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

Abstract

INTRODUCTION:The joint dislocation is most commonly occurring in shoulder joint. There are two types of dislocation which is anterior and posterior joint dislocation. Most of the case that brings patients to the clinic was the anterior subtypes dislocation and it needs an immediate treatment. Chronic anterior shoulder joint dislocation is a rare case of anterior joint dislocation in orthopaedics where the dislocation of the joint has remained dislocated for three weeks. CASE PRESENTATION:A 49-year-old with left shoulder deformity he came to outpatient department of Orthopaedics with chief complaint pain when moving the left shoulder region for 6 months ago. He went for traditional massage treatment, but pain on shoulder still persisted and still deformed. Patient diagnosed with neglected anterior shoulder dislocation for 6 months, open reduction and Latarjet surgery was done to manage the case. Follow up the patient for 3 months as outpatient and there is no pain or recurrent dislocation. DISCUSSION:Chronic anterior shoulder joint dislocation is an unusual case for Orthopaedic surgeons to encounter. Latarjet would bring stability by ‘triple effect’ and it is more familiar for the surgeon than remplissage procedure CONCLUSION:Neglected anterior shoulder joint dislocation was one of rare case in Orthopaedics where there is no specific treatment for the dislocation but with open reduction and Latarjet surgery, there was a higher effectiveness for stability and lower recurrence rate Keywords: Neglected anterior shoulder dislocation, Latarjet procedure, open reduction