Radiographic evaluation of anterior dislocation of the shoulder

Ceroni, Dimitri; Sadri, Hassan; Leuenberger, A

doi:10.1080/028418500127346090

Cited by 12 publications

(7 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A fall on to the outstretched arm transmitting the force to the glenohumeral joint is a typical mechanism. The vast majority of dislocations are anterior (97%) and the remaining and posterior (Ceroni et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

An investigation comparing the Oxford Chair technique with the traditional methods of glenohumeral dislocation reduction currently implemented

Smith

2009

International Emergency Nursing

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 99%

An investigation comparing the Oxford Chair technique with the traditional methods of glenohumeral dislocation reduction currently implemented

Smith

2009

International Emergency Nursing

View full text Add to dashboard Cite

“…In general, GHJ dislocation occurs due to a fall on the arm, specific set of stresses on the arm, axial load on the arm, or a direct blow to the shoulder. Anterior GHJ dislocation is usually due to a combination of forcible abduction, extension, and external rotation of the arm (1,(4)(5)(6). Rarely, anterior GHJ dislocation results from a direct blow to the posterior shoulder (4).…”

Section: Mechanism Of Injurymentioning

confidence: 99%

“…Studies suggest that the majority of anterior GHJ dislocations are of the subcoracoid (Fig. 5) subtype (about 66% to 75%), while the subglenoid subtype occurs 25% to 33% of the time (4,5,14,15). Subglenoid subtypes should not be confused with true inferior dislocations (luxatio erecta).…”

Section: Current Classificationmentioning

confidence: 99%

Glenohumeral Joint Dislocation Classification: Literature Review and Suggestion for a New Subtype

Hill

Khodaee

2022

Curr Sports Med Rep

View full text Add to dashboard Cite

Glenohumeral joint (GHJ) dislocation is a relatively common injury. Anterior GHJ dislocations are divided into subcoracoid, subglenoid, subclavicular, and intrathoracic subtypes. The aim of this article is to review current GHJ dislocation classification and briefly discuss management of each type. Discrepancies and inaccuracies exist in regard to GHJ dislocation classification. We suggest adding a new subtype, “paraglenoid,” to improve the current GHJ dislocation classification system. The paraglenoid subtype describes a portion of the subcoracoid anterior GHJ dislocation. GHJ dislocation is most often caused by force applied to the arm during a fall but also can be due to direct impact to the shoulder. Physical examination often reveals classic deformities, and thorough neurovascular examination is crucial. Radiographs should be used to confirm the diagnosis and assess for associated bony injuries. Numerous reduction techniques are described in the literature, with chosen method dependent on patient factors, provider experience, and GHJ dislocation type.

show abstract

“…It is reported that up to 25% of these injuries are fracture-dislocations. [1,2] While isolated dislocations can be Cite this article as: Durak VA, Atıcı T. Diagnostic accuracy of Fresno-Quebec Rules and risk factors for an associated fracture in patients presenting to the emergency department with anterior shoulder dislocation: A retrospective study. Ulus Travma Acil Cerrahi Derg 2020;26:115-121.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Accuracy of Fresno-Quebec Rules and Risk Factors for an Associated Fracture in Patients Presenting to the Emergency Department with Anterior Shoulder Dislocation: A Retrospective Study

Durak

Atıcı

2020

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

BACKGROUND:Anterior shoulder dislocation is the most common shoulder injury in patients presenting to the emergency department (ED). Up to 25% of these injuries are fracture-dislocations. In general, the standard approach is to obtain plain radiographs before and after reduction. Fresno-Quebec Rules (FQR) are described to identify the patients who require an x-ray before reduction to reduce radiation exposure and delays in treatment. We aimed to evaluate the efficacy of clinical predictors used in the Fresno-Quebec algorithm for detecting a shoulder fracture-dislocation. METHODS:Records of patients who presented to the Emergency Department with presumed shoulder dislocation were retrieved and retrospectively analyzed according to "Fresno-Quebec Rule (FQR)". Sensitivity, specificity, and predictive values of FQR for detecting associated injuries were calculated.RESULTS: Eighty-nine (65.9%) men and 46 (34.1%) women were included. The mean age of patients was 46 years (16-89). Ninety-nine (73.3%) of the cases had their shoulder dislocated for the first time, whereas 36 (26.7%) patients had a recurrent dislocation. Fifty percent of the patients (18 cases) with recurrent dislocation presented with an atraumatic episode. The remaining 18 patients with a history of recurrent dislocations had their shoulder dislocated as a result of trauma, and four (22%) of them had fracture-dislocation. Using the Fresno-Quebec rules yielded 100% specificity for the diagnosis of fracture-dislocation. The severity of the injury mechanism was not predictive in traumatic but recurrent dislocations. Only one of four patients with a fracture-dislocation in the traumatic recurrent dislocation group had high energy trauma.CONCLUSION: FQR has 100% sensitivity in detecting fracture-dislocations in patients admitted to ED with anterior shoulder dislocation. It utilizes simple parameters that are easy to use and recall. Using these rules, 30% of unnecessary radiographs can be avoided, saving time and money and reducing radiation exposure in anterior dislocations.

show abstract

Radiographic evaluation of anterior dislocation of the shoulder

Abstract: Anterior dislocations of the shoulder require different methods of reduction depending upon the type (sub-group) of dislocation. Reduction of subglenoid dislocations with associated greater tuberosity fracture should be performed under general anesthesia to avoid head-splitting fracture.

Cited by 12 publications

References 7 publications

An investigation comparing the Oxford Chair technique with the traditional methods of glenohumeral dislocation reduction currently implemented

An investigation comparing the Oxford Chair technique with the traditional methods of glenohumeral dislocation reduction currently implemented

Glenohumeral Joint Dislocation Classification: Literature Review and Suggestion for a New Subtype

Diagnostic Accuracy of Fresno-Quebec Rules and Risk Factors for an Associated Fracture in Patients Presenting to the Emergency Department with Anterior Shoulder Dislocation: A Retrospective Study

Contact Info

Product

Resources

About