Anterior Shoulder Dislocation

Abstract

Ann R Coll Surg Engl 2009; 91: 2-7 2The glenohumeral joint of the shoulder is the most commonly dislocated joint in the human body. Acute dislocation is a surgical emergency and demands urgent relocation. Failure to reduce a dislocated shoulder successfully within the first 24 hours carries the risk that it will be impossible to achieve a stable closed reduction. 1Broadly speaking, anterior shoulder dislocation shows a bimodal age distribution (Fig. 1) Anterior dislocation of the shoulder is commonly seen in accident and emergency (A&E) and trauma clinics. In this article, we review the existing literature on the injury and the recent trends in management. MATERIALS AND METHODS We have discussed this condition with our colleagues and performed a Medline search ('anterior shoulder dislocation') of the relevant papers. We also describe key historical publications and recent developments regarding immobilisation of the joint. RESULTS Management decisions regarding this condition continue to vary between units, especially for recurrent and posterior dislocation. This paper lays some emphasis on the choice of analgesic agent when attempting shoulder reduction in the A&E setting. A summary of the data from our own department has provided a graphical representation of the classical age and sex distribution for this condition. CONCLUSIONS Shoulder dislocation is a common injury. Delays in diagnosis remain the single biggest obstacle to optimum results in this group of patients. A significant proportion will require eventual surgery and up to a third of these patients will go on to develop long-term shoulder arthritis. Even patients who have experienced a single episode of dislocation may go on to develop long-term sequelae.

Rétting á fremra liðhlaupi í öxl með Cunningham-aðferðinni

“…1 Flest þeirra eru fremri axlarliðhlaup eða 95%, en þau verða oft við áverka á efri útlim í fráfaerslu, útsnúningi og réttu eins og við fall á útrétta hendi. 1,2,3 Mörgum aðferðum hefur verið lýst til að rétta axlarliðhlaup. Í yfirlitsgrein frá 2005 er maelt með Milch, Kocher eða Cunningham sem fyrstu meðferð.…”

Clinical forms of shoulder instability in pediatric patients

“…В то же время, по мнению S . Cutts (2009), публикаций по данной проблеме у детей нет [9] . Как отмечает K .…”

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

“…The most common dislocation of the major joints in the human body is that of the glenohumeral joint of the shoulder, and over 95% of dislocations are anterior dislocations (1). The closed reduction of the anterior dislocated joint is performed under general anesthesia with adequate muscle relaxation accomplished using various maneuvers and techniques (2).…”

“…These dislocations are known as irreducible anterior shoulder dislocations and require open surgery; unfortunately, these are rarely reported on (5). Although arthroscopic intervention has been recently introduced, open surgery still remains the gold standard (1).…”