scholarly journals Severe Heterotopic Ossification with Proximal Entrapment of the Ulnar Nerve following Primary Anterior Shoulder Dislocation

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Malik Jessen ◽  
Christian Gerhardt ◽  
Lars-Johannes Lehmann ◽  
Jonas Schmalzl
Keyword(s):  
Ulnar Nerve ◽  
Shoulder Dislocation ◽  
Surgical Intervention ◽  
Shoulder Function ◽  
Rotator Cuff Tears ◽  
Anterior Shoulder Dislocation ◽  
Concomitant Injuries ◽  
Good Patient ◽  
Heterotopic Ossifications ◽  
Good Patient Satisfaction

Heterotopic ossifications (HO) in the shoulder are rare. The effectiveness of conservative treatment is limited, and therefore, symptomatic cases are usually treated surgically. However, there are no guidelines for the surgical treatment of HO. Herein, we report the case of a 45-year-old man with severe HO and proximal entrapment of the ulnar nerve following primary anterior shoulder dislocation without concomitant injuries (e.g., fracture and rotator cuff tears). Surgical intervention was indicated, including resection of HO and neurolysis of the brachial plexus. Nine months after surgery, the patient presented with restored shoulder function, pain relief, and good patient satisfaction. The case shows that the ulnar nerve can also be impaired due to HO following shoulder dislocation.

Primary anterior shoulder dislocation and rotator cuff tears

1999 ◽  
Vol 8 (3) ◽  
pp. 220-225 ◽  
Author(s):  
Roger Berbig ◽  
Dominik Weishaupt ◽  
Jürg Prim ◽  
Osama Shahin
Keyword(s):  
Rotator Cuff ◽  
Shoulder Dislocation ◽  
Rotator Cuff Tears ◽  
Anterior Shoulder Dislocation

scholarly journals Do Articular-Sided Partial-Thickness Rotator Cuff Tears After a First-Time Traumatic Anterior Shoulder Dislocation in Young Athletes Influence the Outcome of Surgical Stabilization?

2018 ◽  
Vol 6 (6) ◽  
pp. 232596711878131
Author(s):  
Madis Rahu ◽  
Jüri-Toomas Kartus ◽  
Elle Põldoja ◽  
Kirsti Pedak ◽  
Ivo Kolts ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Rotator Cuff ◽  
Shoulder Dislocation ◽  
Clinical Results ◽  
Rotator Cuff Tears ◽  
Anterior Shoulder Dislocation ◽  
Young Athletes ◽  
Bony Bankart ◽  
Traumatic Anterior Shoulder Dislocation ◽  
First Time

Background: Because of the high risk for redislocations after a first-time traumatic anterior shoulder dislocation with conservative treatment, recent publications have recommended early arthroscopic intervention, especially for young athletes. Concomitant rotator cuff tendon damage may occur when the shoulder dislocates; however, its presence and influence on clinical results have not been well described in this patient category. Hypothesis: In opposition to current opinion, a substantial number of articular-sided partial-thickness rotator cuff tears (APTRCTs) would be found at surgery after a first-time traumatic anterior shoulder dislocation in young athletes. However, the impact of these injuries on 2-year postoperative results would be negligible. Study Design: Cohort study; Level of evidence, 3. Methods: Sixteen male patients (mean age, 21 years [range, 16-25 years]) with a first-time traumatic anterior shoulder dislocation without bony Bankart lesions were included in this study. The indications for surgical treatment were age less than 25 years and being active in collision or contact sports at a competitive level. Arthroscopic surgery was performed at a mean 7.8 days (range, 2-14 days) after injury. Rowe and American Shoulder and Elbow Surgeons (ASES) scores as well as range of motion were evaluated at a minimum 2 years after an arthroscopic Bankart procedure, and a comparison of the clinical results between patients with and without APTRCTs was conducted. Results: An anterior-inferior capsulolabral injury was found in all patients. There were no bony Bankart lesions. An APTRCT was found in 9 of the 16 patients. At 2 years after surgical treatment, there were no significant differences between the patients with and without APTRCTs in terms of the Rowe score (90.0 and 87.1, respectively; P = .69) and ASES score (94.6 and 90.4, respectively; P = .67). Conclusion: APTRCTs were found in the superior part of the shoulder joint after a first-time traumatic anterior shoulder dislocation in a majority of young male athletes treated with surgical stabilization. There were no significant differences found between patients with and without APTRCTs in terms of the Rowe and ASES scores at 2 years after surgical treatment.

scholarly journals Systematic Review of Rehabilitation Versus Operative Stabilization for the Treatment of First-Time Anterior Shoulder Dislocations

2010 ◽  
Vol 2 (2) ◽  
pp. 156-165 ◽  
Author(s):  
Jonathan Godin ◽  
Jon K. Sekiya
Keyword(s):  
Randomized Controlled Trials ◽  
Shoulder Dislocation ◽  
English Language ◽  
Surgical Intervention ◽  
Controlled Trials ◽  
Anterior Shoulder Dislocation ◽  
Randomized Controlled ◽  
Operative Stabilization ◽  
Level 1 ◽  
First Time

Context: Primary anterior shoulder dislocation is a frequent injury in young active patients. Traditionally, conservative nonoperative primary treatment has been advocated for a majority of first-time dislocators, whereas operative stabilization has been reserved for recurrent dislocators or those involved in strenuous physical activity. Currently, no consensus exists on whether to treat a first-time anterior shoulder dislocation surgically. Objective: (1) To provide clinical recommendations regarding the therapeutic intervention for first-time anterior shoulder dislocators and (2) to determine if there is sufficient Level 1 or 2 evidence available for the establishment of a uniform, optimal treatment protocol. Data Sources: A systematic review of prospective randomized controlled trials with human participants was performed. PubMed, the Cochrane Database of Systematic Reviews, and secondary references were appraised for studies published between 1994 and 2009. Study Selection: Inclusion criteria were English-language Level 1 or 2 studies involving the treatment of primary anterior shoulder dislocation. Exclusion criteria included non-English-language articles; Level 3, 4, or 5 studies; and studies examining treatment of recurrent/posterior shoulder dislocation or diagnoses other than primary anterior shoulder dislocations. Data Extraction: Each author conducted an independent quality appraisal of the included studies, identifying strengths, weaknesses, and biases, then reached consensus regarding their values. Results: Five randomized controlled trials were included, and they supported the use of operative management in a focused population. No long-term follow-up data were available describing the effects of surgical intervention or the development of osteoarthritis. Each study design had weaknesses that decreased the validity of the findings. Conclusions: While limited, the available evidence from randomized controlled trials supports operative stabilization as a reasonable alternative to nonoperative treatment for primary acute shoulder dislocation in young, active adults participating in highly demanding physical activities. Recommendations on the optimal surgical intervention cannot be provided. There is no conclusive evidence available to determine whether operative stabilization or conservative rehabilitation is superior for other patient or injury types.

scholarly journals Bilateral Anterior Shoulder Dislocation after an Episode of Grand-Mal Seizure: A Case Report and Literature Review

2021 ◽  
Author(s):  
Shahin Talebi ◽  
Alireza Teimoury ◽  
Aboulfazl Ghadiri
Keyword(s):  
Case Report ◽  
Shoulder Dislocation ◽  
Clonic Seizure ◽  
Rotator Cuff Tears ◽  
Radiographic Evaluation ◽  
Anterior Shoulder Dislocation ◽  
Posterior Shoulder Dislocation ◽  
Posterior Shoulder ◽  
Joint Dislocations ◽  
Grand Mal

Background: Among all joint dislocations, dislocations of the shoulder are the most common. Although posterior shoulder dislocation is infrequent, it is more common following seizures. Trauma, electrocution, and seizures can cause bilateral shoulder dislocation. Anterior shoulder dislocations can be accompaniment by greater tuberosity (GT) fractures, Bankart fractures, and other complications such as rotator cuff tears and neuro-vascular injuries. Case Report: This article describes a 19-year-old boy who suffered from bilateral anterior shoulder dislocation due to an episode of generalized seizure, which happened after taking tramadol. Conclusion: Any sign of shoulder pain in a patient who has experienced a generalized tonic-clonic seizure should warrant full radiographic evaluation to prevent the complications.

scholarly journals Management of the First-time Traumatic Anterior Shoulder Dislocation

2018 ◽  
Vol 21 (3) ◽  
pp. 169-175
Author(s):  
Sung Il Wang
Keyword(s):  
Elderly Patients ◽  
Shoulder Dislocation ◽  
Traumatic Event ◽  
Young Patients ◽  
Rotator Cuff Tears ◽  
Anterior Dislocation ◽  
Anterior Shoulder Dislocation ◽  
Careful Evaluation ◽  
Traumatic Anterior Shoulder Dislocation ◽  
First Time

Traumatic anterior dislocation of the shoulder is one of the most common directions of instability following a traumatic event. Although the incidence of shoulder dislocation is similar between young and elderly patients, most studies have traditionally focused on young patients due to relatively high rates of recurrent dislocations in this population. However, shoulder dislocations in older patients also require careful evaluation and treatment selection because they can lead to persistent pain and disability due to rotator cuff tears and nerve injuries. This article provides an overview of the nature and pathology of acute primary anterior shoulder dislocation, widely accepted management modalities, and differences in treatment for young and elderly patients.

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