Long-Term Results of Non-Operative Treatment of Anterior Glenoid Rim Fractures After Primary Traumatic Anterior Shoulder Dislocation

2021 ◽  
Vol 30 (7) ◽  
pp. e464
Author(s):  
Manuel Waltenspül ◽  
Lukas Ernstbrunner ◽  
Elias Amman ◽  
Arend Nieuwland ◽  
Karim Eid ◽  
...  
Keyword(s):  
Operative Treatment ◽  
Shoulder Dislocation ◽  
Long Term Results ◽  
Anterior Shoulder Dislocation ◽  
Anterior Glenoid ◽  
Traumatic Anterior Shoulder Dislocation

Long-term result after traumatic anterior shoulder dislocation: what works best?

2011 ◽  
Vol 95 (S1) ◽  
pp. 65-70 ◽  
Author(s):  
Alexander Van Tongel ◽  
Francesco Rosa ◽  
Greg Heffernan ◽  
Ofer Levy ◽  
Giuseppe Sforza
Keyword(s):  
Shoulder Dislocation ◽  
Anterior Shoulder Dislocation ◽  
Term Result ◽  
What Works ◽  
Long Term Result ◽  
Traumatic Anterior Shoulder Dislocation

scholarly journals Nonoperative Treatment of Anterior Glenoid Rim Fractures After First-Time Traumatic Anterior Shoulder Dislocation

2020 ◽  
Vol 5 (4) ◽  
pp. e20.00133
Author(s):  
Karl Wieser ◽  
Manuel Waltenspül ◽  
Lukas Ernstbrunner ◽  
Elias Ammann ◽  
Arend Nieuwland ◽  
...  
Keyword(s):  
Shoulder Dislocation ◽  
Nonoperative Treatment ◽  
Anterior Shoulder Dislocation ◽  
Anterior Glenoid ◽  
Traumatic Anterior Shoulder Dislocation ◽  
First Time

Latarjet procedure versus open capsuloplasty in traumatic anterior shoulder dislocation: long-term clinical and functional results

2018 ◽  
Vol 43 (1) ◽  
pp. 237-242 ◽  
Author(s):  
Angelo De Carli ◽  
Antonio Vadalà ◽  
Lorenzo Proietti ◽  
Antonio Ponzo ◽  
Davide Desideri ◽  
...  
Keyword(s):  
Shoulder Dislocation ◽  
Functional Results ◽  
Anterior Shoulder Dislocation ◽  
Latarjet Procedure ◽  
Traumatic Anterior Shoulder Dislocation

Generalized ligamentous laxity as a predisposing factor for primary traumatic anterior shoulder dislocation

2010 ◽  
Vol 19 (8) ◽  
pp. 1238-1242 ◽  
Author(s):  
Jaskarndip Chahal ◽  
Jeff Leiter ◽  
Michael D. McKee ◽  
Daniel B. Whelan
Keyword(s):  
Shoulder Dislocation ◽  
Anterior Shoulder Dislocation ◽  
Predisposing Factor ◽  
Ligamentous Laxity ◽  
Traumatic Anterior Shoulder Dislocation

Long-term results of pyloroplasty

1934 ◽  
Vol 30 (7-8) ◽  
pp. 720-726
Author(s):  
D. S. Klebanov
Keyword(s):  
Operative Treatment ◽  
Central Point ◽  
Long Term Results ◽  
Small Curvature ◽  
Therapeutic Method ◽  
Theoretical Substantiation

The theoretical substantiation of pyloroplasty as a therapeutic method in adults is based on the provisions, which are still very problematic today. Russian authors (Breitsev, Grekov et al.), who first proposed this operation in adults, set indications for this kind of intervention very broadly and considered it indicated not only for pylorospasm without visible ulcer, but also for ulcers of the small curvature and for ulcers of the 12th bowel. At the same time these authors proceeded from the position that pylorospasm is the central point in the pathogenesis and course of ulcers and they considered its elimination to be very important in the operative treatment of ulcers.

scholarly journals Latarjet procedure for failed arthroscopic Bankart repair: a case report

2020 ◽  
Vol 8 (5) ◽  
pp. 1921
Author(s):  
I. G. N. Wien Aryana ◽  
Rizki Zainuraditya
Keyword(s):  
Shoulder Dislocation ◽  
Coracoid Process ◽  
Bankart Repair ◽  
Anterior Shoulder Dislocation ◽  
Latarjet Procedure ◽  
Recurrence Rates ◽  
Arthroscopic Bankart Repair ◽  
Long Term Follow Up

Arthroscopic Bankart Repair (ABR) provides acceptable results for recurrent anterior shoulder dislocation. However, recent studies have shown recurrent rates of 4-19% or even up to 35-40% in patients aged <25 years, and the results tend to get worse after long-term follow-up. The Latarjet procedure can improve anterior stability by multiple mechanisms, not only can the Bankart lesion be repaired and provide stability, but the transfer of the coracoid process extends the bony articular arc of the glenoid, and the addition of the conjoint tendon may provide dynamic stability as well. The Latarjet procedure for correcting recurrent anterior shoulder dislocation led to good and excellent results in 82.7% of the cases. The Latarjet procedure had the lowest re-dislocation rate, which was significantly lower than the arthroscopic Bankart repair. Latarjet procedure is effective in terms of restoring anteroinferior glenohumeral stability and good option for failed arthroscopic Bankart repair. Recurrence rates of instability are acceptable and re-operation rates were low.

scholarly journals Treatment of first-time traumatic anterior shoulder dislocation: the UK TASH-D cohort study

2019 ◽  
Vol 23 (18) ◽  
pp. 1-104
Author(s):  
Jonathan L Rees ◽  
Anjali Shah ◽  
Katherine Edwards ◽  
Maria T Sanchez-Santos ◽  
Danielle E Robinson ◽  
...  
Keyword(s):  
Risk Factors ◽  
Shoulder Dislocation ◽  
Recurrent Dislocation ◽  
Incidence Rates ◽  
Anterior Shoulder Dislocation ◽  
Traumatic Anterior Shoulder Dislocation ◽  
The Uk ◽  
First Time ◽  
Residual Confounding ◽  
Age And Sex

Background Shoulder dislocations are the most common joint dislocations seen in emergency departments. Most traumatic cases are anterior and cause recurrent dislocations. Management options include surgical and conservative treatments. There is a lack of evidence about which method is most effective after the first traumatic anterior shoulder dislocation (TASD). Objectives To produce UK age- and sex-specific incidence rates for TASD. To assess whether or not surgery within 6 months of a first-time TASD decreases re-dislocation rates compared with no surgery. To identify clinical predictors of recurrent dislocation. Design A population-based cohort study of first-time TASD patients in the UK. An initial validation study and subsequent propensity-score-matched analysis to compare re-dislocation rates between surgery and no surgery after a first-time TASD. Prediction modelling was used to identify potential predictors of recurrent dislocation. Setting UK primary and secondary care data. Participants Patients with a first-time TASD between 1997 and 2015. Interventions Stabilisation surgery within 6 months of a first-time TASD (compared with no surgery). Stabilisation surgery within 12 months of a first-time TASD was also carried out as a sensitivity analysis. Main outcome measure Re-dislocation rate up to 2 years after the first TASD. Methods Eligible patients were identified from the Clinical Practice Research Datalink (CPRD) (1997–2015). Accuracy of shoulder dislocation coding was internally validated using the CPRD General Practitioner questionnaire service. UK age- and sex-specific incidence rates for TASD were externally validated against rates from the USA and Canada. A propensity-score-matched analysis using linked CPRD and Hospital Episode Statistics (HES) data compared re-dislocation rates for patients aged 16–35 years, comparing surgery with no surgery. Multivariable Cox regression models for predicting re-dislocation were developed for the surgical and non-surgical cohorts. Results Shoulder dislocation was coded correctly for 89% of cases in the CPRD [95% confidence interval (CI) 83% to 95%], with a ‘primary’ dislocation confirmed for 76% of cases (95% CI 67% to 85%). Far fewer patients than expected received stabilisation surgery within 6 months of a first TASD, leading to an underpowered study. Around 20% of re-dislocation rates were observed for both surgical and non-surgical patients. The sensitivity analysis at 12 months also showed little difference in re-dislocation rates. Missing data on risk factors limited the value of the prediction modelling; however, younger age, epilepsy and sex (male) were identified as statistically significant predictors of re-dislocation. Limitations Far fewer than the expected number of patients had surgery after a first-time TASD, resulting in an underpowered study. This and residual confounding from missing risk factors mean that it is not possible to draw valid conclusions. Conclusions This study provides, for the first time, UK data on the age- and sex-specific incidence rates for TASD. Most TASD occurs in men, but an unexpected increased incidence was observed in women aged > 50 years. Surgery after a first-time TASD is uncommon in the NHS. Re-dislocation rates for patients receiving surgery after their first TASD are higher than previously expected; however, important residual confounding risk factors were not recorded in NHS primary and secondary care databases, thus preventing useful recommendations. Future work The high incidence of TASD justifies investigation into preventative measures for young men participating in contact sports, as well as investigating the risk factors in women aged > 50 years. A randomised controlled trial would account for key confounders missing from CPRD and HES data. A national TASD registry would allow for a more relevant data capture for this patient group. Study registration Independent Scientific Advisory Committee (ISAC) for the Medicines and Healthcare Products Regulatory Agency (ISAC protocol 15_0260). Funding The National Institute for Health Research Health Technology Assessment programme.

scholarly journals Anterior Shoulder Dislocation

2009 ◽  
Vol 91 (1) ◽  
pp. 2-7 ◽  
Author(s):  
Steven Cutts ◽  
Mark Prempeh ◽  
Steven Drew
Keyword(s):  
Shoulder Dislocation ◽  
Graphical Representation ◽  
Significant Proportion ◽  
Anterior Dislocation ◽  
Anterior Shoulder Dislocation ◽  
Medline Search ◽  
Recent Developments ◽  
Shoulder Arthritis ◽  
Delays In Diagnosis

INTRODUCTION Anterior dislocation of the shoulder is commonly seen in accident and emergency (A&E) and trauma clinics. In this article, we review the existing literature on the injury and the recent trends in management. MATERIALS AND METHODS We have discussed this condition with our colleagues and performed a Medline search (‘anterior shoulder dislocation’) of the relevant papers. We also describe key historical publications and recent developments regarding immobilisation of the joint. RESULTS Management decisions regarding this condition continue to vary between units, especially for recurrent and posterior dislocation. This paper lays some emphasis on the choice of analgesic agent when attempting shoulder reduction in the A&E setting. A summary of the data from our own department has provided a graphical representation of the classical age and sex distribution for this condition. CONCLUSIONS Shoulder dislocation is a common injury. Delays in diagnosis remain the single biggest obstacle to optimum results in this group of patients. A significant proportion will require eventual surgery and up to a third of these patients will go on to develop long-term shoulder arthritis. Even patients who have experienced a single episode of dislocation may go on to develop long-term sequelae.

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