Complete avulsion of the rotator cuff footprint in an irreducible traumatic posterior glenohumeral fracture-dislocation due to infraspinatus interposition

Scholten, Ruben; Boons, Harm W.

doi:10.1016/j.jse.2017.05.007

Cited by 5 publications

(8 citation statements)

References 17 publications

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“…After review, 12 articles fit our inclusion criteria ( Figure 1 ). 5 – 10 , 15 , 18 , 22 , 24 , 25 , 30 All studies were single case reports (level 4 evidence).…”

Section: Resultsmentioning

confidence: 99%

“…Attempted closed reduction was reported in all 12 studies. In 7 studies, 7 , 8 , 10 , 22 , 24 , 25 , 30 attempts at closed reduction were performed with conscious sedation, and 4 studies 8 , 10 , 22 , 24 included attempts with general anesthesia. Nine patients underwent advanced imaging before operative reduction: 4 had magnetic resonance imaging, and 5 had a computed tomography scan.…”

Section: Resultsmentioning

confidence: 99%

“…Two studies 22 , 25 cited validated outcome scores at final follow-up but no preoperative outcome scores. Three studies 8 , 15 , 24 reported quantitative range of motion assessments, while 3 studies 9 , 22 , 25 reported qualitative assessments. Last, 1 study 10 found limited range of motion in the patient owing to the presence of a humeral head defect.…”

Section: Resultsmentioning

confidence: 99%

“…No study reported recurrent instability. Out of the 6 studies 8 , 9 , 15 , 22 , 24 , 25 that assessed postoperative range of motion, all reported “full” or gave parameters that fell within functional range of motion.…”

Section: Resultsmentioning

confidence: 99%

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A Systematic Review of Acute Irreducible Shoulder Dislocations in the 21st Century

Liechti

Shepet

Glener

et al. 2022

Orthopaedic Journal of Sports Medicine

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Background: Rarely, closed reduction cannot be achieved in patients with acute shoulder dislocation, necessitating open management. A paucity of literature exists regarding these cases. Purpose: To perform a systematic review on the mechanism, management, and outcome data of acute irreducible shoulder dislocations. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review of the literature was performed using the Cochrane Database of Systematic Reviews, the Cochrane Central Register of Controlled Trials, PubMed, and MEDLINE between 2000 and 2020. Inclusion criteria were as follows: human participants, acute irreducible shoulder dislocation requiring open management, English language, and publication within the past 20 years. We excluded basic science articles, technique articles, reviews, editorials, and studies of chronic shoulder dislocations or dislocations with ipsilateral humeral shaft fractures. Results: Twelve articles fit the inclusion criteria and were considered for review. All studies were single case reports (level 4 evidence). Ten of the 12 studies were of male patients. The direction of dislocation included 7 anterior/anteroinferior, 2 posterior, 1 inferior, 1 bilateral inferior, and 1 superolateral. Most dislocations were irreducible owing to a mechanical block to reduction. The most common type of block was an incarcerated long head of the biceps tendon, followed by interposition of 1 of the rotator cuff tendons. The axillary and musculocutaneous nerves, displaced fracture fragments, and Hill-Sachs and bony Bankart lesions were other causes of blocks to reduction. Eleven patients were treated with open surgery, while 1 patient was treated arthroscopically. Procedures performed were dependent on concurrent pathology. Final follow-up ranged from 6 weeks to 2 years, with no repeat dislocation episodes reported. Complications after open reduction included 1 case of brachial plexopathy (posterior cord) and 1 case of musculocutaneous nerve palsy. Conclusion: There is a paucity of literature on the management of irreducible acute shoulder dislocations. The most common irreducible dislocation found in this systematic review was anterior with a mechanical block attributed to interposition of the long head of the biceps tendon. When patients were treated with an open or arthroscopic procedure, recurrence was low, with none reporting recurrent dislocation in limited follow-up.

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“…After review, 12 articles fit our inclusion criteria ( Figure 1 ). 5 – 10 , 15 , 18 , 22 , 24 , 25 , 30 All studies were single case reports (level 4 evidence).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

A Systematic Review of Acute Irreducible Shoulder Dislocations in the 21st Century

Liechti

Shepet

Glener

et al. 2022

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

show abstract

“…There are several reports on patients with "irreducible" shoulder dislocations in patients appearing to have either anterior or posterior dislocations. In a few cases, the shoulder appears subluxated and the joint space widened with the humeral head slightly lateral and cranial 1,6,11,12,21,22,26,27,29,33 . In many of these reports the deformity is called "posterior dislocation", but the humeral head has not been engaged against the glenoid.…”

Section: J O U R N a L P R E -P R O O Fmentioning

confidence: 99%

Luxatio erecta of the humerus: the spectrum of injury of inferior shoulder dislocation and analysis of injury mechanisms

Wolf

Ekholm²

2022

JSES Reviews, Reports, and Techniques

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Posterolateral dislocation and incarceration of the long head of the biceps tendon: a rare cause of irreducible anterior glenohumeral joint dislocation—a case report and brief review of the literature

Shafieioun,

Curtis,

Smitaman

2023

Skeletal Radiol

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Complete avulsion of the rotator cuff footprint in an irreducible traumatic posterior glenohumeral fracture-dislocation due to infraspinatus interposition

Cited by 5 publications

References 17 publications

A Systematic Review of Acute Irreducible Shoulder Dislocations in the 21st Century

A Systematic Review of Acute Irreducible Shoulder Dislocations in the 21st Century

Luxatio erecta of the humerus: the spectrum of injury of inferior shoulder dislocation and analysis of injury mechanisms

Posterolateral dislocation and incarceration of the long head of the biceps tendon: a rare cause of irreducible anterior glenohumeral joint dislocation—a case report and brief review of the literature

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