeral Head and Glenoid Bony Defects Is Influenced by Arm Position.

Am J Sports Med 2016 Mar 20;44(3):715-22. Epub 2016 Jan 20.

Department of Biomedical Engineering, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, USA Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, Ohio, USA.

Background: Combined defects of the glenoid and humeral head are often a cause for recurrent shoulder instability.

Purpose/hypothesis: The aim of this study was to evaluate the influence of combined bony lesions on shoulder instability through varying glenohumeral positions. The hypothesis was that instability due to combined defects would be magnified with increasing abduction and external rotation. Read More

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http://dx.doi.org/10.1177/0363546515620588DOI Listing
March 2016
48 Reads

Open Reduction for AO/OTA 81-B3 (Hawkins 3) Talar Neck Fractures: The Natural Delivery Method.

J Orthop Trauma 2016 Mar;30(3):e106-9

Department of Orthopedic Surgery, SUNY Upstate Medical University, Syracuse, NY.

Fractures of the talar neck with subtalar and tibiotalar joint dislocation (AO/OTA 81-B3) represent a treatment challenge for the orthopedic surgeon. The magnitude of deformity and complexity of the pathoanatomy adds to concerns for soft tissue embarrassment to convey an urgency of surgical intervention. Previous studies have described the several techniques for talar reduction, including medial malleolar osteotomy, posterior Schanz pin manipulation, or posteromedial incision to facilitate relocation at the time of definitive open treatment. Read More

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http://dx.doi.org/10.1097/BOT.0000000000000518DOI Listing
March 2016
7 Reads

Repair of Unstable Posterior Sternoclavicular Dislocation Using Nonabsorbable Tape Suture and Tension Band Technique: A Case Report with Good Results.

Case Rep Orthop 2015 3;2015:750898. Epub 2015 Nov 3.

Department of Orthopaedics and Traumatology, Dumlupinar University School of Medicine, 43270 Kutahya, Turkey.

Posterior sternoclavicular joint dislocation (PSCJD) is quite a rare condition. Nearly half of the closed reduction attempts fail due to various reasons. In this paper, we present a 25-year-old male patient who was admitted to the emergency department in our hospital after having a motor-vehicle accident. Read More

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http://dx.doi.org/10.1155/2015/750898DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4646986PMC
November 2015
13 Reads

Transarticular plating for acute posterior sternoclavicular joint dislocations: a valid treatment option?

Int Orthop 2016 Jul 11;40(7):1503-8. Epub 2015 Aug 11.

Department of Orthopaedics, Denver Health Medical Centre, University of Colorado, School of Medicine, 777 Bannock Street, Denver, CO, 80204, USA.

Background: Restoration of the sternoclavicular joint after posterior dislocation is important for upper limb function. The proximity of neuro-vascular mediastinal structures makes open reduction and internal fixation (ORIF) a high-risk procedure. The ideal treatment strategy is still debated. Read More

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http://dx.doi.org/10.1007/s00264-015-2952-yDOI Listing
July 2016
25 Reads

Management and functional outcomes following sternoclavicular joint dislocation.

Injury 2015 Oct 20;46(10):1906-13. Epub 2015 Jun 20.

Department of Orthopaedic Surgery, The Alfred Hospital, Melbourne, VIC, Australia.

Introduction: The aim of this study is to describe the demographics, management and functional outcomes of patients presenting with a sternoclavicular joint (SCJ) dislocation.

Methods: A retrospective medical record review was conducted examining patients with SCJ dislocation admitted to an adult level 1 trauma centre between 2004 and 2012. Patient demographics, symptoms, associated injuries, imaging technique used in diagnosis, surgical data and neurovascular complications were recorded. Read More

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http://dx.doi.org/10.1016/j.injury.2015.05.050DOI Listing
October 2015
10 Reads

Pediatric Posterior Sternoclavicular Joint Injuries.

Authors:
Sonia Chaudhry

J Am Acad Orthop Surg 2015 Aug 26;23(8):468-75. Epub 2015 Jun 26.

Posterior sternoclavicular joint injuries are increasingly diagnosed in children and young adults. Most of these injuries are the result of indirect mechanisms, typically lateral compression, with a posterior-to-anterior force applied to the shoulder during sports. Less frequently, these injuries are caused by direct impact on the medial clavicle, which can occur in rollover motor vehicle accidents, or may represent atraumatic instability. Read More

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http://dx.doi.org/10.5435/JAAOS-D-14-00235DOI Listing
August 2015
10 Reads

Irreducible superolateral dislocation of the glenohumeral joint.

Skeletal Radiol 2015 Sep 9;44(9):1387-91. Epub 2015 Jun 9.

Department of Radiology, University of Washington, 4245 Roosevelt Way NE, Box 354755, Seattle, WA, 98105, USA,

The overwhelming majority of glenohumeral dislocations are anterior dislocations that either spontaneously reduce or are reduced at the point of care without significant complications. Posterior dislocations are uncommon, and superior and inferior dislocations are even rarer. We present a case of "superolateral" shoulder dislocation in which the entire rotator cuff was torn either off its insertion or at the musculotendinous junction in combination with a large longitudinal split tear of the deltoid muscle. Read More

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http://link.springer.com/content/pdf/10.1007/s00256-015-2183
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http://link.springer.com/10.1007/s00256-015-2183-8
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http://dx.doi.org/10.1007/s00256-015-2183-8DOI Listing
September 2015
14 Reads

Outcomes after surgical treatment of missed Monteggia fractures in children.

Musculoskelet Surg 2015 Sep 10;99 Suppl 1:S75-82. Epub 2015 May 10.

Shoulder and Elbow Surgery Unit, Istituto Ortopedico Rizzoli, Bologna, Italy.

Background: Chronic dislocation of the radial head treatment in Monteggia fracture dislocation is still controversial. We present a large series of patients treated in our Institution.

Materials And Methods: The outcome of 22 children treated surgically between 1988 and 2011 for post-traumatic chronic radial head dislocation is reported. Read More

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http://dx.doi.org/10.1007/s12306-015-0362-3DOI Listing
September 2015
36 Reads

The effect of a combined glenoid and Hill-Sachs defect on glenohumeral stability: a biomechanical cadaveric study using 3-dimensional modeling of 142 patients.

Am J Sports Med 2015 Jun 20;43(6):1422-9. Epub 2015 Mar 20.

Sports Medicine Division, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.

Background: Bone loss in anterior glenohumeral instability occurs on both the glenoid and the humerus; however, existing biomechanical studies have evaluated glenoid and humeral head defects in isolation. Thus, little is known about the combined effect of these bony lesions in a clinically relevant model on glenohumeral stability.

Hypothesis/purpose: The purpose of this study was to determine the biomechanical efficacy of a Bankart repair in the setting of bipolar (glenoid and humeral head) bone defects determined via computer-generated 3-dimensional (3D) modeling of 142 patients with recurrent anterior shoulder instability. Read More

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http://ajs.sagepub.com/content/early/2015/03/20/036354651557
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http://ajs.sagepub.com/lookup/doi/10.1177/0363546515574677
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http://dx.doi.org/10.1177/0363546515574677DOI Listing
June 2015
98 Reads

Surgical treatment of acute acromioclavicular joint dislocations: hook plate versus minimally invasive reconstruction.

Knee Surg Sports Traumatol Arthrosc 2016 Jun 11;24(6):1972-8. Epub 2014 Sep 11.

Department of Orthopaedic and Trauma Surgery, Martin Luther Hospital, Grunewald, Berlin, Germany.

Purpose: This study was performed to compare the clinical results of a minimally invasive technique for acute acromioclavicular (AC) joint dislocation repair with the traditional hook plate fixation.

Methods: Forty-four patients with an acute (within 2 weeks after trauma) complete AC joint separation (35 male, nine female; median age 36.2 years, range 18-56) underwent surgical repair with either a minimally invasive AC joint repair or a conventional hook plate. Read More

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http://dx.doi.org/10.1007/s00167-014-3294-9DOI Listing
June 2016
16 Reads

Arthroscopic findings of coexisting lesions with greater tuberosity fractures.

Orthopedics 2014 Mar;37(3):e272-7

Proximal humerus fractures comprise approximately 5% of all fractures, with isolated greater tuberosity fractures accounting for approximately 20% of proximal humerus fractures. Although performing shoulder arthroscopy in situations including a fracture is technically demanding, it allows surgeons the opportunity to identify and treat other coexisting lesions that could have otherwise been missed. The incidence of these pathologies in combination with greater tuberosity fractures has not been established. Read More

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http://www.healio.com/orthopedics/journals/ortho/2014-3-37-3
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http://www.healio.com/doiresolver?doi=10.3928/01477447-20140
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http://dx.doi.org/10.3928/01477447-20140225-60DOI Listing
March 2014
46 Reads

Posterior sternoclavicular joint injuries in skeletally immature patients.

Orthopedics 2014 Feb;37(2):e174-81

The management of sternoclavicular injuries in skeletally immature patients has not been well described. The purpose of this study was to describe the authors' experience treating this rare and potentially life-threatening injury. All skeletally immature patients who underwent treatment for a medial clavicular physeal fracture or sternoclavicular dislocation between 2003 and 2011 were identified using ICD-9 diagnostic codes. Read More

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http://dx.doi.org/10.3928/01477447-20140124-22DOI Listing
February 2014
55 Reads

Acute traumatic posterior shoulder dislocation.

J Am Acad Orthop Surg 2014 Mar;22(3):145-52

Posterior shoulder dislocation occurs rarely and is challenging to manage. The mechanisms of trauma are varied, which complicates diagnosis. Missed or delayed diagnosis and treatment can have serious deleterious effects on shoulder function. Read More

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http://pdfs.journals.lww.com/jaaos/2014/03000/Acute_Traumati
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http://www.jaaos.org/cgi/doi/10.5435/JAAOS-22-03-145
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http://dx.doi.org/10.5435/JAAOS-22-03-145DOI Listing
March 2014
27 Reads

Chronic posterior sternoclavicular joint fracture dislocations in children and young adults: results of surgical management.

J Pediatr Orthop 2014 Jul-Aug;34(5):542-7

*Harvard Combined Orthopaedic Residency Program, Massachusetts General Hospital †Department of Orthopaedic Surgery, Boston Children's Hospital, Boston, MA.

Background: Posterior sternoclavicular joint (SCJ) fracture dislocations in children and young adults can be missed on initial examination or could fail closed treatment. We hypothesize that surgical interventions (open reduction and ligamentous reconstruction or medial clavicle resection depending on the clinical scenario) are safe treatment options in patients with symptomatic chronic posteriorly displaced SCJ injuries.

Methods: A retrospective review was conducted of all patients younger than 25 years of age who underwent surgical treatment for chronic posteriorly displaced SCJ injuries at our institution from January 1, 1999 to December 31, 2011. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000148DOI Listing
April 2015
28 Reads