Primary anterior dislocation of the shoulder

McLaughlin, Harrison L.; Cavallaro, William U.

doi:10.1016/0002-9610(50)90581-2

Cited by 146 publications

(51 citation statements)

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“…Dislocation recurs in 66% to 100% of people aged 20 years or under, 13% to 63% of people aged between 20 and 40 years, and 0% to 16% of people aged 40 years or older. Data from Hovelius et al, 42 Marans et al, 61 McLaughlin et al, 65 Rowe, 84 and Simonet and Cofield. 87 have already dislocated can expect to dislocate again within 2 years of the initial injury.…”

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confidence: 99%

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Shoulder Instability: Management and Rehabilitation

Hayes

Callanan²,

Walton³

et al. 2002

J Orthop Sports Phys Ther

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Shoulder dislocation and subluxation occurs frequently in athletes with peaks in the second and sixth decades. The majority (98%) of traumatic dislocations are in the anterior direction. The most frequent complication of shoulder dislocation is recurrence, a complication that occurs much more frequently in the adolescent population. The static (predominantly capsuloligamentous and labral) and dynamic (neuromuscular) restraints to shoulder instability are now well defined. Rehabilitation aims to enhance the dynamic muscular and proprioceptive restraints to shoulder instability. This paper reviews the nonoperative treatment and the postoperative management of patients with various classifications of shoulder instability.

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confidence: 99%

“…Dislocation has been reported to recur in 66% to 100% of people aged 20 years or under, 13% to 63% of people aged between 20 and 40 years, and in 0% to 16% of people aged 40 years or older. 42,61,65,82,87 …”

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confidence: 99%

Shoulder Instability: Management and Rehabilitation

Hayes

Callanan²,

Walton³

et al. 2002

J Orthop Sports Phys Ther

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“…In addition, males have a six-fold greater risk of recurrence than do females [4,13]. Rowe and Sakellarides [14] reported that 94% of all dislocations involved patients who were younger than 20 years of age.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of traumatic anterior shoulder dislocation in the general population is 1.7%. The recurrence rate after conservative management is high among patients who are under 20 years old and lower among patients who are over 40 years old [4]. The location and magnitude of the first trauma is correlated with the recurrence rate [5].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Open Bankart Repair versus Modified Bristow Operation for the Treatment of Traumatic Recurrent Anterior Dislocation and Capsular Laxity of the Shoulder

Aydın

Usta

Topal

et al. 2012

EAJM

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Objective: The purpose of this study was to compare the results of open Bankart repair versus those of modified Bristow operation in patients with recurrent anterior dislocations of the shoulder, the last of which was caused by a minor trauma. Materials and Methods: This study included 38 patients (34 (89.5%) male and 4 (10.5%) female) who presented recurrent dislocation of the shoulders with capsular laxity and who underwent an open Bankart repair or a modified Bristow operation. The mean age of the patients was 29.6 years (range, 17-60 years). The mean follow-up period was 5.5 years (range, 35 months to 9 years). A total of 25 patients (65.8%) underwent an open Bankart repair, whereas 13 (34.2%) underwent a modified Bristow operation. The treatment results were assessed using the Rowe score for instability. Results: Of the 38 shoulders assessed, 24 (63.1%) were right shoulders and 14 (36.9%) were left shoulders. Furthermore, 26 (68.4%) were the dominant shoulders of the patients, and 12 (31.6%) were the nondominant shoulders. The mean time from the first dislocation was 3.8 years (range, 10 months to 11 years). The age at which the first shoulder dislocation occurred was 20 years or younger in 7 cases (18.4%), 21-30 years in 22 cases (57.9%), 31-40 years in 6 cases (15.8%) and 41 or older in 3 cases (7.9%). The patients had experienced 4-10 recurrent dislocations in 15 cases (39.5%), 10-20 recurrent dislocations in 10 cases (26.3%) and 20 or more recurrent dislocations in 13 cases (34.2%). Gereç ve Yöntem:Tekrarlayan travmatik anterior omuz çıkıklı ve kapsüler laksisitesi olan, açık Bankart veya modifiye Bristow ameliyatları ile tedavi edilen 38 (dağılım, 34 (%89.5) erkek, 4 (%10.5) kadın) hasta çalışmaya alındı. Ortalama yaşları 29.6 yıl (dağılım, 17-60 yıl). Ortalama takip süresi 5.5 yıldı (dağılım, 35 ay-9 yıl). Hastaların 25'ine (%65.8) açık Bankart tamiri, 13'üne (%34.2) modifiye Bristow ameliyatı yapıldı. Tedavi sonuçları Rowe'un skorlama sistemine göre yapıldı. Bulgular:Toplam 38 omuzun 24'ü (%63.1) sağ, 14'ü (%36.9) sol) omuzdu. Omuzlardan 26'sı (%68.4) dominant, 12'si (%31.6) nondominant omuzdu. İlk çıkıktan sonra geçen süre ortalama 3.8 yıldı (dağılım, 10 ay-11 yıl). İlk çıkığın oluştuğu yaş 7 olguda (%18.4) 20 yaş ve altında, 22 olguda (%57.9) 21-30 yaşları arasında, 6 olguda (%15.8) 31-40 yaşları arasında ve 3 olguda (%7.9) 41 yaş ve üzerin-deydi. Tekrarlayan çıkık sayısı, 15 omuzda (%39.5) 4-10 arasında, 10 omuzda (%26.3) 10-20 arasında, 13 omuzda (%34.2) 20 ve üze-rindeydi. Açık Bankart tamiri yapılan hastalarda Rowe puanı 85.6, modifiye Bristow ameliyatında 81.9 bulundu. Rowe değerlendirme kriterlerine göre açık Bankart ve modifiye Bristow ameliyatlarının çok iyi ve iyi toplamları arasında istatistiksel olarak anlamlı bir fark bulunmadı (p>0.05).Sonuç: Açık Bankart tamiri ve modifiye Bristow ameliyatları için uygun hasta seçilmesi çok önemlidir. Uygun hasta seçimi yapıldığı takdirde bu iki ameliyat tekniği kapsüler laksisiteli hastaların tedavisinde başarılı bir tedavi yöntemidir.

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“…These studies noted a recurrence rate of 66 to 94% in patients younger than 20, and a recurrence rate of 40 to 74% in patients between 20 and 40. 7,15,20,26,35 More recently, Burkhart and DeBeer noted a 67% recurrence rate in patients with significant bone defects com pared to a 4% recurrence rate in patients with nonsigni ficant bone defects. 6 Boileau et al reported a 15.3% recurrent instability rate following arthroscopic Bankart repair.…”

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confidence: 99%

Cost Analysis of Failed Shoulder Stabilization

Godin¹,

Skendzel²,

Sekiya³

2015

The Duke Orthopaedic Journal

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Background: Shoulder instability is a common problem, especially in the young, active population. Revision stabilization has a high rate of recurrent instability, low rates of return to play, and low clinical outcome scores. The challenge for surgeons is identifying the best surgery for each patient. To our knowledge, no studies have been published examining the cost of failed shoulder stabilization.

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Primary anterior dislocation of the shoulder

Cited by 146 publications

References 2 publications

Shoulder Instability: Management and Rehabilitation

Shoulder Instability: Management and Rehabilitation

Comparison of Open Bankart Repair versus Modified Bristow Operation for the Treatment of Traumatic Recurrent Anterior Dislocation and Capsular Laxity of the Shoulder

Cost Analysis of Failed Shoulder Stabilization

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