Management of Neglected Locked Anterior Dislocation of Shoulder: A Report of Two Cases

Abstract

There is a paucity of literature regarding a neglected shoulder dislocation, as it is unusual to miss it clinically due to the apparent deformity. Nevertheless, in some cases, particularly those who received the primary treatment from a local bonesetter, present with neglected dislocation. No high-level studies comparing different treatment modalities in such a situation are available. Therefore, most of the treatment recommendations are based on level four studies and the literature for recurrent dislocation of the shoulder. We herewith describe two cases of neglected anterior dislocation of the shoulder, which we have managed by open reduction and Latarjet procedure in one and Bankart surgery in the other patient. Both of our patients after one-year follow-up had a painless joint with improved yet limited range of motion. This case discussion helps in learning the approach towards the treatment of these patients. It also suggests a suboptimal functional outcome in them.

Neglected Anterior Shoulder Joint Dislocation Treated with Open Reduction and Latarjet Procedure: A Case Report

“…3 Delayed management in chronic shoulder dislocation anteriorly could cause seizures, decrease pain sensation, and fail to care. 4 In this case, the patient came for treatment after 6 months feeling pain and difficulty moving the shoulder. The patient had massaged the shoulder area and felt that the pain was reduced, so he did not come for further treatment.…”

“…Shoulder dislocation neglection management based on factors such as amount of bone loss on glenoid and humeral and activity level. 4 There are several treatment options that are most often used which is open reduction with Latarjet procedure, Bankart repair, capsulolabral repair and arthroplasty. 5 Procedure outcomes, such as Bankart repair, remplissage, coracoid transfer, bonegrafting and arthroplasty, in maintained shoulder stability were varied with high failure rates.…”

“…The Latarjet procedure have higher effectiveness in managing neglected shoulder joint dislocation and will be discuss further on this case report. 4…”