Open Operative Treatment for Anterior Shoulder Instability

Millett, Peter J.; Clavert, Philippe; Warner, Jon J.P.

doi:10.2106/jbjs.d.01921

Cited by 117 publications

(94 citation statements)

References 123 publications

(171 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Warner et al reported a good outcome after using hamstring tendons. Gallie and Le Mesurier described the use of iliotibial band with irreparable capsule, and the results were generally good, with no recurrences [13] [14]. This patient also had greater tuberosity fracture, but it was successfully reduced and fixed by TBW technique [15].…”

Section: Discussionmentioning

confidence: 84%

Ulnar Claw-Hand Related Neglected Post-Traumatic Anterior Shoulder Joint Dislocation

Rasyid¹

2017

OALib

View full text Add to dashboard Cite

Shoulder joint is the most frequently dislocated joint. Humeral head dislocation pushed the nerve toward medial side. Neglected shoulder dislocation is difficult to manage and requires extensive procedures to obtain good functional outcome. In the case of negligence, it is often found loss of the anterior capsule due to absorption of the capsule. Nerve lesions, in particular the ulnar nerve, often do not receive attention. Clinically, it often occurred from neurapraxia to severe condition like claw-hand deformity. In my experience of a neglected case, there was a 53-year-old woman who presented to the orthopaedic clinic with a left anterior shoulder fracture dislocation following a fall onto the right shoulder and upper right arm. She had treated herself at home for around six months before visiting the clinic. She also complained of some deformities on her ring and little fingers, known as ulnar claw-hand. Numbness and tingling on her left hand especially on the ring and little fingers were observed. These findings were carefully documented and the patient was aware of these persistent abnormalities. She had electromyography (EMG) and nerve conduction velosity (NCV) examination evidence of persistent ulnar nerve deficit, performed before and after surgery. We may conclude that this case highlights the need for awareness of the potential for nerve damage following shoulder dislocation. After treating the dislocation, the functional and EMG results are very satisfactory.

show abstract

Section: Discussionmentioning

confidence: 84%

Ulnar Claw-Hand Related Neglected Post-Traumatic Anterior Shoulder Joint Dislocation

Rasyid¹

2017

OALib

View full text Add to dashboard Cite

show abstract

“…Das liegt daran, dass keine einheitliche bildgebende Diagnostik verwendet wird und die Interpretation und Klassifikation der knöchernen Läsionen unterschiedlich gehandhabt werden [4,9,22]. Bei genauerer Analyse finden sich initial nach traumatischer vorderer Erstluxation knöcherne Glenoidrandabrissfrakturen ("Bankart-Fraktur") in 20-30% der Fälle [9].…”

Section: Vorbemerkungenunclassified

“…Die akute knöcherne Bankart-Läsion mit Dislokation des Pfannenrandfragments (Abriss des LabrumLigament-Kapsel-Komplexes mit knöchernem anteroinferiorem Glenoidrand) stellt wegen der Gefahr der Reluxation und der sekundären Progredienz anteroinferiorer Glenoiddefekte, die zum späteren Zeitpunkt nur durch nichtanatomische knöcherne Verfahren (Korakoidtransposition, autogene Spanplastik) [1,4,7,14,[22][23][24]40] beherrschbar sind, eine absolute Operationsindikation dar. Die Frage des offenen oder arthroskopischen Zugehens hängt von der Erfahrung und dem sicheren Umgang mit der arthroskopischen Technik ab [8,22,25,28,39].…”

Section: Abbildungunclassified

“…Die Frage des offenen oder arthroskopischen Zugehens hängt von der Erfahrung und dem sicheren Umgang mit der arthroskopischen Technik ab [8,22,25,28,39]. Das Operationsprinzip ist für beide Verfahren identisch: Der abgerissene Knochen-Labrum-Ligament-Kapsel-Komplex muss sicher anatomisch fixiert werden.…”

Section: Abbildungunclassified

“…Das Operationsprinzip ist für beide Verfahren identisch: Der abgerissene Knochen-Labrum-Ligament-Kapsel-Komplex muss sicher anatomisch fixiert werden. Hierbei kann bei kleinen knöchernen Schuppen eine Fixation mit transossären Bankart-Nähten [32,33] oder mit Fadenankersystemen durchgeführt werden [20,22]. Bei größeren Fragmenten sollte die offene anatomische Reposition mit extraartikulärer Schraubenosteosynthese [22,27,29] angestrebt werden.…”

Section: Abbildungunclassified

See 2 more Smart Citations

Behandlungskonzepte zur Versorgung akuter Glenoidfrakturen nach vorderer oder hinterer Luxation

Goebel

Seebauer

2008

Orthop Traumatol

View full text Add to dashboard Cite

show abstract

Glenoid bone lesions: Comparison between 3D VIBE images in MR arthrography and nonarthrographic MSCT

Tian

Yao

Zheng

2012

Magnetic Resonance Imaging

View full text Add to dashboard Cite

Purpose: To evaluate the feasibility of using a fat-suppressed 3D volumetric interpolated breath-hold examination (VIBE) sequence in magnetic resonance (MR) arthrography as a substitute for nonarthrographic multislice computed tomography (MSCT) in detecting glenoid bone lesions. Materials and Methods:Fat-suppressed 3D VIBE MR arthrography and MSCT were performed in 56 patients (46 male, 10 female; age range, 14-51 years; mean age, 26 years). Based on the results of MSCT, the sensitivity and specificity of fat-suppressed 3D VIBE images for detection of bony Bankart lesion and glenoid bone loss were determined. Statistical significance of the percentages of glenoid bone loss between these two methods was calculated.Results: Bony Bankart lesions were noted in 23 (41.1%) of 56 glenohumeral joints, and glenoid bone loss was found in 40 (71.4%) of 56 patients at nonarthrographic MSCT. Compared with MSCT, the sensitivity and specificity of fatsuppressed 3D VIBE images in detecting bony Bankart lesions were 95.7%-100% and 93.9%-97.0%, respectively (kappa value ¼ 0.926), and those in predicting glenoid bone loss were 95.0% and 93.8%, respectively. For quantification of glenoid bone loss, there was a high correlation between fat-suppressed 3D VIBE and MSCT (r ¼ 0.921, P < 0.001).Conclusion: Fat-suppressed 3D VIBE MR arthrography is a promising substitute for MSCT as a reliable method for evaluating bony Bankart lesion and glenoid bone loss. GLENOID BONE LOSS and bony Bankart lesion are common injuries in patient who suffered from anterior shoulder dislocation or recurrent anterior dislocation (1-3). Identification and quantification of these glenoid bony abnormalities are important because such information is helpful to predict the likelihood of further dislocation and to determine the need for bone augmentation surgery in order to restore shoulder stability. Failure to address these bony lesions is one of the main risk factors for recurrent dislocation due to shoulder instability after Bankart repair (4).Nonarthrographic multislice computed tomography (MSCT) is presently considered the most accurate imaging technique for visualization and quantification of glenoid bone lesions (5), but it is not useful for detecting the labral lesions and soft tissue injuries. On the other hand, magnetic resonance (MR) arthrography has been proven the best imaging modality for evaluating shoulder instability, including labral tear and ligament injuries, with high sensitivity and specificity (6-8). However, it has not been validated for reliably detecting bony abnormalities of the glenoid (9). Therefore, in clinical practice, a patient with shoulder instability has to have both MR arthrography and CT examination for comprehensive evaluation before arthroscopic repair. The additional CT examination increases not only the total cost, but also the radiation hazard for the patient.In our clinical practice, a fat-suppressed 3D volumetric interpolated breath-hold examination (VIBE) sequence was added to the shoulder MR arthrography scanning pro...

show abstract

Open Operative Treatment for Anterior Shoulder Instability

Cited by 117 publications

References 123 publications

Ulnar Claw-Hand Related Neglected Post-Traumatic Anterior Shoulder Joint Dislocation

Ulnar Claw-Hand Related Neglected Post-Traumatic Anterior Shoulder Joint Dislocation

Behandlungskonzepte zur Versorgung akuter Glenoidfrakturen nach vorderer oder hinterer Luxation

Glenoid bone lesions: Comparison between 3D VIBE images in MR arthrography and nonarthrographic MSCT

Contact Info

Product

Resources

About