Chronic Irreducible Anterior Dislocation of the Shoulder without Significant Functional Deficit

Chung, HoeJeong; Yoon, Yeo Seung; Shin, Jae Sung; Shin, John; Kim, Doo-Sup

doi:10.4055/cios.2016.8.3.333

Cited by 6 publications

(5 citation statements)

References 9 publications

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“…All patients who underwent surgical treatment complained of severe pain, limited activity, and declined quality of life. Though very few cases reported that patients with chronic irreducible anterior dislocation were without significant functional deficit 5 , most cases underwent surgical treatment to maintain patients' active lifestyle, including weightlifting and manual work.…”

Section: Discussionmentioning

confidence: 99%

“…The reasons of neglected shoulder dislocations in younger patients are almost always alcoholism, seizures, or multiple traumas 3, 4 . Though one study reported that the chronic anterior dislocation did not affect the function of the dislocated shoulder 5 , most patients with chronic anterior dislocation were unable to return to normal activities 6, 7 . Chronic anterior shoulder dislocation is commonly associated with several associated injuries, such as Hill–Sachs or Bankart lesions, glenoid fracture, massive glenoid bone loss, rotator cuff tears, or proximal humeral fractures 2, 8 .…”

Section: Introductionmentioning

confidence: 99%

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Treatment of Chronic Anterior Shoulder Dislocation by Coracoid Osteotomy with or without Bristow–Latarjet Procedure

Yang

Zhang

et al. 2020

Orthopaedic Surgery

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Objective: To investigate the clinical efficacy and outcomes of the coracoid osteotomy with or without Bristow-Latarjet procedures in the treatment of chronic anterior shoulder dislocation (CASD). Methods: Between January 2013 and January 2019, 20 shoulders of 18 patients who were diagnosed with chronic anterior dislocation and underwent open reduction in our trauma center were retrospectively studied. Open coracoid osteotomy with Bristow-Latarjet procedures were performed on 16 shoulders and open coracoid osteotomy without Bristow-Latarjet procedures were performed on four shoulders. Open coracoid osteotomy with or without Bristow-Latarjet procedures were chosen on the basis of the stability of the shoulder after reduction. Outcomes were assessed preoperatively and postoperatively with the visual analog scale (VAS) for pain, the American Shoulder and Elbow Surgeons (ASES) score, the University of California Los Angeles (UCLA) shoulder rating scale, and the range of motion (ROM) for shoulder activity. Results: There were three males and 15 females with an average age of 60.94 AE 2.69 years. The time between dislocation and treatment ranged from 21 to 240 days with an average of 73.3 AE 14.4 days. All patients were available for a mean follow-up of 15.2 AE 4.3 months. No procedure-related death or incision-related superficial or deep tissue infection was identified in all cases. No iatrogenic neurovascular injuries or fractures were found in this study. At the time of 12 months follow-up, the range of motion and the shoulder functional evaluation (VAS [P < 0.001], ASES [P < 0.001], and UCLA score [P < 0.001]) in patients who underwent Bristow-Latarjet procedures were significantly improved. Subluxation after surgical procedure was found and confirmed in one patient and this patient refused to undergo revision surgery. According to the Samilson and Prieto classification system, 16 shoulders were assessed as grade 0, three shoulders were grade 1, one shoulder was grade 2. Conclusions: Coracoid osteotomy with or without Bristow-Latarjet procedure yielded an acceptable clinical result in this study. This method has the advantages of enlarging the exposure of surgical field, assisting reduction of shoulder, and convenient conversion to Bristow-Latarjet procedure. It is an efficient and reliable method for treatment of chronic anterior shoulder dislocation. A 69-year-old woman diagnosed with right chronic anterior shoulder dislocation with large Hill-Sachs lesion. The latarjet procedure with remplissage technique was applied for this patient.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Treatment of Chronic Anterior Shoulder Dislocation by Coracoid Osteotomy with or without Bristow–Latarjet Procedure

Yang

Zhang

et al. 2020

Orthopaedic Surgery

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“…In some patients, excessive and unnecessary treatment, whether by arthroscopic or open techniques, may cause more harm than good. In some patients of advanced age, a very small number of patients with old shoulder dislocations remain asymptomatic and reasonably functional (19), and this article should remind us that in a very small number of patients, no treatment may be the best treatment.…”

Section: Discussionmentioning

confidence: 97%

Case report of old anterior dislocation of the shoulder joint and review of the literature

Guo

Hui²,

Yang³

et al. 2022

Front. Surg.

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BackgroundDislocation of the shoulder joint is the most common type of joint dislocation. It is rare to be in a persistent dislocation that has not been reset. Successful arthroscopic treatment of the obsolete shoulder is relatively uncommon.Case reportWe report a rare case of persistent anterior dislocation of the old shoulder joint in a 30-year-old female patient. The patient underwent an emergency shoulder dislocation at a local hospital after a traumatic injury and re-dislocated persistently after surgery. 26 days later, she was admitted to our department for treatment, mainly because of joint deformity and limitation of motion. We adopted arthroscopic release and repositioning surgery. The patient was followed up for 1 year after surgery. Functional recovery was satisfactory.ConclusionThe state of obsolete shoulder dislocation rarely occurs after shoulder dislocation and the prognosis of the patient is good after complete arthroscopic release and repositioning. It provides a reference for clinical arthroscopic treatment of old shoulder dislocations.

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“…8 The chance of repositioning the joint by closed manipulation diminished considerably over time, while complications associated with closed reduction substantially increase due to fibrotic soft tissues. 9 Following an unsuccessful attempt of closed reduction, open reduction is the next step. Release of capsule and other soft tissue is necessary to reduce the joint without tension.…”

Section: Discussionmentioning

confidence: 99%

Neglected Posterior Subtalar Dislocation: A Case Report and Operative Technique

Priherdadi

Primadhi

2021

mkb

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Posterior subtalar dislocation is an exceedingly rare entity. Early anatomic reduction, initially by closed means, is crucial. Failure to recognize this condition or any occurrence of neglect will complicate the management and worsen the outcome. There are a handful of case reports on posterior subtalar dislocation and even less for neglected cases. This study reports a neglected subtalar dislocation in a 26-year-old male who worked as a driver and had experienced high-energy trauma due to car collision. This patient was managed by open reduction and pinning, and was followed up 2 months later with a good outcome. This technique was selected to be able to achieve functional motions without pain.

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Chronic Irreducible Anterior Dislocation of the Shoulder without Significant Functional Deficit

Cited by 6 publications

References 9 publications

Treatment of Chronic Anterior Shoulder Dislocation by Coracoid Osteotomy with or without Bristow–Latarjet Procedure

Treatment of Chronic Anterior Shoulder Dislocation by Coracoid Osteotomy with or without Bristow–Latarjet Procedure

Case report of old anterior dislocation of the shoulder joint and review of the literature

Neglected Posterior Subtalar Dislocation: A Case Report and Operative Technique

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