Conservative or surgical management for that shoulder dislocation?

Onks, Cayce; Silvis, Matthew; Loeffert, Jayson; Tucker, James; Gallo, Robert A.

doi:10.12788/jfp.0156

Cited by 3 publications

(1 citation statement)

References 27 publications

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“…Una reducción inmediata en atención primaria o prehospitalaria es considerada como eficaz y segura. 8 La búsqueda bibliográfica revela muchos métodos disponibles para reducir un hombro dislocado, pero cada método de reducción está asociado con una o más complicaciones. Las complicaciones de varios métodos incluyen lesiones neurovasculares atribuidas principalmente al método de tracción contra tracción y disfunción de las extremidades superiores que pueden llevar a una amputación.…”

Section: Acción Prehospitalariaunclassified

Manejo conservador de luxaciones glenohumerales anteriores en atención primaria. Revisión literaria

German-Toaquiza,

Garay-Villamar

2024

Vida y Salud

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Objetivo: Valorar la efectividad de nuevas técnicas como el método de reducción en las luxaciones glenohumerales anteriores. Método: Revisión de la literatura con enfoque descriptivo. Resultados y conclusiones: La revisión literaria establece que existe un nuevo método de reducción en las luxaciones glenohumerales anteriores: la técnica de Prakash. La técnica presenta una buena efectividad, rapidez y de uso fácil, sin que haya complicaciones a posterior. La técnica Prakash es uno de los métodos que se debe usar como principal, antes de emplear los comunes por su nivel de eficiencia. Sin embargo, es necesario hacer hincapié que se necesita de más investigaciones controladas, para que la implementación de dicho método sea validada.

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Section: Acción Prehospitalariaunclassified

Manejo conservador de luxaciones glenohumerales anteriores en atención primaria. Revisión literaria

German-Toaquiza,

Garay-Villamar

2024

Vida y Salud

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A Locked Posterior Shoulder Dislocation: An Injury Not to Miss

Lahrach,

Skalli,

Benameur

et al. 2024

Cureus

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Locked posterior shoulder dislocations are dislocations that remain unreduced for more than three weeks. In most cases, they are associated with other injuries. We report the case of a 38-year-old male who presented with pain and total functional impotence due to a complex injury, including posterior glenohumeral dislocation, a reverse Hill-Sachs lesion, and a clavicle fracture. Because of the unsuccessful attempts at closed reduction, the patient underwent surgery. We performed the McLaughlin technique, which included the transfer of the subscapularis tendon to the reverse Hill-Sachs lesion, stabilized by bone anchors. At the last follow-up, the patient was doing well and had regained full range of motion with no recurrent dislocation. Clinicians should maintain clinical and radiological suspicion about this injury to timely manage this rare and dangerous injury.

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An Assessment of Functional Outcomes and Prognostic Measures Following the Management of Shoulder Dislocations at a Tertiary Care Hospital in the United Kingdom

Nath,

Mohindra,

Bin Sahl

et al. 2024

Cureus

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Background and objective Shoulder dislocations account for around half of all major joint dislocations in the UK and pose a significant healthcare burden. Management decisions post-reduction procedures involve a range of options, including conservative measures, surgery, and physiotherapy. Patient-reported outcome measures (PROMs), such as the Oxford Shoulder Instability Score (OSIS) and Simple Shoulder Test (SST), have emerged as crucial tools for evaluating treatment outcomes, reflecting a shift towards patient-centred care. This study aimed to evaluate trends related to prognostic factors versus PROMs following the management of shoulder dislocations at a tertiary care centre. Methods An observational, retrospective cohort study was conducted at Wythenshawe Hospital, Manchester, involving 70 patients with shoulder instability. Patient demographics, management strategies, and outcomes were evaluated using PROMs, focusing on functional disability assessed by OSIS and SST. Prognostic factors, including age, recurrence, and physiotherapy, were examined to understand their impact on treatment efficacy. Results The study included a diverse patient demographic, with both OSIS and SST scores showing a downward trend with increasing age. Physiotherapy correlated with improved SST scores, emphasising its role in rehabilitation. Limited physiotherapy availability and variations in patient-reported data posed challenges in assessing the cohort-wide impact of treatment. Conclusions The observed correlation between functional outcomes and patient perceptions underscores the intricate relationship between physical function and subjective experiences, contributing to the nuanced understanding of shoulder dislocation management.

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Conservative or surgical management for that shoulder dislocation?

Cited by 3 publications

References 27 publications

Manejo conservador de luxaciones glenohumerales anteriores en atención primaria. Revisión literaria

Manejo conservador de luxaciones glenohumerales anteriores en atención primaria. Revisión literaria

A Locked Posterior Shoulder Dislocation: An Injury Not to Miss

An Assessment of Functional Outcomes and Prognostic Measures Following the Management of Shoulder Dislocations at a Tertiary Care Hospital in the United Kingdom

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