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

Lubis, Andri Maruli Tua; Primaputra, Muhammad Rizqi Adhi; Dilogo, Ismail Hadisoebroto

doi:10.1016/j.ijscr.2019.03.008

Cited by 9 publications

(12 citation statements)

References 21 publications

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“…The failure rate of closed reduction was high due to soft tissue obstruction (long head of biceps, intra-glenoid scar, or posterior capsular contracture) and osseous block (glenoid fractures or engaging Hill-Sachs lesions), meanwhile the danger of an iatrogenic fracture or neurovascular damage was also high 8,22 . The pathophysiological changes of the chronic anterior shoulder dislocation were different from those of recurrent anterior dislocation, which also limited the application of arthroscopy 6,23,24 . In this study, the duration of dislocation was more than 3 weeks in all cases, and all patients underwent open reduction and stabilization of the involved shoulder.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Chronic Anterior Shoulder Dislocation by Coracoid Osteotomy with or without Bristow–Latarjet Procedure

Yang

Zhang

et al. 2020

Orthopaedic Surgery

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Objective: To investigate the clinical efficacy and outcomes of the coracoid osteotomy with or without Bristow-Latarjet procedures in the treatment of chronic anterior shoulder dislocation (CASD). Methods: Between January 2013 and January 2019, 20 shoulders of 18 patients who were diagnosed with chronic anterior dislocation and underwent open reduction in our trauma center were retrospectively studied. Open coracoid osteotomy with Bristow-Latarjet procedures were performed on 16 shoulders and open coracoid osteotomy without Bristow-Latarjet procedures were performed on four shoulders. Open coracoid osteotomy with or without Bristow-Latarjet procedures were chosen on the basis of the stability of the shoulder after reduction. Outcomes were assessed preoperatively and postoperatively with the visual analog scale (VAS) for pain, the American Shoulder and Elbow Surgeons (ASES) score, the University of California Los Angeles (UCLA) shoulder rating scale, and the range of motion (ROM) for shoulder activity. Results: There were three males and 15 females with an average age of 60.94 AE 2.69 years. The time between dislocation and treatment ranged from 21 to 240 days with an average of 73.3 AE 14.4 days. All patients were available for a mean follow-up of 15.2 AE 4.3 months. No procedure-related death or incision-related superficial or deep tissue infection was identified in all cases. No iatrogenic neurovascular injuries or fractures were found in this study. At the time of 12 months follow-up, the range of motion and the shoulder functional evaluation (VAS [P < 0.001], ASES [P < 0.001], and UCLA score [P < 0.001]) in patients who underwent Bristow-Latarjet procedures were significantly improved. Subluxation after surgical procedure was found and confirmed in one patient and this patient refused to undergo revision surgery. According to the Samilson and Prieto classification system, 16 shoulders were assessed as grade 0, three shoulders were grade 1, one shoulder was grade 2. Conclusions: Coracoid osteotomy with or without Bristow-Latarjet procedure yielded an acceptable clinical result in this study. This method has the advantages of enlarging the exposure of surgical field, assisting reduction of shoulder, and convenient conversion to Bristow-Latarjet procedure. It is an efficient and reliable method for treatment of chronic anterior shoulder dislocation. A 69-year-old woman diagnosed with right chronic anterior shoulder dislocation with large Hill-Sachs lesion. The latarjet procedure with remplissage technique was applied for this patient.

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Section: Discussionmentioning

confidence: 99%

Treatment of Chronic Anterior Shoulder Dislocation by Coracoid Osteotomy with or without Bristow–Latarjet Procedure

Yang

Zhang

et al. 2020

Orthopaedic Surgery

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“…Lubis et al managed a case of chronic anterior shoulder dislocation with open reduction and Latarjet procedure. The authors concluded that coracoid osteotomy prevents re-dislocation and enhances the functional status of the shoulder joint [14]. Open reduction along with Latarjet is further supported by the…”

Section: Discussionmentioning

confidence: 84%

Chronic Bilateral Anterior Shoulder Fracture-Dislocation Following Febrile Seizure After COVID-19 Vaccine: A Case Report

AlAskar¹,

Alqahtani²,

Alsuhaim³

2023

Cureus

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Although the shoulder is one of the most commonly dislocated joints in the body, bilateral gleno-humeral joint dislocation is considered rare. Due to its complexity and paucity of cases reported in the literature, it represents both a diagnostic and therapeutic challenge. We report a rare case of an adolescent boy who suffered chronic bilateral anterior shoulder dislocations with proximal humerus fracture and Hill-Sachs lesion after febrile seizure following COVID-19 vaccination. An 18-year-old male presented with bilateral proximal humerus fracture with anterior shoulder dislocation following a first-time seizure. He was managed with a bilateral Latarjet procedure and proximal humerus interlocking osteosynthesis (PHILOS) on the left side, and the right-side fracture was fixed with two 3.5 mm cannulated screws. After one year, the patient had a somewhat satisfactory outcome with a DASH (disabilities of the arm, shoulder, and hand) score of 31.8. Bilateral anterior shoulder dislocation with associated proximal humerus fracture remains one of the rare orthopedic injuries. Recurrent shoulder dislocations lead to chronic glenoid bone loss, which needs fixation along with fracture.

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“…In the past, patients with chronic dislocations were managed conservatively provided they had a functional range of motion. [16]. They concluded that coracoid osteotomy helps in preventing redislocation and improves the functional status of the shoulder joint.…”

Section: Discussionmentioning

confidence: 99%

Chronic Unreduced Anterior Shoulder Dislocation Managed by Latarjet Procedure: A Prospective Study

Rai¹,

Bandebuche²,

Bansal³

et al. 2022

Cureus

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The shoulder joint is the most common joint to undergo dislocation, with the anterior subtype being the most common. The most accepted definition of chronic dislocation is a shoulder joint that has remained dislocated for a minimum of three weeks. Due to rare presentation, there is a lack of consensus among surgeons regarding the optimal management option of chronic shoulder dislocation. The goal of this prospective study was to assess the efficacy of open reduction with Latarjet procedure in the management of chronic unreduced shoulder dislocation. A total of seven patients were included in this study. Five patients were males and two were females. The study was conducted in a single tertiary care centre between July 2015 and May 2018. All patients were managed by open reduction with the Latarjet procedure. The capsulolabral structures were repaired in all the cases. The post-operative functional outcome was assessed by shoulder range, Rowe score, and the University of California, Los Angeles (UCLA) score at regular intervals for a period of one year. There was a significant improvement in terms of pain relief and functional status of the patients. The patients were satisfied as they could do their daily routine activities without pain at a one-year follow-up. Early post-operative rehabilitation and physiotherapy are key to improving the functional range.

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

Abstract: Highlights Neglected shoulder dislocation is relatively rare case but the management is challenging. Dislocated should be reduced as soon as possible to prevent complicated situation. Latarjet procedure is an effective treatment of choice for neglected shoulder dislocation.

Cited by 9 publications

References 21 publications

Treatment of Chronic Anterior Shoulder Dislocation by Coracoid Osteotomy with or without Bristow–Latarjet Procedure

Treatment of Chronic Anterior Shoulder Dislocation by Coracoid Osteotomy with or without Bristow–Latarjet Procedure

Chronic Bilateral Anterior Shoulder Fracture-Dislocation Following Febrile Seizure After COVID-19 Vaccine: A Case Report

Chronic Unreduced Anterior Shoulder Dislocation Managed by Latarjet Procedure: A Prospective Study

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