Recurrent Dislocation of the Shoulder

Adams, John Crawford

doi:10.1302/0301-620x.30b1.26

Cited by 88 publications

(11 citation statements)

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“…The incidence of Bankart lesions in traumatic anterior shoulder instability has been reported to be 98% by Field et al (1995) and 87% by Altchek et al (1993). The incidence of bony Bankart lesions has been reported to be 20% by MacDonald (1962), and the incidence of Hill-Sachs lesions has been reported to be 77% by Pavlov et al (1985) and 82% by Adams (1948). In the present study, however, the incidences of all of these lesions were equal to those reported by the above authors or higher.…”

Section: Discussioncontrasting

confidence: 67%

Intraarticular lesions in traumatic anterior shoulder instability: A study based on the results of diagnostic imaging

Takase

Yamamoto

2005

Acta Orthopaedica

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Background Diagnostics of intraarticular lesions is important in the treatment of traumatic anterior shoulder instability.Patients and methods We studied 30 patients: 26 men and 4 women. For all patients preoperative examinations involved arthrography, CT arthrography, MR arthrography, and 3D-CT. ResultsThe articular capsule adhered to the margin of the glenoid in only 3 cases. In the remaining 27 patients, the joint capsule was detached, showing medial translation. Hill-Sachs lesions were present in 24 cases. Bankart lesions were detected in all cases, and they extended over 2-5 h. Osseous Bankart lesions were detected in 13 cases. MR arthrography revealed the articular labrum in all cases, but AIGHL in only 16 cases. Bankart lesions were found in all cases. When the patients were divided according to the frequency of dislocation, there was a correlation between both distance of the detached joint capsule and visualization of AIGHL and the frequency of dislocation.Interpretation From this study, the frequency of dislocation was higher in the patients with severe detachment of the joint capsule, in whom AIGHL could not be visualized by MR arthrography.

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Section: Discussioncontrasting

confidence: 67%

Intraarticular lesions in traumatic anterior shoulder instability: A study based on the results of diagnostic imaging

Takase

Yamamoto

2005

Acta Orthopaedica

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“…4 A great number of radiologic projections used to detect Hill-Sachs lesion have been described. [5][6][7][8] Unfortunately, no reliable radiologic view exists that would show the defect of the humeral head. 9 Usually, a number of radiologic views are needed to identify the Hill-Sachs lesion.…”

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confidence: 99%

Hill-Sachs lesion in recurrent shoulder dislocation: sonographic detection.

Čičak

Bilić

Delimar

1998

Journal of Ultrasound in Medicine

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In a prospective study 61 patients with recurrent anterior shoulder dislocation were evaluated by sonography, radiography, and surgery to determine the value of sonography in the detection of a HillSachs lesion. The group consisted of 57 male and four female patients with an average age of 27 years. Hill-Sachs lesion was found in 54 (88%) shoulders of the 61 surgically treated patients. Using surgical findings as the gold standard, we found sonography to be 96% (52 of 54 cases) sensitive, 100% specific (seven of seven cases), and 97% (59 of 61 cases) accurate in the diagnosis of HillSachs lesion. The average size of the lesion measured by sonography was 19.2 mm long, 16.0 mm wide, and 4.1 mm deep. The lesion was of small or medium size (up to 6 mm deep) in 88% of patients. Results of our study show that sonography is a valuable imaging technique in the diagnosis of Hill-Sachs lesion. It produced only two false-negative results when compared with surgical findings.

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“…There are many methods of correcting a recurrent dislocation by surgery; this itself shows that no single technique is fool proof. [1,2] Some technique treat the anatomical defect, while others correct the capsular pathology and some provide the bone block. But most of the techniques described have distinct disadvantages like immobilisation for several weeks and loss of external rotation.…”

Section: Introductionmentioning

confidence: 99%

Functional outcome of modified Boytchev procedure in recurrent shoulder dislocation

Suryakumar¹,

Ram²

2018

Int. J. Orthop. Sci.

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Objective: To evaluate functional outcome of recurrent anterior shoulder dislocation by modified Boytchev procedure. Materials and Method: This prospective study was done in 30 patients with recurrent dislocation of the shoulder, treated in the department of Orthopaedics Rajah Muthiah Medical Hospital and Sri Ramachandra Medical centre. The inclusion criteria were patients with recurrent anterior shoulder dislocation with minimum 5 to 8 episodes and age more than 18 years and less than 50 years. The exclusion criteria were fresh dislocation, dislocations with fracture of Coracoid process and patients with ligamentous laxity. The functional statuses of the patients were assessed using the Modified Rowe's Scale. Results: out of thirty patients treated by modified Boytchev procedure 93% of patients had excellent/good outcome. Two patients, who had fair outcome in our study, were due to traumatic dislocation one year following the procedure, which leads to periarthritis of the affected shoulder and restricting abduction and external rotation movements. Conclusion: Modified Boytchev procedure is cost effective and has an easy learning curve. Therefore it is the ideal management in rural area.

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Recurrent Dislocation of the Shoulder

Abstract: recurrent dislocation at the shoulder. Bloch records the case of a medical man, aged 43 years, who since an accident during adolescence had been subject to repeated luxation at the right shoulder, six times on slight provocation and 0n the last two occasions apparently " spontaneous.

Cited by 88 publications

References 0 publications

Intraarticular lesions in traumatic anterior shoulder instability: A study based on the results of diagnostic imaging

Intraarticular lesions in traumatic anterior shoulder instability: A study based on the results of diagnostic imaging

Hill-Sachs lesion in recurrent shoulder dislocation: sonographic detection.

Functional outcome of modified Boytchev procedure in recurrent shoulder dislocation

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