Primary traumatic shoulder dislocation associated with rotator cuff tear in the elderly

Prasetia, Renaldi; Handoko, Hans Kristian; Rosa, Wendy Yolanda; Ismiarto, Adrian Fakhri; Petrasama,; Utoyo, Ghuna Arioharjo

doi:10.1016/j.ijscr.2022.107200

Cited by 5 publications

(3 citation statements)

References 39 publications

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“…One of the most important reasons for this difference is attributed to the difference in the shape and rates of lesions in young and older people. While Bankart lesion associated with shoulder dislocation is seen in young people, rotator cuff tear and tuberculum major fracture are more common in older ages (13,14). The type of trauma is also thought to be effective on the type of associated lesions.…”

Section: Discussionmentioning

confidence: 99%

Type and Diagnosis of Lesions Associated with Traumatic Anterior Shoulder Dislocation

Güven

Saracalıoğlu²

2022

Med Sci Discov

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Objective: Anterior dislocations are common large joint dislocations due to the anatomical structure and mobility of the shoulder joint and are seen in 1-2% of the population. The most common form is a traumatic anterior shoulder dislocation, approximately 90-95%. The lesions accompanying traumatic anterior shoulder dislocation are mostly Bankart and Hill-Sachs lesions, rotator cuff tear, tuberculum major fracture, and neurological injury. This study evaluates osseous, neurological, and soft tissue lesions in traumatic anterior shoulder dislocations. Material and Methods: Eighty-four patients (male:62, female:22) who applied to our center due to traumatic shoulder dislocation between January 2014 and January 2021 were evaluated. Demographic data of the patients and accompanying shoulder circumference lesions were detected. The types of lesions were grouped as isolated and combined. The lesions were diagnosed clinically and radiologically (shoulder radiographs and magnetic resonance imaging (MRI)). Results: The mean age of the patients was 33.4 (18-81) years, 62 were male, and 22 were female. Dislocation-related lesions were detected in 61.1% of the patients. The lesions were seen as isolated and combined. While rotator cuff tears were the most common isolated lesions, Bankart + Hill-Sachs lesions were the most common combined lesions. Conclusion: Isolated or combined lesions accompanying traumatic anterior shoulder dislocations are common and cause shoulder instability when not treated. It is detected by clinical examination and MRI after a dislocation to diagnose associated lesions. We recommend performing a shoulder MRI to detect associated lesions after shoulder dislocation.

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Section: Discussionmentioning

confidence: 99%

Type and Diagnosis of Lesions Associated with Traumatic Anterior Shoulder Dislocation

Güven

Saracalıoğlu²

2022

Med Sci Discov

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“…Additionally, it was presumed that the patient likely suffered a rotator cuff tear due to the high association between dislocations in the elderly and rotator cuff pathology. 6 , 11 For this reason, the orthopedic team presented the idea of repairing her injury and proceeding with “shoulder replacement” due to her preinjury decreasing function. The patient stated understanding of the options and agreed with the proposed plan of reverse total shoulder following ORIF.…”

Section: Casementioning

confidence: 99%

Treatment of coronal split glenoid fracture utilizing open reduction internal fixation with immediate intraoperative conversion to rTSA: a novel approach

Sweeney

Sadhwani

Kendall

et al. 2023

JSES Reviews, Reports, and Techniques

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“…Shoulder pain is the third most prevalent reason of pain in the musculoskeletal system following low back pain and knee pain, resulting in significant health consequences and a lower quality of life [3][4][5]. Rotator cuff tears (RCT) are frequent among individuals with shoulder pain, accounting for up to 86% of episodes [6]. Hence, their detection and appropriate management become important to reduce morbidity and improve quality of life.…”

Section: Introductionmentioning

confidence: 99%

Role of Magnetic Resonance Imaging (MRI) in the Diagnosis of Rotator Cuff Injuries and Correlation With Arthroscopy Findings

Fazal Gafoor,

Jose,

Mampalli Narayanan

2023

Cureus

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Background and aim: The prevalent cause of shoulder pain is rotator cuff tears (RCT), which induce profound discomfort and morbidity. Hence, their detection and appropriate management become important to alleviate morbidity and enhance quality of life. Imaging has an important role in the diagnosis of such patients to guide for further management. A wide array of radiological approaches has been explored for the detection of RCT. The study aimed to assess the sensitivity (SN) and specificity (SP) of regular magnetic resonance imaging (MRI) in the diagnosis and characterization of RCT and furthermore to link the results of MRI with the arthroscopy findings. The limitations and pitfalls if any with MRI patients presenting were also addressed. Materials and methods: The study was a diagnostic evaluation study conducted at the Department of Radiodiagnosis, Muslim Educational Society (MES) Medical College, Perinthalmanna, India, among individuals with RCT between December 1, 2015, and May 31, 2017. Patients who were referred for MRI and then taken up for arthroscopy were included. The findings for each tendon of rotator cuff on MRI were contrasted with that of arthroscopy, and the percentage of agreement was calculated. Additional findings relevant to the study were also noted. SN, SP, positive predictive value (PPV), and negative predictive value (NPV) of MRI were determined by taking arthroscopic findings as the gold standard. Results: The study was comprised of 36 patients assessed using MRI and arthroscopy for RCT. The study participants ranged in age from 31 to 70 years, with a mean of 52.69±8.86 years. The majority of the patients (69.4%) were between the ages of 41 and 60 years. MRI had 100% SN and SP for full-thickness supraspinatus (SS) tear, 50% SN and 100% SP for partial-thickness SS tear, 100% SN and 80% SP for full-thickness infraspinatus (IS) tear, 75% SN and 80% SP for partial-thickness IS tear, and 95% SN and 86.6% SP for subscapularis (SC) tear. Conclusion: The MRI RCT investigation had a high SN, SP, and PPV compared to arthroscopy. The most frequently involved tendon reported in the present study was SS (n=35; 97.22%) followed by IS (n=32; 88.88%) and SC (n=22; 61.11%). The teres minor tendon was least commonly affected (n=0). Moreover, 61.11% (n=22) of the patients had joint effusion, 41.66% (n=15) had subacromial-subdeltoid bursal effusion, and 27.77% (n=10) had subcoracoid effusion, suggesting that RCT include joint effusion or bursal fluid. Acromioclavicular (AC) joint hypertrophy was found in 53% (n=19) of the patients, and 90% (n=17) were over 45 years old, indicating an association between age, AC joint hypertrophy, and RCT. Therefore, MRI has a good SN and SP for detecting various RCT. Therefore, it could be used to investigate a suspected RCT and should be considered a near-reference standard to arthroscopy for RCT diagnosis.

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Primary traumatic shoulder dislocation associated with rotator cuff tear in the elderly

Cited by 5 publications

References 39 publications

Type and Diagnosis of Lesions Associated with Traumatic Anterior Shoulder Dislocation

Type and Diagnosis of Lesions Associated with Traumatic Anterior Shoulder Dislocation

Treatment of coronal split glenoid fracture utilizing open reduction internal fixation with immediate intraoperative conversion to rTSA: a novel approach

Role of Magnetic Resonance Imaging (MRI) in the Diagnosis of Rotator Cuff Injuries and Correlation With Arthroscopy Findings

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