Acute shoulder and elbow dislocations in the athlete

Burra, Giridhar; Andrews, James R.

doi:10.1016/s0030-5898(01)00005-0

Cited by 27 publications

(11 citation statements)

References 98 publications

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“…It may also occur while blocking high shots in games such as netball and basketball or even goalkeepers in football. 36 The resultant position of the follow-through during a miss–hit in a boxer also predisposes them to an anterior dislocation. 36 Swimmers undergo repetitive microtrauma through their shoulder joint resulting in laxity, and leverage of the head inevitably occurs at various stages of a swimming stroke.…”

Section: Discussionmentioning

confidence: 99%

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Pitch-side management of acute shoulder dislocations: a conceptual review

Shah

Chhaniyara

Wallace

et al. 2017

BMJ Open Sport Exerc Med

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The shoulder, specifically the glenohumeral joint, by virtue of its anatomical characteristics and biomechanics confers a large range of movement, which ultimately results in a joint that is inherently prone to becoming unstable. The incidence of acute traumatic shoulder dislocation varies within the sporting environment, commonly occurring following direct trauma. Anterior dislocations account for nearly 90% of all dislocations. While most are referred and managed in the emergency department, pitch-side relocation by experienced clinicians does occur prior to referral. The aim of this study was to delineate a guideline specifically for the pitch-side management of this common injury. A literature search of PubMed and Medline using the keywords ‘prehospital’, ‘pitch-side’, ‘shoulder dislocation’ and ‘reduction’ or ‘relocation technique’ was performed, and the available literature was reviewed and collated. Articles focusing on reduction techniques were then reviewed, with particular consideration on their applicability to a pitch-side setting. While studies exist that compare and contrast examination and reduction techniques, most are based in a hospital setting. To date, there is no standardised management protocol published for the initial management of an anterior dislocated shoulder in a pitch-side setting. This article addresses this discrepancy and proposes a structured, algorithmic approach to the pitch-side management of a shoulder dislocation. The article addresses factors to consider in a pitch-side setting, suitable techniques and postreduction care. While a systematic approach has been delineated in this article, we recommend those pitch-side medical practitioners who provide this form of support should have attended appropriate training and ensure adequate malpractice cover.

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Section: Discussionmentioning

confidence: 99%

“…A direct mechanism of injury can result in any contact sport, and usually occurs when a violent anteriorly directed force occurs on the posterior aspect of the shoulder. 36 …”

Section: Discussionmentioning

confidence: 99%

Pitch-side management of acute shoulder dislocations: a conceptual review

Shah

Chhaniyara

Wallace

et al. 2017

BMJ Open Sport Exerc Med

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“…Shoulder dislocation rates are estimated at 0.24 per 1000 person-years in the USA [2] with substantially higher rates of dislocation, 1.69-4.35 per 1000 person-years among US military service members [2][3][4]. Athletes are particularly vulnerable to instability events, which may encompass a spectrum of injury from microinstability to subluxations and glenohumeral dislocation [5]. A recent review of glenohumeral instability events among collegiate athletes found that shoulder instability was reported at a rate of 0.12 per 1000 exposures, with the highest rates in contact sports, namely football, wrestling, and ice hockey.…”

Section: Introductionmentioning

confidence: 99%

Return to Sports After Shoulder Stabilization Surgery for Anterior Shoulder Instability

Elsenbeck

Dickens

2017

Curr Rev Musculoskelet Med

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Athletes managed nonoperatively demonstrate unacceptably high rates of recurrent instability and are less likely to successfully return to sport. Operative management includes capsuloligamentous repair (arthroscopic versus open) and bone augmentation techniques. While modern arthroscopic techniques have provided favorable outcomes, open techniques have demonstrated lower recurrence rates among young collision athletes. A subset of athletes continue to experience recurrent instability, leading to further investigation of concomitant pathologies, which may put patients at risk of failure following Bankart repair. Bony augmentation procedures remain favorable for patients with glenoid bone loss; however, what constitutes critical bone loss in the decision between anterior labral repair versus bone augmentation has recently been questioned. Operative management of anterior shoulder instability provides superior results, including lower recurrent instability and return to sport. Future research on patient-specific risk factors may aid surgical decision-making and optimization of outcomes.

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“…Yumuşak doku yetersizlikleri başlıca üç aşamada gerçekleşir: [4] Yumuşak doku hasarlarına ilaveten olguların %25-50'sinde eşlik eden başka yaralanmalar da olur: %5-10 radius başı kırıkları, %12 mediyal veya lateral epikondilde avulsiyon kırıkları, %10 koronoid ve olekranon kırıkları ve diğer eklem içi kırıklar izlenebilir. [5] Çıkığın yönüne göre de (burada ulnanın pozisyonuna göre tanım yapılır): bastırılırken, önkol supinasyonda ve dirsek yaklaşık 45° fleksiyonda iken, longitudinal traksiyon ile redüksiyon sağlanır. Bazı yazarlar, redüksiyon için dirseğin ön ve hiperekstansiyona getirilerek olekranonun kurtarılmasını önerirler; ancak bu durumda median sinir sıkışma riski vardır.…”

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Dirseğin travmatik çıkıkları

Baykal¹,

Kırdemir²

2019

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Acute shoulder and elbow dislocations in the athlete

Cited by 27 publications

References 98 publications

Pitch-side management of acute shoulder dislocations: a conceptual review

Pitch-side management of acute shoulder dislocations: a conceptual review

Return to Sports After Shoulder Stabilization Surgery for Anterior Shoulder Instability

Dirseğin travmatik çıkıkları

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