9,780 results match your criteria Shoulder Dislocations


Posterior shoulder labrocapsular structures in all aspects; 3D volumetric MR arthrography study.

Br J Radiol 2021 May 14:20201230. Epub 2021 May 14.

Department of Radiology, Medical Faculty, Ataturk University, Erzurum, Turkey.

Pathologies of the posterior labrocapsular structures of the shoulder joint are far less common than anterior labrocapsuloligamentous lesions. Most of these pathologies have been associated with traumatic posterior dislocation. A smaller portion of the lesions include posterior extension of superior labral anteroposterior lesions, posterior superior internal impingement, and damage to the posterior band of the inferior glenohumeral ligament. Read More

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Arthroscopic Double-Row Bony Bankart Bridge Repair Using a Tensionable Knotless System.

Arthrosc Tech 2021 Apr 22;10(4):e957-e962. Epub 2021 Mar 22.

Duke University Medical Center, Durham, North Carolina, U.S.A.

Posterior labral pathology is common in contact athletes; however, posterior glenoid avulsion fractures, also known as posterior bony Bankart lesions, are less common. Posterior instability affects approximately 10% of all patients with shoulder instability. Diagnosis in these high-risk individuals often follows a traumatic posterior dislocation. Read More

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Clinical Characteristics and Surgical Outcomes for Collision Athletes with Traumatic Posterior Instability.

Authors:
Atsushi Tasaki

J Nippon Med Sch 2021 ;88(2):133-137

Department of Orthopedics Surgery, St. Luke's International Hospital.

Background: Diagnosis and treatment of traumatic posterior instability of the shoulder have not been described in detail. The author investigated surgical outcomes for traumatic posterior shoulder joint instability in collision athletes.

Methods: The author surgically treated patients with a diagnosis of traumatic shoulder joint instability and investigated those that had been followed up for >2 years after surgery. Read More

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January 2021

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

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

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

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

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[Shoulder instability: review of current concepts of diagnosis and treatment].

Khirurgiia (Mosk) 2021 (5):109-124

European Clinic of Sports Traumatology and Orthopedics (ECSTO), Moscow, Russia.

Objective: To conduct a systematic review of modern literature data on the modern approaches in diagnosis and treatment of shoulder instability.

Material And Methods: Searching for literature data was performed using the Pubmed and Google Scholar databases.

Results: The authors analyzed the results of conservative treatment of patients with shoulder instability and emphasized higher risk of instability recurrence, degeneration of anatomical structures and functional impairment in these patients. Read More

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Double bucket handle tear of the superior labrum in a young patient presented with shoulder instability treated with arthroscopic debridement: A case report.

Int J Surg Case Rep 2021 Apr 30;82:105939. Epub 2021 Apr 30.

King Khaled University Hospital, Riyadh, Saudi Arabia.

Introduction And Importance: The two major etiologies of shoulder superior labral tears anterior to posterior (SLAP) are traumatic and degenerative processes. Bucket handle tears of the superior labrum represent one-third of labral lesions. However, in this article, we present a double bucket handle tear which has been reported once in the literature. Read More

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Understanding the Value of Total Shoulder Arthroplasties at Physician-Owned Hospitals.

J Am Acad Orthop Surg 2020 Dec;28(23):e1066-e1072

From the Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus, OH.

Background: Owing to concerns regarding higher cost, low quality of care and cherry-picking in physician-owned hospitals (POHs), the Affordable Care Act imposed sanctions that prevented the formation of new POHs. With an increasing utilization of total shoulder arthroplasties (TSAs), there is a need for re-evaluation and assessment of quality and cost of TSAs performed at these POHs.

Methods: The 2011 to 2014 Medicare 100% Standard Analytical Files was used to identify patients undergoing a reverse TSA or anatomic TSA at POHs and non-POHs. Read More

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December 2020

[Emergency treatment of dislocation of large joints].

Unfallchirurg 2021 May;124(5):391-406

Klinik für Orthopädie, Unfallchirurgie und Sporttraumatologie, Marienhaus Klinikum Hetzelstift, Stiftstraße 10, 67435, Neustadt an der Weinstraße, Deutschland.

Joint dislocations are always accompanied by rupture of the joint capsule. Depending on the forces exerted on the joint as well as individual bone quality, fractures (dislocation fractures) and injuries to ligaments occur. As blood vessels and nerves can also be damaged, reduction is an urgent measure. Read More

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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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Irreducible Traumatic Radial Head Dislocation Due to Annular Ligament Interposition in a Child with Ulnar Plastic Deformation: A Case Report.

Orthop Surg 2021 May 4. Epub 2021 May 4.

VietDuc University Hospital, Hanoi, Vietnam.

Background: The traumatic dislocation of the radial head in children is commonly treated by closed reduction. Sometimes, however, this strategy of treatment may not be effective due to the location of soft tissues in the radio-shoulder joint. The literature presents a few cases of the irreducible radial head dislocation with ulnar plastic deformation. Read More

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Cast immobilisation in situ versus open reduction and internal fixation of displaced medial epicondyle fractures in children between 7 and 16 years old. A study protocol for a randomised controlled trial.

BMJ Open 2021 May 3;11(5):e044627. Epub 2021 May 3.

Department of Pediatric Orthopedics and Traumatology, University of Helsinki and Helsinki University Hospital, Helsinki, Uusimaa, Finland.

Introduction: Medial epicondyle fracture of the humerus is a common injury in childhood. There is uniform agreement that minimally displaced fractures (dislocation ≤2 mm) can be treated nonoperatively with immobilisation. Open fractures, fractures with joint incarceration or ulnar nerve dysfunction require surgery. Read More

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Mid-Term Outcomes of Arthroscopically-Assisted Anatomic Coracoclavicular Ligament Reconstruction using Tendon Allograft for High-Grade Acromioclavicular Joint Dislocations.

Arthroscopy 2021 Apr 30. Epub 2021 Apr 30.

Steadman Philippon Research Institute, 181 West Meadow Drive, Suite 400, Vail, CO 81657, USA; The Steadman Clinic, 181 West Meadow Drive, Suite 1000, Vail, CO 81657, USA. Electronic address:

Purpose: The purposes of this study were to assess clinical and radiographic outcomes of arthroscopically-assisted, anatomic coracoclavicular ligament reconstruction using tendon allograft (AA-ACCR) for the treatment of Rockwood type III-V injuries at minimum 2-year follow-up, and to perform subgroup analyses of clinical and radiographic outcomes for acute vs. chronic and type III vs. type IV-V injuries. Read More

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In-hospital Complications Are More Likely to Occur After Reverse Shoulder Arthroplasty Than After Locked Plating for Proximal Humeral Fractures.

Clin Orthop Relat Res 2021 04 29. Epub 2021 Apr 29.

J. Stolberg-Stolberg, M. J. Raschke, J. C. Katthagen, Department of Trauma, Hand, and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany.

Background: Currently, there seems to be a paradigm change in the surgical treatment of proximal humeral fractures in patients aged 65 years and older, with a considerable increase in the use of reverse total shoulder arthroplasty (RTSA) compared with angular stable internal fixation (locking plate fixation). However, even among shoulder specialists there is controversy regarding the best treatment strategy.

Questions/purposes: To evaluate for (1) a greater risk of in-hospital major adverse events, (2) a greater risk for in-hospital surgical complications, and (3) a greater risk of 30-day mortality, locking plate fixation and RTSA were compared for the treatment of proximal humerus fractures of patients aged 65 years and older after controlling for potentially confounding variables in a large-database analysis. Read More

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Arthroscopic Bristow: Assessments of Safety and Effectiveness, 12 Years of Experience.

Rev Bras Ortop (Sao Paulo) 2021 Apr 13;56(2):205-212. Epub 2019 Dec 13.

Grupo de Ombro, Núcleo Avançado de Estudos em Ortopedia e Neurocirurgia (Naeon), São Paulo, São Paulo, Brasil.

 The open Bristow procedure is a long established and effective method for treating anterior shoulder instability. Following the trends of minimally-invasive surgeries, these procedures were performed arthroscopically, and their outcomes were evaluated.  A total of 43 shoulders of patients submitted to Bristow procedures by arthroscopy, using a graft positioned horizontally and a screw, with at least two years of postoperative follow-up, were evaluated regarding quality of life, de novo dislocation index, and loss of lateral rotation. Read More

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Arthroscopic bone block stabilisation procedures for glenoid bone loss in anterior glenohumeral instability: A systematic review of clinical and radiological outcomes.

Orthop Traumatol Surg Res 2021 Apr 28:102949. Epub 2021 Apr 28.

Kansas City University of Medicine and Biosciences, Missouri, USA.

Introduction: Recurrent shoulder instability is frequently associated with glenohumeral bone loss. Recently there has been a surge of interest in arthroscopically performed bone block procedures. The aim of this systematic review was to determine the clinical and radiological outcomes of arthroscopic glenoid bone block stabilisation for recurrent anterior dislocation. Read More

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Acute high-grade acromioclavicular joint dislocation patients treated with titanium cable insertion under a homemade guider.

J Orthop Surg Res 2021 Apr 30;16(1):287. Epub 2021 Apr 30.

Department of Orthopedic, Xiaoshan First People's Hospital, Xiaoshan Affiliated Hospital of Wenzhou Medical University, No. 199 Shixin Road, Hangzhou, 311200, Zhejiang Province, China.

Backgrounds: To describe a new technique for implanting a double-bundle titanium cable to treat acromioclavicular (AC) joint dislocation via the new guider, and evaluate clinic outcomes.

Methods: A retrospective study of patients treated for acute high-grade acromioclavicular joint dislocation from June 2016 to January 2020 in our trauma center, twenty patients with AC joint dislocation were managed with double-bundle titanium cable. It includes the following steps: (1) Put the guider under the coracoid close to the cortical; (2) drill proximal clavicle; (3) place the titanium cable; (4) perforate distal clavicle, (5) reset the acromioclavicular joint and lock titanium cable; and (6) suture the acromioclavicular ligament. Read More

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Comparison between the MAIA Implant and Trapeziectomy for Trapeziometacarpal Osteoarthritis: Outcomes at 9 Years' Follow-Up.

J Hand Surg Asian Pac Vol 2021 Jun;26(2):158-165

Department of Hand Surgery, Plastic and Reconstructive Surgery, Centre Chirurgical Emile Gallé, Nancy University Hospital, Nancy, France.

The purpose of this retrospective study was to report and compare the outcomes of the MAIA prosthesis and trapeziectomy for trapeziometacarpal osteoarthritis. We included 92 consecutive patients (8 men, 84 women) with a mean age of 57 years (range 44-75 years) who underwent trapeziectomy (44 patients) or trapeziometacarpal joint replacement with a MAIA prosthesis (48 patients) for painful osteoarthritis. All patients were evaluated (pain, range of motion, strength, function, X-rays) by an independent examiner. Read More

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Evolving Concepts in the Management of Shoulder Instability.

Indian J Orthop 2021 Apr 4;55(2):285-298. Epub 2021 Mar 4.

Department of Orthopaedic Surgery, Division of Sports Medicine, Rush University Medical Center, 1611 W. Harrison Street, Suite 300, Chicago, IL 60612 USA.

Background: Shoulder instability exists on a spectrum ranging from subtle subluxation and pain to dislocation and can be the result of a traumatic event or repetitive microtrauma. Shoulder instability can result in significant disability and often requires surgical intervention, especially amongst younger, active patient populations. The optimal treatment of shoulder instability depends on the degree of instability and concomitant pathology involving the labrum, capsule, and bony anatomy of the glenoid and humeral head. Read More

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Objective Outcome Measures Continue to Improve from 6 to 12 Months after Conservatively Treated Distal Radius Fractures in the Elderly-A Prospective Evaluation of 50 Patients.

J Clin Med 2021 Apr 22;10(9). Epub 2021 Apr 22.

Department of Clinical Medicine, HEALTH, Aarhus University, 8000 Aarhus, Denmark.

Distal radius fractures (DRF) in the elderly population above 65 years represent 18% of all fractures and are thereby the second most frequent fracture in the elderly. Fracture dislocation and comminution are often used to determine whether non-operative or operative treatment is indicated. The purpose of this prospective case series of minimally displaced DRF treated with a dorsal cast was to assess the complication rate and patient-reported outcome measures. Read More

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Long-Term Results of the Modular Physiological Wrist Prosthesis (MPW) in Patients with Inflammatory Diseases.

Life (Basel) 2021 Apr 18;11(4). Epub 2021 Apr 18.

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Giessen, 35392 Giessen, Germany.

The wrist is among the predilection sites of over 90% of cases of rheumatoid arthritis (RA). In advanced cases, total wrist arthroplasty (TWA) is an alternative to arthrodesis. The aim of this study is to present the long-term results of the modular physiological wrist prosthesis (MPW) and to match them in context with the results of a standard population survey. Read More

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Posterior Shoulder Dislocation with Engaging Reverse Hill-Sachs Lesion: A Retrospective Study of Ten Patients Treated with Arthroscopy or Open Reduction and Stabilization.

J Clin Med 2021 Apr 1;10(7). Epub 2021 Apr 1.

Ospedale di Circolo, Fondazione Macchi "Università Insubria", 21100 Varese, Italy.

This study compares two surgical techniques used to treat patients with posterior shoulder dislocation with an engaging reverse Hill-Sachs lesion. We assessed ten patients who were treated at the Surgical Orthopedic and Traumatological Institute (ICOT) of Latina and the Clinic of Orthopedic and Traumatological Surgery of the ASST Sette Laghi of Varese between 2016 and 2019. The patients were divided into two groups: the first comprising six patients who underwent the open surgery McLaughlin procedure as modified by Neer, the second including four patients who underwent the arthroscopic McLaughlin procedure. Read More

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The immediate and subsequent impact of a first-time traumatic anterior shoulder dislocation in people aged 16-40: Results from a national cohort study.

Shoulder Elbow 2021 Apr 21;13(2):223-232. Epub 2020 May 21.

School of Health Sciences, University of Brighton, Brighton, UK.

Background: Limited evidence exists which details changes in quality of life, shoulder activity level, kinesiophobia, shoulder pain and disability following a first-time traumatic anterior shoulder dislocation (FTASD) in people treated non-operatively. This study had three objectives: (1) to examine quality of life, pain, disability and kinesiophobia after an FTASD within 12 weeks, (2) to examine whether these variables were different in people with and without recurrent shoulder instability and (3) to assess how these variables changed over 12 months.

Methods: A prospective cohort study was undertaken in people with an FTASD aged between 16 and 40 years. Read More

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Radial head excision and Achilles allograft interposition arthroplasty for the treatment of chronic pediatric radiocapitellar pathologies: A report of four cases.

Shoulder Elbow 2021 Apr;13(2):213-222

Division of Orthopedic Surgery, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Background: Severe radiocapitellar pathologies represent a unique problem in the pediatric population, as radial head excision can lead to substantial long-term complications. We present a case series of four pediatric patients treated by a novel technique-radial head excision followed by Achilles allograft interposition arthroplasty.

Methods: Four children (ages 12-15 years) are described. Read More

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Editorial Commentary: Recurrence After Arthroscopic Bankart Repair: What the Instability Severity Index Score Will and Will Not Predict.

Arthroscopy 2021 May;37(5):1397-1399

IRCCS Humanitas Research Hospital.

The recurrence of shoulder instability is a challenging complication after anterior open or arthroscopic stabilization in patients with glenohumeral instability. Use of the arthroscopic Bankart procedure has increased over the last decade, because of its less invasiveness and low complication rates compared with the Latarjet procedure. However, arthroscopic repair has the possibility of a greater recurrent instability rate. Read More

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Comparison of clinical efficacy between arthroscopically assisted Tight-Rope technique and clavicular hook plate fixation in treating acute high-grade acromioclavicular joint separations.

Authors:
Si Nie Min Lan

J Orthop Surg (Hong Kong) 2021 May-Aug;29(2):23094990211010562

Department of Orthopedics, 159384Jiangxi Provincial People's Hospital Affiliated to Nanchang University, Nanchang, People's Republic of China.

Introduction: The purpose of this study was to compare the results of arthroscopically assisted reduction of acute acromioclavicular (AC) joint separations with the Tight-Rope technique with results of clavicular hook plate fixation.

Materials And Methods: The 28 patients with acute high-grade AC joint dislocation were treated with arthroscopic assisted fixation using the Tight-Rope system, the arthroscopic evaluation and treatment of glenohumeral lesions were performed before AC ligament reconstruction. Each Tight-Rope technique group patient was matched with three controls that underwent clavicular hook plate fixation, and preoperation and postoperative visual analogue scale (VAS) and functional recovery (Constant Score) of the shoulder joint was assessed,. Read More

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Anterior glenohumeral instability treated with arthroscopic Bankart operation - a retrospective 5-year follow-up study.

Orthop Traumatol Surg Res 2021 Apr 22:102943. Epub 2021 Apr 22.

Department of Orthopedics, Traumatology and Hand Surgery, Kuopio University Hospital, P.O. Box 1777, 70211 Kuopio, Finland.

Background: This retrospective study investigated 5-year results of primary arthroscopic operation for anterior glenohumeral instability (AI) with special interest in patients aged <25 years and gender.

Hypothesis: Recurrence of AI is higher in male patients aged <25 years than older patients or females.

Patients And Methods: Primary arthroscopic Bankart repair was performed between January 2009 and December 2015 on 156 shoulders [154 patients, 104/156 (67%) males]. Read More

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Clinical and radiological outcomes of reverse shoulder arthroplasty for acute fracture in the elderly.

Int Orthop 2021 Apr 23. Epub 2021 Apr 23.

IULS CHU de Nice, UR2CA, UCA, 30 voie Romaine, 06000, Nice, France.

Purpose: The goal of this study was to assess the clinical outcomes associated with anatomic healing of the greater tuberosity in patients treated for proximal humerus fractures with reverse shoulder arthroplasty. Our hypothesis was that anatomic healing of the greater tuberosity leads to less complications and better functional outcomes.

Methods: RESULTS: Patients from the GT+ group presented better functional outcomes than the GT- group in all evaluated outcomes. Read More

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Does musculoskeletal ultrasound play a role in diagnosing and managing shoulder dislocations?

CJEM 2021 Apr 23. Epub 2021 Apr 23.

Department of Emergency Medicine, Foothills Medical Centre, University of Calgary, Room C231, 1403 29 Street NW, Calgary, AB, T2N 2T9, Canada.

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

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

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

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

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