Unrecognized Dislocations of the Shoulder

Schulz, T.; Jacobs, Bernard; Patterson, Russel H.

doi:10.1097/00005373-196912000-00005

Cited by 82 publications

(43 citation statements)

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“…[7][8][9][10][11][12] Important clinical features include fixed internal rotation, highlighted by an inability to externally rotate Anteroposterior and axial radiographs of the right shoulder showing posterior dislocation.…”

Section: Discussionmentioning

confidence: 99%

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

Ivković

Borić

Čičak

2007

The Journal of Bone and Joint Surgery. British volume

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A man of 52 years of age had a grand mal seizure. He presented to our unit three months later with irreducible bilateral posterior dislocation of the shoulder. CT scans revealed large compression defects on the anteromedial aspect of the heads of both humeri. The defect on the right side was of more than 50% of the articular surface, and on the left side of 40%. He was treated by a one-stage operation with a hemiarthroplasty on one side and reconstruction of the head by an osteochondral autograft on the other. Three years later the clinical and radiological results were excellent.Less than 3% of dislocations of the shoulder are posterior and most are missed on initial examination.

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Section: Discussionmentioning

confidence: 99%

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

Ivković

Borić

Čičak

2007

The Journal of Bone and Joint Surgery. British volume

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“…Various studies have reported late presentation or very muscular individuals as reasons for the failure of reduction (14)(15)(16). The mean time of interval between accident and closed reduction ranged from 6 to 11 hours, which indicates that all cases were referred in time for closed reduction and that the cause of irreducibility was related to a fracture of the greater tuberosity.…”

Section: Discussionmentioning

confidence: 99%

Irreducible Anterior Shoulder Dislocation Associated With Displaced Fracture of the Greater Tuberosity: An Analysis of Seven Cases

Amroodi

2015

Shafa Ortho J

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Background: Although anterior shoulder dislocation is the most prevalent type of body dislocation, irreducible anterior shoulder dislocation is seldom reported in the literature, which is usually due to physical obstacles. Objectives: This study presents our findings regarding the causes of irreducibility of anterior shoulder dislocation associated with displaced fracture of the greater tuberosity. Patients and Methods:CT scans, open reduction of the joint, and internal fixation of the tuberosity was performed in seven patients with irreducible anterior shoulder dislocation associated with displaced fracture of the greater tuberosity. Results: As confirmed by intraoperative findings, the CT scans showed the cause of irreducible shoulder dislocation in six cases was the interposition of the long head of biceps (LHB) in the anterior of the head that was displaced from the fracture line between the greater and lesser tuberosities. In another case, the greater and lesser tuberosities were attached to each other and were separated from the head. This fractured part was trapped. Conclusions: We suggest that performing CT scans in all cases of anterior shoulder dislocations with displaced fracture of the greater tuberosity can help surgeons to diagnose the accompanying fractures and possible complications, such as irreducibility. If the fracture line passes through the bicipital groove or in the case of a shield fracture, possible irreducibility should be borne in mind.

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“…Chronic dislocation of shoulder usually limits range of motion and the shoulder becomes painfull. In the literature different terms are used such as; if the dislocation lasts more than 24 hours 3 , more than 1 week 4 , more than 3 weeks 5 or more than a month 6 . There is debate on treatment of this old injuries in the literature.…”

Section: Discussionmentioning

confidence: 99%

A Combined Surgery For Chronic Locked Anterior Shoulder Dislocation: Case Report and Review of the Literature

Turgut¹,

Günaydın²,

Eren³

et al. 2015

BSBD

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ÖZETOmuz çıkıkları sıklıkla eğer 3 haftadan daha eski ise kronik olarak adlandırılmaktadırlar. Bu çıkıkların çoğuna büyük Hill-Sachs lezyonları, glenoid kavite kemik kayıpları ve nörolojik yaralanmalar eşlik edebilir. Bizim olgumuz 66 yaşında bir bayan ve düşme sonucu başvurduğu merkezde sadece Radius alt uç kırığı olarak tedavi edilmiş, öne omuz çıkığı atlanmış. Kronik kilitli öne omuz çıkığının sonucu olarak büyük bir Hill-Sachs lezyonu olduğu saptandı. Yaralanmadan yetmiş gün sonra hastanın omuz rahatsızlığından (ağrı ve hareket kısıtlılığı) dolayı hastaya tedavi olarak; açık redüksiyon, Latarjet Prosedürü ve proksimal humeral içe döndürme osteotomisi uygulandı. Bu tedavi kombinasyonu kronik omuz çıkığı için İngilizce literatürde bir ilktir. Bir yıl sonra hasta ameliyat sonucundan oldukça memnun kalmıştır. Hasta fonksiyonel omuz hareketini kazanmış ve omzunun instabilite olmadan ağrısız olduğu saptanmıştır. Büyük Hill-Sachs lezyonları yaşlı hastalarda genel olarak hemiartroplasti ile tedavi edilmektedir ancak hastanın kendi kemiği korunarak da başarılı sonuç alınabilir. Anahtar Kelimeler: Omuz çıkığı, kronik, cerrahi SUMMARYShoulder dislocations are commonly named chronic if it is older than 3 weeks. Many of these dislocations can be complicated by large Hill-Sachs lesions, glenoid cavity bone loss and neurologic injuries. Our case is 66 years old female and she had been treated only as distal radius fracture by a center and anterior shoulder dislocation was missed. As a result of chronic locked anterior locked dislocation, she had a large Hill-Sach lesion. Seventy days after injury; because of the patient's shoulder discomfort (pain and limited motion) we performed open reduction, Latarjet Procedure and proximal humeral internally rotating osteotomy as a treatment. This type of treatment for chronic anterior dislocation is used firstly by us in English literature. After one year the patient was satisfied with the result. She gained functional motion and she was pain free without shoulder instability. Large Hill-Sach lesions are commonly treated by hemiarthroplasty if the patient is elderly. But preserving patients own bone can be successful too.

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Unrecognized Dislocations of the Shoulder

Cited by 82 publications

References 0 publications

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

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

Irreducible Anterior Shoulder Dislocation Associated With Displaced Fracture of the Greater Tuberosity: An Analysis of Seven Cases

A Combined Surgery For Chronic Locked Anterior Shoulder Dislocation: Case Report and Review of the Literature

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