One-stage operation for locked bilateral posterior dislocation of the shoulder

Ivković, Alen; Borić, Igor; Čičak, Nikola

doi:10.1302/0301-620x.89b6.18842

Cited by 39 publications

(37 citation statements)

References 19 publications

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“…We think that in such extremely rare cases, with no general contraindications and the patient's consent, simultaneous reduction with fractures stabilization is a solution which should be taken into account. The literature documenting simultaneous bilateral open reduction of posterior and anterior shoulder dislocations and our case with the obtained clinical results substantiate the adopted mana gement method in carefully selected cases [7,16,17]. Our case has also disclosed that clinical improvement may be expected even 2 years after the surgery.…”

Section: Wnio Skisupporting

confidence: 82%

“…Uwa ża my, że w tak nie zwy kle rzad kich przy pad kach, bez obec no ści prze ciw wska zań oraz po uzy ska niu zgo dy pa cjen ta, jed no cza so wa obu stronna re po zy cja jest jed nym ze spo so bów le cze nia, któ ry po wi nien być bra ny pod uwa gę. Pi śmien nic two do tyczą ce jed no cza so wej, obu stron nej otwar te re po zy cji tyl nych oraz przed nich zwich nięć sta wów ra mien nych, a ta kże opi sy wa ny przy pa dek oraz osią gnię ty wy nik kli nicz ny po twier dza słusz ność wy bra nej me to dy le czenia w sta ran nie wy bra nych przy pad kach [7,16,17]. Nasz przy pa dek do wo dzi, że po pra wy kli nicz nej mo żna spo dzie wać się na wet po dwóch la tach od za bie gu.…”

Section: Discussionunclassified

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Clinical improvement two years after one stage bilateral open reduction of chronic anterior shoulder dislocations with internal fixation of greater tuberosity fractures. Case report

Kubiak¹,

Fabiś²

2013

Ortopedia, traumatologia, rehabilitacja

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STRESZCZENIEW pra cy przed sta wia my rzad ki przy pa dek kli nicz nej po pra wy po dwóch la tach od jed no cza so wej, obu stron nej, otwar tej re po zy cji za sta rza łych zwich nięć sta wów ra mien nych z we wnętrz ną sta bi li za cją zła mań guz ków więk szych. Pa cjent do znał zwich nię cia obu sta wów ra mien nych ze zła ma nia mi guz ków więk szych w wy ni ku po ra że nia prą dem elek trycz nym. Po ura zie był ho spi ta li zo wa ny na od dzia le we wnętrz nym, gdzie nie roz po zna no zwich nięć w sta wach ra mien nych. Czte ry ty go dnie póź niej dia gno za obu stron ne go zwich nię cia obu sta wów ra mien nych ze zła ma nia mi guz ków więk szych zo sta ła po twier dzo na ra dio lo gicz nie. U pa cjen ta wy ko na no jed no cza so wą, obu stron ną, otwar tą re po zy cję za sta rza łych zwich nięć sta wów ra mien nych z we wnętrz ną sta bi li za cją zła mań guz ków więk szych z do stę -pu w bruź dzie pier sio wo -na ra mien nej. Po za bie gu bar ki unie ru cho mio no przez 6 ty go dni, na stęp nie pa cjent był reha bi li to wa ny. Wy nik le cze nia oce nio no po upły wie jed ne go oraz dwóch lat od za bie gu. Stwier dzo no bar dzo do bry, nie bo le sny za kres ru chów w obu bar kach. Wy ni ki uzy ska ne w zmo dy fi ko wa nej ska li Con stan ta by ły bar dzo do bre (95 punk tów). We dług na szej wie dzy, po dob ny przy pa dek nie zo stał jesz cze opi sa ny w li te ra tu rze. Do wo dzi on, że za sta rza łe, obu stron ne zwich nię cia sta wów ra mien nych mo gą być le czo ne z do brym wy ni kiem jed no cza so wą, otwartą re po zy cją, pod wa run kiem od po wied nie go do bo ru pa cjen tów oraz po uzy ska niu zgo dy. Po za tym, po pra wy klinicz nej mo żna spo dzie wać się na wet po dwóch la tach od za bie gu.Słowa kluczowe: zastarzałe obustronne przednie zwichnięcia stawów ramiennych; jednoczasowa otwarta repozycja SUMMARYWe report an unusual case of clinical improvement two years after one-stage bilateral open reduction of chronic anterior shoulder dislocations with internal fixation of greater tuberosity fractures. The chronic bilateral anterior shoulder dislocations with greater tuberosity fractures were caused by an electric shock. After the injury the patient was hospitalized in a medical ward and the dislocations were not diagnosed. Four weeks later, the diagnosis of bilateral anterior shoulder dislocation with greater tuberosity fractures was confirmed by X-ray. The patient was treated with one-stage bilateral open reduction of chronic shoulder dislocations with internal fixation of greater tuberosity fractures from a deltopectoral approach. The shoulders were immobilized for six weeks, following which the patient underwent rehabilitation. He underwent a thorough first evaluation at one year after the procedure and a second evaluation after two years. At the follow-up visit, he had a very good and comfortable range of motion in both shoulders. The modified Constant score was very good in both shoulders (95 points). To the best of our knowledge, such a case has not yet been described in the literature. O...

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Section: Wnio Skisupporting

confidence: 82%

Section: Discussionunclassified

Clinical improvement two years after one stage bilateral open reduction of chronic anterior shoulder dislocations with internal fixation of greater tuberosity fractures. Case report

Kubiak¹,

Fabiś²

2013

Ortopedia, traumatologia, rehabilitacja

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“…[9,10,17,23,24] Autogenous bone grafting is a widely applied surgical technique for various orthopedic conditions. However, obtaining bone graft from iliac crest has significant morbidity.…”

Section: Discussionmentioning

confidence: 99%

Rafting technique without bone grafting in reverse Hill-Sachs lesions

Çirpar

Oktaş

Dağlar

2017

Eklem Hastalik Cerrahisi

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“…Posterior shoulder dislocation management depends on the patient´s age, duration of dislocation, extent of damage to articular surface and patient demands and level of activity [6,[12][13][14]17]. The time from the dislocation and the reverse Hill-Sachs lesion size are the major factors in determining whether or not close reduction can be used.…”

Section: Discussionmentioning

confidence: 99%

“…One way to help to confirm the diagnosis is the unique trauma mechanism: Traumatic posterior shoulder dislocations follow a specific injury mechanism with adduction and internal rotation in an outstretched anteflexed arm [10]. Dislocation duration and size of the humeral head defect are the major factors in determining the treatment plan [6,8,13,14]. Acute dislocation (less than six weeks of injury) and small defect up to 25% of the humeral head articular surface can be treated by closed or open reduction [6,13].…”

Section: Introductionmentioning

confidence: 99%

Traumatic bilateral posterior dislocation of the shoulder: a case report

et al. 2013

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AbstractIntroduction. Bilateral posterior dislocation of the shoulder is a rare injury, accounted for about 2–5% of all shoulder dislocations. Main courses are electrical shock, epilepsy or extreme trauma with uncontrolled muscle forces. We report about a case of bilateral posterior shoulder dislocation without additional fractures but with a concomitant acromioclavicular joint dislocation. Case presentation. A 46-year-old Caucasian motorcyclist presented to our facility after a fall on slippery ground. He claimed pain in both shoulders with limited range of motion. The initial X-rays were inconclusive, clinical examination showed typical findings of a Rockwood injury with an additional limited external rotation so that a posterior shoulder dislocation was suspected. The CT scan confirmed the clinical suspicion. A closed reduction was performed followed by immobilization in a shoulder abduction pillow for 4 weeks and continuous physiotherapy. Upon follow up normal function with full range of motion was observed. Conclusion. A bilateral posterior shoulder dislocation can be caused by trauma and results in a limited range of motion with often additional injuries. Due to the unusually presentation the risk of missing the injury is increased. Therefore it is most important to consider this rare diagnosis and in case of clinical suspicion perform a careful algorithm of diagnostic.

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One-stage operation for locked bilateral posterior dislocation of the shoulder

Cited by 39 publications

References 19 publications

Clinical improvement two years after one stage bilateral open reduction of chronic anterior shoulder dislocations with internal fixation of greater tuberosity fractures. Case report

Clinical improvement two years after one stage bilateral open reduction of chronic anterior shoulder dislocations with internal fixation of greater tuberosity fractures. Case report

Rafting technique without bone grafting in reverse Hill-Sachs lesions

Traumatic bilateral posterior dislocation of the shoulder: a case report

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