The Split Capsule Technique for Chronic Anterior Shoulder Dislocation: A Novel Surgical Technique and Case Series

2020 ◽  
Vol 21 (4) ◽  
pp. 136-143
Author(s):  
Khang H. Dang ◽  
Andrew Lee ◽  
Gautham Prabhakar ◽  
Bao-Quynh Julian ◽  
Christina Brady ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Shoulder Dislocation ◽  
Case Series ◽  
Anterior Shoulder Dislocation

scholarly journals CLOSED REDUCTION OF PRIMARY ANTERIOR SHOULDER DISLOCATIONS – AN APPROACH WITHOUT ANAESTHESIA AND ANALGESIA.

2021 ◽  
pp. 32-33
Author(s):  
Gaurav Bhutada ◽  
Mohammed Faizan ◽  
Karan Mane
Keyword(s):  
Closed Reduction ◽  
Shoulder Dislocation ◽  
Case Series ◽  
Anterior Shoulder Dislocation

A new maneuver for anterior shoulder dislocation has been advocated in this case series of 40 patients, which did not require anesthesia, analgesia, pre-medications, assistance, traction. It is an effective and easy to do maneuver and has been successful in 95% of patients. Literature has described many methods for anterior shoulder dislocation, but this stands unique also in view that it is painless for the patient.

scholarly journals TREATMENT OF RECURRENT ANTERIOR SHOULDER DISLOCATION WITH BRISTOW-LATARJET PROCEDURE

2021 ◽  
Vol 29 (1) ◽  
pp. 39-44
Author(s):  
ARNALDO AMADO FERREIRA FILHO ◽  
EDUARDO ANGELI MALAVOLTA ◽  
MAURO EMILIO CONFORTO GRACITELLI ◽  
JORGE HENRIQUE ASSUNÇÃO ◽  
FERNANDO BRANDÃO DE ANDRADE E SILVA ◽  
...  
Keyword(s):  
Shoulder Dislocation ◽  
External Rotation ◽  
Case Series ◽  
Treatment Method ◽  
Anterior Shoulder Dislocation ◽  
Latarjet Procedure ◽  
Retrospective Case ◽  
Level Of Evidence ◽  
Graft Healing

ABSTRACT Objectives: To describe the clinical and radiographic results of patients with traumatic recurrent anterior shoulder dislocation treated with the Bristow-Latarjet procedure. Methods: Retrospective case series including 44 patients (45 shoulders) who underwent the Bristow-Latarjet procedure. The graft was fixed “standing” in 84% of the shoulders, and “lying” in 16%. Results: The follow-up was 19.25 ± 10.24 months. We obtained 96% of good results, with 2 recurrences presented as subluxation. Graft healing occurred in 62% of cases. The graft was positioned below the glenoid equator in 84% of the cases, and less than 10 mm from its edge in 98%. The external rotation had a limitation of 20.7º ± 15.9º, while the internal rotation was limited in 4.0º ± 9.6º. The limitation of rotation and the position of the graft (“standing” or “lying”) did not correlate with graft healing (p>0.05). Bicortical fixation was positively correlated with healing (p <0.001). Conclusion: The Bristow-Latarjet technique is indicated for the treatment of recurrent anterior dislocations and subluxations of the shoulder. It is a safe treatment method, which can be used in people with intense physical activity. Limiting shoulder mobility does not prevent patients from returning to their usual occupations. Level of Evidence IV, Case series.

scholarly journals EVALUATION OF SURGICAL TREATMENT OF PATIENTS WITH SHOULDER INSTABILITY

2017 ◽  
Vol 25 (6) ◽  
pp. 266-269
Author(s):  
ROBERTO YUKIO IKEMOTO ◽  
JOEL MURACHOVSKY ◽  
LUIS GUSTAVO PRATA NASCIMENTO ◽  
ROGERIO SERPONE BUENO ◽  
LUIZ HENRIQUE OLIVEIRA ALMEIDA ◽  
...  
Keyword(s):  
Shoulder Dislocation ◽  
Arthroscopic Surgery ◽  
Case Series ◽  
X Rays ◽  
Anterior Shoulder Dislocation ◽  
Level Of Evidence ◽  
Traumatic Anterior Shoulder Dislocation ◽  
Ucla Score ◽  
Postoperative Improvement

ABSTRACT Objective: To evaluate the results of arthroscopic surgery in patients with traumatic anterior shoulder dislocation. Methods: This retrospective study analyzed 76 patients with a mean age of 28 and mean postoperative follow-up period of 62 months. Evaluation consisted of physical examination, and X-rays; results were classified according to the UCLA and Rowe scales. Results: Patients showed decrease of range of motion in all planes, except elevation and lateral rotation with 90º abduction. According to the Rowe score, significant postoperative improvement was found compared with preoperative evaluations, with 89.4% of satisfactory results. According to the UCLA score, good or excellent results were observed in 97.4% of the cases. We found a 6.5% rate of recurrence. Conclusion: Arthroscopic treatment for traumatic anterior shoulder dislocation is effective, as long as indications are used. Level of Evidence IV, Case Series.

scholarly journals Hi-PoAD technique for Adolescent Idiopathic Scoliosis in Adult: Personal case series

2021 ◽  
Author(s):  
Cesare Faldini ◽  
Francesca Barile ◽  
Fabrizio Perna ◽  
Stefano Pasini ◽  
Michele Fiore ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Idiopathic Scoliosis ◽  
Case Series ◽  
Deformity Correction ◽  
Pedicle Screws ◽  
Mechanical Complication ◽  
Non Union ◽  
Implant Retention ◽  
Surgical Data

Abstract Purpose The aim of this article is to present an original surgical technique for the treatment of rigid Adult Idiopathic Scoliosis (AdIS) and the results at minimum 2 years follow-up in a cohort of 40 patients. Methods We retrospectively reviewed 40 patients affected by rigid AdIS, older than 40 years and operated with a posterior one stage surgical technique summarized with the acronym Hi-PoAD, (high-density pedicle screws, Ponte osteotomies, asymmetric rods contouring, direct vertebral rotation). The demographic and surgical data were collected, and the improvement of clinical scores and radiologic parameters was obtained after surgery, at 1 and 2 years and at final follow-up, to assess deformity correction, coronal and sagittal balance and clinical outcome. Results The average follow-up was 2.9 years (range 2–3.5). Average coronal Cobb angle decreased from 65.0° ± 8.4 to 18.9° ± 3.9 (p < 0.01). Rotation sagittal angle decreased from 26.2° ± 4.4° to 12.4° ± 2.8° (p < 0.01). Mean thoracic kyphosis improved from 23.1° ± 3.6° to 36.0° ± 3.9°. SRS-22 improved form 2.9 ± 0.4 to 3.7 ± 0.6 (p < 0.01). Four early post-operative deep wound infections were observed, all healed after debridement and implant retention. No mechanical complication, junctional kyphosis, deformity progression or non-union were recorded at the last follow-up. Conclusions Hi-PoAD technique proved to be safe and effective in the treatment of rigid Adult Idiopathic Scoliosis. The reason for the success is related to the combined strategies adopted, that dissipates corrective forces over several levels, reducing mechanical stress at the screw–bone interface and optimizing corrective potential.

Sign in / Sign up

Export Citation Format

Share Document