STABILITY IN RELATION TO HUMERAL HEAD RETROVERSION AFTER SURGICAL TREATMENT OF RECURRENT ANTERIOR SHOULDER DISLOCATIONS

Orthopedics ◽  
1993 ◽  
Vol 16 (3) ◽  
pp. 281-285
Author(s):  
Margareta Kronberg ◽  
Lars-Åke Broström ◽  
Elisabeth Posch
Keyword(s):  
Surgical Treatment ◽  
Humeral Head

Surgical Treatment of Humeral Head Defect in Shoulder Posterior Instability

2020 ◽  
pp. 305-312
Author(s):  
Riccardo Compagnoni ◽  
Matteo Lo Duca ◽  
Pietro S. Randelli
Keyword(s):  
Surgical Treatment ◽  
Humeral Head ◽  
Posterior Instability

scholarly journals POSTTRAUMATIC SHOULDER INSTABILITY IN CHILDREN: CLINICAL PRESENTATION, DIAGNOSIS AND TREATMENT

2014 ◽  
Vol 2 (3) ◽  
pp. 47-52
Author(s):  
Yaroslav Nikolaevich Proshchenko ◽  
Pavel Sergeevich Shumkov ◽  
Anatoliy Vasilievich Ovsyankin ◽  
Pavel Igorevich Bortulev ◽  
Alexey Polikarpovich Drozdetskiy ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Shoulder Instability ◽  
Humeral Head ◽  
Shoulder Dislocation ◽  
Clinical Presentation ◽  
Chronic Instability ◽  
Unsatisfactory Result ◽  
Traumatic Dislocation ◽  
Chronic Shoulder Instability ◽  
Type 3

The article presents an analysis of the treatment of 15 patients with posttraumatic shoulder instability aged 11-17 years, as a result of primary traumatic dislocation and chronic instability. We identified the following causes of chronic shoulder instability: Bankart injury, SLAP-injury; Hill-Sachs defect; fracture of the glenoid, type 3 humeral head-glenoid relation, and retroversion of the humeral head, as well as defects in the treatment of primary shoulder dislocation. Surgical treatment is performed in 7 patients with chronic instability (7 joints). Unsatisfactory result was detected in 1 patient (1 joints), which is caused by a type 3 humeral head-glenoid relation.

scholarly journals Current Concepts in the Diagnosis and Management of Traumatic, Anterior Glenohumeral Subluxations

2017 ◽  
Vol 5 (3) ◽  
pp. 232596711769433 ◽  
Author(s):  
Joseph A. Gil ◽  
Steven DeFroda ◽  
Brett D. Owens
Keyword(s):  
Surgical Treatment ◽  
Natural History ◽  
Treatment Outcomes ◽  
Humeral Head ◽  
High Rate ◽  
Young Athletes ◽  
Glenohumeral Instability ◽  
Recurrent Instability ◽  
Labral Tears ◽  
History Of

Traumatic anterior glenohumeral subluxations comprise the majority of glenohumeral instability events and are endemic in young athletes. Unlike the definitive complete dislocation event, subluxation events may often be more subtle in presentation and, therefore, may be overlooked by clinicians. Glenohumeral subluxation events are associated with a high rate of labral tears as well as humeral head defects. While less is known of the natural history of these injuries, young athletes are at risk for recurrent instability events if not properly diagnosed and treated. While reports of surgical treatment outcomes isolated to subluxation events are limited, arthroscopic and open Bankart repair have been shown to result in excellent outcomes. The purpose of this paper is to review the etiology and pathoanatomy of traumatic anterior glenohumeral subluxations as well as to review the appropriate evaluation and management of patients with this injury.

scholarly journals Outcomes of non-arthroplasty surgical treatment of proximal humeral head fractures

2016 ◽  
Vol 51 (5) ◽  
pp. 527-534
Author(s):  
Alberto Naoki Miyazaki ◽  
Pedro Doneux Santos ◽  
Guilherme do Val Sella ◽  
Denis Cabral Duarte ◽  
Giovanni Di Giunta ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Humeral Head

Glenohumeral Joint Trauma

2019 ◽  
pp. 52-57
Author(s):  
Michael O’Keeffe ◽  
Kiran Khursid ◽  
Peter L. Munk ◽  
Mihra S. Taljanovic
Keyword(s):  
Surgical Treatment ◽  
Humeral Head ◽  
Glenohumeral Joint ◽  
The Body ◽  
Bone Lesions ◽  
Glenoid Fossa ◽  
Rotator Cuff Injuries ◽  
Joint Dislocations ◽  
Bony Bankart ◽  
Joint Trauma

Chapter 12 discusses glenohumeral joint trauma. The shoulder is one of the most frequently dislocated joints in the body. The glenohumeral joint is ball and socket articulation between the humeral head and scapular glenoid. The humeral head is significantly larger than the glenoid fossa, which predisposes this joint to instability. Anterior shoulder dislocations are more common than those occurring posteriorly, and true inferior dislocations are rare. Bone injuries associated with anterior glenohumeral joint dislocations are the bony Bankart and Hill-Sachs lesions. The diagnosis of dislocation is made on radiographs. CT examination is useful in the evaluation of associated bone lesions and glenoid bone loss. Magnetic resonance arthrography (MRA) is the study of choice in the evaluation of associated glenolabral and rotator cuff injuries. Initial treatment is closed reduction with immobilization and subsequent physical therapy. Surgical treatment is indicated for complicated dislocations with instability.

scholarly journals Surgical treatment of the humeral head osteochondral defects in chronic shoulder dislocation: Literature review

2021 ◽  
Vol 6 (6-2) ◽  
pp. 103-112
Author(s):  
V. V. Monastyrev ◽  
B. A. Chimytov
Keyword(s):  
Surgical Treatment ◽  
Humeral Head ◽  
Shoulder Joint ◽  
Osteochondral Defects ◽  
Imaging Data ◽  
Extent Of Surgery ◽  
English Speaking ◽  
The One ◽  
Combined Injuries ◽  
Selection Of

Background. The shoulder joint is the one most amenable to dislocation. Dislocation of the humeral head is complicated by combined injuries of the shoulder joint, and if the patient does not seek treatment on the first day after the dislocation, irreversible changes in bone and soft tissue structures are formed.The aim of this review was to analyze modern methods of diagnosis and treatment of patients with defects in the articular surfaces of the scapula and humerus head with chronic shoulder dislocations.Material and methods. To search for literature data, we used the electronic databases MEDLINE, PudMed, eLIBRARY with a selection of sources published from 2000 to 2020. The analysis was carried out on works devoted to the diagnosis, surgical treatment and complications of traumatic shoulder dislocations.Results. When analyzing the literature on the surgical treatment of shoulder dislocations, we did not find clear criteria for planning the extent of surgery. The obtained results of surgical treatment testify to well-studied technologies for treating osteochondral defects of the humeral head up to 25 % of its total area. In the presence of a defect of 50 % of humeral head area or more, satisfactory results are shown when carrying out arthroplasty of the joint using a reverse endoprosthesis. However, the treatment of defects ranging in size from 25 to 50 % is still an unexplored problem. There are single techniques using allografts, mainly in English-speaking countries and, to a lesser extent, on the territory of the Russian Federation. Thus, the search for an algorithm for choosing a surgical treatment based on multi-layer spiral computed tomography and/or magnetic resonance imaging data, and the development of a new method of surgical treatment taking into account the obtained data are priority areas in modern traumatology and orthopedics.

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