PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “SHOULDER DISLOCATION”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 19 recordsLinked to original sources
PubMedDate not supplied

The radiographic evaluation of the dislocated shoulder.

Dislocation of the shoulder is a common injury that may be difficult to demonstrate radiographically. Special views can aid in the demonstration of acute and previous shoulder dislocations. This article presents methods of shoulder radiography that can be used for evaluation of this injury. Additionally, the anatomy and mechanism of dislocation of the shoulder are discussed. Finally, examples demonstrating the usefulness of the described radiographic methods are included.

Adult↗
PubMed1990

[The value of arthroscopic labrum stapling in anterior shoulder dislocation].

Shoulder luxations are common injuries in relation to sports. Isokinetic strength was evaluated in 24 patients on the average 1 year after performing arthroscopic stabilisation of an anterior shoulder luxation. Using the Merac (Universal Gym Equip., Cedar Rapids, Iowa, USA), test data were gathered on both shoulders in flexion-extension, abduction-adduction and in the supine 90 degrees abducted test position in external-internal rotation. Tests were performed at 60, 180 and 500 deg/sec. Means and standard deviations for peak torque, total work, peak torque to body weight ratios and agonist/antagonist ratios are presented. Our one year follow-up showed, that 82% of all patients were free from complaints and had almost the same data as on the non-operated shoulders. Arthroscopic stabilisation of anterior shoulder luxations in combination with intensive physiotherapy gave excellent results in most cases.

Adult↗
PubMed2000

An alternative slump reduction technique of anterior shoulder dislocations: a 3-year prospective study.

OBJECTIVE: To describe an alternative method of dislocated shoulder reduction and to investigate its success rate when used at a ski resort setting. DESIGN: A prospective observational study. SETTING: Medical center at Australia's largest ski resort during the ski seasons of 1994, 1995, and 1996 (June through early October). The center is a primary care private practice. PATIENTS: There were 199 patients with anterior dislocated shoulders who presented to the center. One patient was excluded from the study because of spontaneous reduction during clothing removal. INTERVENTIONS: Patients had upper body clothing removed, were seated in a chair, and supported in a slumped position by an assistant. The medical officer then performed the reduction once relaxation was achieved. Patients were always offered Entenox (nitrous oxide). MAIN OUTCOME MEASURES: Successful reduction of the anterior dislocated shoulder with or without analgesia. Any complications such as fractures and nerve damage were recorded. RESULTS: The data were recorded by the treating medical officer. 93.2% of the subjects were successfully treated using the "slump" reduction method. The success rate on first attempt using the slump method was 85.6%. Of the remainder, four subjects were reduced by an alternative method and five were sent to hospital for reduction under general anesthesia. Four of these subjects had fractures. CONCLUSION: The slump method of reduction for anterior dislocated shoulders compares favorably with previously documented methods. It would seem to be a particularly useful method when parenteral analgesia is either not available or relatively contraindicated. There were no complications resulting from the use of this method, and it is a method that is easy to learn. The slump method is a safe and effective addition to the primary care physician's options in reducing an anteriorly dislocated shoulder.

Adult↗
PubMed1999

[Locked dorsal shoulder dislocation and contralateral ventral shoulder dislocation fracture. A rare combination].

The posterior luxation of the shoulder joint is a rarely reported and often not recognized lesion in the clinical workday. The authors present the first case of a posterior luxation of the shoulder joint in combination with an contralateral anterior shoulder joint fracture dislocation. In that case the authors stress the importance of an exact clinical and radiology diagnostic and the right way to reduce a posterior luxation of the shoulder joint. Finally they draw the readers attention to operative steps to prevent a reluxation of the shoulder joint.

Adult↗
PubMed1985

CT findings in normal and dislocating shoulders.

Computed tomographic (CT) scans of the shoulders of 10 normal individuals and six patients with a history of recent or recurrent shoulder dislocation were reviewed. In normal individuals, the surface of the glenoid was smooth and was always within 10 degrees of being perpendicular to the body of the scapula. As scans progressed from cephalad to caudad, the glenoid surface twisted and faced more anteriorly. The center of the humeral head always projected within the central one-third of the glenoid fossa. In the patients with dislocations, CT scans depicted a variety of lesions, including: bony abnormalities of the glenoid surface (fragmentation, fracture, irregularity) in three patients; abnormal glenoid-scapular angles in two; loose bodies in two; subtle subluxation, coracoid fracture, cystic humeral defect, and soft-tissue calcification in one patient each. Scans without intra-articular contrast could not demonstrate capsular or labral abnormalities. CT images are helpful in the pre- and postoperative assessment of some patients with shoulder dislocation.

Adult↗
PubMed2005

Best evidence topic report. How to immobilise after shoulder dislocation?

A short cut review was carried out to establish the best way to immobilise dislocated shoulders after reduction. A total of 47 papers were identified using the reported search, of which four represent the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results, and study weaknesses of these best papers are tabulated. For patients with a first anterior shoulder dislocation immobilisation in external rotation may be of more benefit than immobilisation in internal rotation.

Humans↗
PubMed2006

[Rupture of the arteria subscapularis following reduction of an anterior shoulder dislocation].

Anterior shoulder dislocations are one of the most common problems seen in an emergency department. Doubtless, immediate reduction is necessary for treatment, a procedure that is extremely rarely accompanied by complications. In these cases early diagnosis and treatment may be limb saving. We report a case with rupture of the arteria subscapularis following reduction of an anterior shoulder dislocation with formation of an axillary hematoma and consecutive paresis of the plexus brachialis. Interdisciplinary operative revision was necessary to remove the hematoma, stop the hemorrhage and for neurolysis of the plexus brachialis. Treatment resulted in a speedy recovery of the patient. Gentle reduction of a dislocated shoulder is a prerequisite for a low complication rate. Contrast-enhanced computed tomography facilitated diagnosis of the hematoma and identification of the bleeding vessel.

Aged, 80 and over↗
PubMed1989

Interscalene brachial plexus blocks in the management of shoulder dislocations.

Interscalene brachial plexus block is a simple and effective alternative to intravenous benzodiazepines or general anaesthesia for manipulation of the dislocated shoulder. Thirty interscalene brachial plexus blocks were performed on 29 patients with dislocations of the shoulder to provide regional anaesthesia for reduction. Pain was abolished by 14 out of the 30 blocks performed, improved by 13 and unchanged by three. Muscle relaxation (MRC grade 3 or less) occurred in 21 patients. In 26 cases the block allowed reduction of the dislocation without additional analgesia or sedative. Reduction was not possible in four cases. There were no significant complications.

Adolescent↗
PubMed1989

[Differential diagnosis of shoulder dislocation with special reference to posterior dislocation].

Evaluation of a dislocated shoulder must classify the direction of dislocation and describe additional injuries as well as the recurrence rate. This is required in all types of dislocations by recording the case history in detail, and by examining the shoulder clinically as well as radiographically in two planes. Ultrasound and arthro-computer tomography are valid methods to demonstrate injuries of bony and ligamentous structures. They may therefore influence surgical treatment. In posterior dislocation of the shoulder quite often early diagnosis is missed. If this injury is suspected, careful clinical and radiographical evaluation is most important.

Adult↗
PubMedDate not supplied

A review of the Bristow operation for recurrent anterior shoulder dislocation in athletes.

Twenty-four recurrent dislocating shoulders, in patients ranging from 15 to 26 years, were evaluated after surgical treatment using the Bristow procedure. The operative procedure is discussed in detail recommending the use of an A-O malleolar compression screw, because of ease in insertion, to fix the caroacoid process to the anterior scapular neck. The Bristow procedure as described is an effective operation for achieving shoulder stability while maintaining nearly a complete range of motion in most cases. There was one case of recurrent dislocation after surgery which is described in detail. Six of 24 shoulders demonstrated some loss of external rotation, with the maximum being only 10 degrees. Five of 9 patients had some difficulty in throwing when the dominant extremity was treated. This did not appear to be related to any possible decrease in external rotation.

Adolescent↗
PubMed2006

[A painless technique for reposition of anterior shoulder dislocation].

Acute shoulder dislocation is a common injury and characterized by an extremely painful lack of motion. The treatment objective after diagnosis is immediate reduction avoiding additional pain and complications. Various techniques have been described for more than 2000 years mostly using traction-countertraction, particularly combined with special positioning and leverage maneuvers. We report a reduction technique which is performed by a single person with the patient sitting on a chair and the physician standing behind him at the affected side. Positioning one fist in the anterior part of the axillary fossa for countertraction but avoiding direct pressure into the axillary fossa, the other hand uses traction grasping the patient's forearm. Only gentle traction is maintained until muscle relaxation is achieved and reduction mostly happens in this moment. Otherwise slow external rotation of the fist placed in the axilla can relieve reduction pushing the humeral head laterally. Additional leverage maneuvers are not necessary. This technique was successful in 98 of 108 (90.7%) patients. Only in 16.3% was premedication (intravenous analgesics) used. In ten patients general anesthesia was required to achieve reduction. No complications occurred in any of the patients. The reported technique allows a gentle and painless reduction of acute anterior shoulder dislocation with a high success rate mostly avoiding premedication.

Adolescent↗
PubMed2001

Hands up: a case of bilateral inferior shoulder dislocation.

Inferior shoulder dislocation (luxatio erecta) is a rare form of shoulder dislocation. A case involving bilateral luxatio erecta with bilateral brachial plexus injury and rotator cuff tears is reported. A brief review of presentation and management of this condition is presented.

Accidental Falls↗
PubMed1990

Brachial plexus lesions associated with dislocated shoulders.

We reviewed 28 patients with brachial plexus lesions caused by shoulder dislocation. Contrary to most other reports, we found that the neurological lesions involved the infraclavicular and the supraclavicular brachial plexus. With supraclavicular lesions the involvement was always of the suprascapular nerve, and this always recovered spontaneously. Isolated axillary nerve lesions had the poorest prognosis for spontaneous recovery. We explored all lesions that showed no recovery after three to five months and performed either grafting or neurolysis. We discuss the combinations of nerve lesions, their recovery, the surgical indications, and the operations. We also suggest a new classification for these injuries which is more clinically relevant than the anatomical classification of Leffert and Seddon (1965).

Adolescent↗
PubMed2005

[The evaluation and treatment of acute anterior shoulder dislocation].

Anterior shoulder dislocation is the most common dislocation in the human body with a high recurrence rate and thus, has been one of the interesting subjects in orthopaedics and traumatology. There is still controversy about its evaluation and treatment. In particular, the type and duration of immobilization after reduction of the shoulder vary among centers. Another matter of debate is the indication of acute repair of the capsulolabral structures to prevent late instability. This review aims to provide an outline of current knowledge about the management and treatment alternatives of anterior shoulder dislocation.

Acute Disease↗