scholarly journals Posterior Shoulder Dislocation Due to an Atypical Trauma Mechanism

2014 ◽  
Vol 2 (11_suppl3) ◽  
pp. 2325967114S0019
Author(s):  
Şevket Ergun Güzel ◽  
Özgür Baysal ◽  
Engin Eceviz ◽  
Nurzat Elmalı
Keyword(s):  
Emergency Department ◽  
Shoulder Joint ◽  
Shoulder Dislocation ◽  
High Energy ◽  
Posterior Shoulder Dislocation ◽  
Shoulder Range Of Motion ◽  
Basketball Game ◽  
Posterior Shoulder ◽  
Joint Dislocations ◽  
The Right

Objectives: A 32 year old man who was admitted to the emergency department with serious pain and absent movement of the right upper extremity due to passing the ball in a basketball game. He had no shoulder dislocation in his medical history. The right shoulder position was flexion and adduction. The shoulder range of motion was restricted and the neurovascular examination was intact. Posterior shoulder dislocation was diagnosed in radiographs.The aim of the study is pointed out an unusual mechanism of the posterior shoulder dislocations which is related microtrauma. The main problem in treatment of this kind of dislocation is correct and timely diagnosis. Methods: After diagnosing the posterior shoulder dislocation, we reducted the shoulder joint immediately and immobilized in abduction and external rotation with Velpeau bandage. We took radiographs and computerized tomography to confirm the reduction of the joint and diagnose the additional bone pathology. Reverse Hill Sacks lesion was diagnosed. Two weeks later after diagnosing passive range of movement exercises were applied. Magnetic resonance imaging was done to diagnose the additional pathology. Results: There was no spesific finding in radiographs and reverse Hill Sachs lesion and anterior labral tear were determined in magnetic images finding. Conclusion: Shoulder joint dislocations are the most seen pathology in the emergency department. On the other hand posterior shoulder dislocations are less common than anterior dislocations, but more commonly missed. Posterior shoulder dislocations are caused by high energy trauma, seizures, electric shocks and microtrauma.

scholarly journals Just the Facts: Point-of-care ultrasound in the management of shoulder dislocations

CJEM ◽  
2020 ◽  
Vol 22 (3) ◽  
pp. 287-290
Author(s):  
Ryan Henneberry ◽  
Tara Dahn ◽  
Paul Atkinson
Keyword(s):  
Emergency Department ◽  
Range Of Motion ◽  
Shoulder Pain ◽  
Shoulder Dislocation ◽  
Point Of Care ◽  
Left Shoulder ◽  
Point Of Care Ultrasound ◽  
Posterior Shoulder Dislocation ◽  
Posterior Shoulder

A 59-year-old man presents with left shoulder pain after falling while playing with his dog at the park. He drove himself to the emergency department (ED). He reports 5/10 pain and has reduced range of motion of the shoulder. His shoulder looks normal on exam and is not squared off. You wonder if he might have a posterior shoulder dislocation.

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 Posterior Shoulder Dislocation with Engaging Reverse Hill–Sachs Lesion: A Retrospective Study of Ten Patients Treated with Arthroscopy or Open Reduction and Stabilization

2021 ◽  
Vol 10 (7) ◽  
pp. 1410
Author(s):  
Giorgio Ippolito ◽  
Michele Zitiello ◽  
Giancarlo De Marinis ◽  
Fabio D’Angelo ◽  
Michele F. Surace ◽  
...  
Keyword(s):  
Los Angeles ◽  
Shoulder Dislocation ◽  
Surgical Techniques ◽  
Posterior Shoulder Dislocation ◽  
Postoperative Rehabilitation ◽  
Simple Shoulder Test ◽  
Shoulder Range Of Motion ◽  
Posterior Shoulder ◽  
Mclaughlin Procedure ◽  
The Impact

This study compares two surgical techniques used to treat patients with posterior shoulder dislocation with an engaging reverse Hill–Sachs lesion. We assessed ten patients who were treated at the Surgical Orthopedic and Traumatological Institute (ICOT) of Latina and the Clinic of Orthopedic and Traumatological Surgery of the ASST Sette Laghi of Varese between 2016 and 2019. The patients were divided into two groups: the first comprising six patients who underwent the open surgery McLaughlin procedure as modified by Neer, the second including four patients who underwent the arthroscopic McLaughlin procedure. All patients received postoperative rehabilitation to achieve the best possible functional recovery of the affected shoulder. We then assessed the shoulder range of motion, the pain level, and the impact on quality of life with four tests: the Constant Scale, the Simple Shoulder Test (SST), the OXFORD Scale, and The University of California—Los Angeles (UCLA) Shoulder Scale. The mean scores of the first group were: 81.3 ± 9.8 SD (Constant Scale), 10.8 ± 1.06 SD (SST), 42.5 ± 5.4 SD (Oxford Scale), 30.8 ± 3.02 SD (UCLA Shoulder Scale); we calculated the following mean scores in the second group: 80.25 ± 4.1 SD (Constant Scale), 11.5 ± 0.8 SD (SST), 42 ± 4.06 SD (Oxford Scale), 32 ± 2.9 SD (UCLA Shoulder Scale). We found no significant differences between the two groups.

scholarly journals Erratum to: Locked posterior shoulder dislocation: treatment options and clinical outcomes

2011 ◽  
Vol 131 (12) ◽  
pp. 1745-1745
Author(s):  
Benedikt Schliemann ◽  
Daniel Muder ◽  
Jan Geßmann ◽  
Thomas A. Schildhauer ◽  
Dominik Seybold
Keyword(s):  
Clinical Outcomes ◽  
Shoulder Dislocation ◽  
Treatment Options ◽  
Posterior Shoulder Dislocation ◽  
Locked Posterior Shoulder Dislocation ◽  
Posterior Shoulder

Dynamic ultrasonographic sign for posterior shoulder dislocation

2010 ◽  
Vol 18 (1) ◽  
pp. 47-51 ◽  
Author(s):  
Chi Kit Yuen ◽  
Tong Shun Chung ◽  
Ka Leung Mok ◽  
Pui Gay Kan ◽  
Yau Tak Wong
Keyword(s):  
Shoulder Dislocation ◽  
Posterior Shoulder Dislocation ◽  
Posterior Shoulder

scholarly journals Reducing Shoulder by Vertical Traction: A One-Man Method for Shoulder Reduction

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Hayat Ahmad Khan ◽  
Younis Kamal ◽  
Mohammad Ashraf Khan ◽  
Munir Farooq ◽  
Naseemul Gani ◽  
...  
Keyword(s):  
Emergency Department ◽  
Learning Curve ◽  
Shoulder Dislocation ◽  
Anterior Shoulder Dislocation ◽  
Greater Tuberosity ◽  
Traction Method ◽  
Joint Dislocations ◽  
Good Technique ◽  
Recurrent Shoulder Dislocation ◽  
Glenohumeral Dislocation

Fifty percent of joint dislocations reported to the emergency department are of shoulder joint. Various techniques are used to reduce the shoulder and Spaso technique is the least known to the orthopaedic residents which is a simple one-man vertical traction method of shoulder reduction. We evaluated the effectiveness of vertical traction method for anterior shoulder dislocation by orthopaedic residents. Sixty consecutive patients of anterior glenohumeral dislocation attending the emergency department of our hospital were taken up for the study. The reduction was done using Spaso technique. Right shoulder was dislocated in 40 patients and 31 patients had recurrent shoulder dislocation. In 55 patients, shoulder was reduced without the use of any anaesthesia. In patients where no anaesthesia was used, the time of traction ranged from 45 seconds to 5 minutes, while under anaesthesia the time of traction ranged from 1 to 4 minutes. Twenty-one patients had associated greater tuberosity fracture which did not affect the method of reduction and all of them were reducible. No complication was reported, and all the patients were satisfied with the method. In conclusion vertical traction method is a good technique for reducing anterior shoulder dislocation with an easy learning curve among the residents and no complication has been reported so far.

scholarly journals The Veil of Obscuration: Additional Radiographic Sign of Posterior Shoulder Dislocation

2018 ◽  
Vol 47 (2) ◽  
pp. 165
Author(s):  
Lana Hirai Gimber ◽  
Mihra S. Taljanovic ◽  
Zachary A. Rockov ◽  
Elizabeth A. Krupinski ◽  
Tyson S. Chadaz ◽  
...  
Keyword(s):  
Humeral Head ◽  
Shoulder Dislocation ◽  
Glenohumeral Joint ◽  
Posterior Shoulder Dislocation ◽  
Chi Square ◽  
Lesser Tuberosity ◽  
Radiographic Sign ◽  
Posterior Shoulder ◽  
Significant Difference ◽  
The Veil

<p><strong>Objective.</strong> To describe a new radiographic sign, “veil of obscuration”, associated with posterior glenohumeral joint (shoulder) dislocations and determine its incidence and validity compared to other known classic radiographic signs.</p><p><strong>Methods.</strong> Four-year retrospective study identified 30 acute posterior shoulder dislocation patients. Radiographs reviewed in consensus by 2 musculoskeletal radiologists for the “veil of obscuration”, seen on AP shoulder radiographs and representing a comminuted fracture of the lesser tuberosity projecting over the humeral head or glenohumeral joint. Incidence of this radiographic sign of posterior glenohumeral joint dislocation in addition to other previously described classic radiographic signs, and association with other fractures, surgery, and mechanism of injury were evaluated. Continuous data was analysed with student t-test and categorical data with Chi-Square test.</p><p><strong>Results. </strong>There were 20 right and 10 left posterior shoulder dislocations. Majority of injuries resulted from vehicle crash (44%). In most cases, reverse Hill-Sachs lesion (83%) and fixed internal rotation of the humeral head (76%) were present, followed by trough line (43%) and “veil of obscuration” (40%). Trough line was seen in significantly more major trauma and vehicle crashes (78% and 46%; P=0.015), while “veil of obscuration” was seen in more seizures (86%; P=0.037) and in all surgical patients.  No significant difference in presence of other classic radiographic signs in regards to surgery.</p><p><strong>Conclusion. </strong>The newly described radiographic sign of posterior shoulder dislocations named the “veil of obscuration” has comparable incidence as other classic radiographic signs and may be useful in the recognition and diagnosis of these injuries.</p>

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