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Results for “SHOULDER FRACTURES”

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At least 19 recordsLinked to original sources
PubMed1990

Difficult sports-related shoulder fractures.

The management of several types of shoulder fractures is presented. These infrequently occurring fractures are seen in a sports medicine practice. Basic principles of fracture care apply and are used in their treatment. Other fractures not discussed would be treated similarly.

Adult↗
PubMed2001

Arthroscopic capsular release for the treatment of refractory postoperative or post-fracture shoulder stiffness.

BACKGROUND: Arthroscopic capsular release is used to treat idiopathic adhesive capsulitis (frozen shoulder) that is refractory to nonoperative treatment or manipulation under anesthesia. The role of arthroscopic capsular release in the treatment of frozen shoulder after shoulder surgery or fracture is less clearly understood. The purposes of this study were to define the outcome of arthroscopic capsular release in the management of frozen shoulder after surgery or fracture and to compare these results with those of arthroscopic capsular release in the treatment of idiopathic frozen shoulder. METHODS: We evaluated the results of arthroscopic capsular release in three different groups of patients with shoulder contracture refractory to nonoperative management and manipulation under anesthesia. The three groups consisted of patients who had an idiopathic frozen shoulder, shoulder stiffness after surgery, or shoulder stiffness after fracture. We evaluated pain, function, patient satisfaction, and range of motion in all three groups before and after the study treatment. RESULTS: At a mean of twenty months (range, twelve to forty-six months) after the operation, fifty patients were available for assessment of function and range of motion of the involved shoulder. At the time of follow-up, each group had a significant improvement in the scores for pain, patient satisfaction, and functional activity as well as in the overall outcome score (p < 0.01). Comparison of the scores among the different groups revealed that all had a similar degree of improvement in range of motion of the involved shoulder, but patients with postoperative frozen shoulder had significantly (p < 0.05) lower scores for pain (p < 0.03), patient satisfaction (p < 0.004), and functional activity (p < 0.002) than did those with idiopathic or post-fracture frozen shoulder. CONCLUSIONS: Arthroscopic capsular release was as effective for improving range of motion in patients with postoperative contracture of the shoulder as it was in patients with idiopathic and post-fracture contracture. However, there was less improvement in the subjective scores for pain, function, and patient satisfaction in the postoperative group.

Analysis of Variance↗
PubMedDate not supplied

Bilateral shoulder fracture dislocations and radiculopathies secondary to electrical injury (a case report).

INTRODUCTION: In this report a case of bilateral shoulder fracture dislocations and C5 radiculopathy developed after an electrical injury is presented. CASE: A 29 year-old male patient referred to our hospital with complaints of inability to raise his hands overhead starting 3 months ago after an electrical injury. The first physical examination revealed loss of strength (3/5) in deltoid muscles bilaterally, bilateral shoulder fracture dislocations and C5 radiculopathies. An open reduction and internal fixation (using K wire, cortical screw) procedure was applied for the right side in the Department of Orthopedics. Postoperatively active (A) and passive (P) ranges of motion (ROMs) were restricted extremely in the right and left shoulder respectively. Since applications of 15 sessions of electrical stimulation for deltoid muscle and physical treatment for both shoulders failed to achieve satisfactory ROMs, K wire extraction was instituted with resultant increase in the right shoulder A/P ROMs after 10 sessions of physical therapy postoperatively. At the last examination which was 18 months after the injury, ROMs of the right shoulder were increased, but not normal. CONCLUSION: It must be remembered that in electrical injury, fractures and dislocations might occur in affected sites without any evidence of trauma with associated neurologic complications, and that these cases must be promptly detected and managed without any delay.

Bone Screws↗
PubMed2000

[Bilateral shoulder fractures following generalized seizure].

A 37 year-old man with bilateral shoulder fractures and posterior dislocation of one shoulder following a tonic-clonic seizure is presented. The seizure was most likely caused by alcohol withdrawal. The diagnosis was not suspected initially. X-ray and CT-scan led to the diagnosis. The relevant literature is reviewed with special focus on causes, trauma mechanisms, symptoms and signs and the pitfalls responsible for missing the diagnosis.

Adult↗
PubMed2006

The reverse shoulder prosthesis (Delta III) in acute shoulder fractures: technical considerations with respect to stability.

The reverse shoulder prosthesis reverses the relationship between the scapular and humeral component, resulting in a mechanical advantage as the deltoid muscle is able to compensate for the rotator cuff deficiency. Based on this mechanical advantage, the reverse shoulder prosthesis has become an accepted alternative for the treatment of complex proximal humeral fractures. The purpose of this article is to discuss technical considerations related to stability in the use of the reverse shoulder prosthesis in acute shoulder fractures, based on clinical experience.

Humans↗
PubMed1997

Knee and shoulder fractures: association of fracture detection and marrow edema on MR images with mechanism of injury.

PURPOSE: To assess the value of magnetic resonance (MR) imaging for enabling the classification of fracture mechanisms and to compare marrow edema caused by compressive forces with that caused by tensile forces. MATERIALS AND METHODS: In 62 knees or shoulders, 78 fractures were identified prospectively on MR images or plain radiographs; compressive or tensile forces were determined retrospectively to have caused impaction or distraction fractures, respectively. Edema was measured on T1-weighted images. Frequencies of fracture detection on MR images or plain radiographs were compared. RESULTS: Forty-nine (63%) and 29 (37%) fractures were attributed to compressive and tensile forces, respectively. Edema measured 31 mm +/- 10 in impaction fractures and 2.5 mm +/- 2.4 in distraction fractures (P < .001). MR images and plain radiographs of 63 fractures were compared. On MR images, distraction fractures, including four of seven Segond fractures, were missed more often than impaction fractures (P < .008). Fractures overlooked on MR images were associated with less edema (P < .003). CONCLUSION: On MR images, impaction fractures demonstrate prominent marrow edema, and distraction fractures demonstrate minimal edema. Impaction fractures are more often missed on plain radiographs, and distraction fractures are more often missed on MR images. Segond fractures should be suspected if MR images show lateral capsular ligamentous injury in the knee; in these cases, evaluation with plain radiography is warranted.

Adult↗
PubMed2004

Multidetector CT in shoulder fractures.

The aim of this study was to assess the multi-detector computed tomography (MDCT) findings in acute shoulder traumas compared to radiographic findings in patients referred to a level one trauma center. Two hundred and ten patients (128 male, 82 female, age 16-95 years, mean age 51.7 years) underwent shoulder MDCT due to acute trauma. Three main mechanisms of injury were established: falling (113 patients, 54%), traffic accidents (36 patients, 17%) and falling from a height (12 patients, 6%). Based on MDCT, a total of 311 fractures--152 in the scapula and 159 in the proximal humerus--occurred in 191 (91%) of the 210 patients. The two most common occult fractures were lesser tubercle and coracoid process fractures. In 20 (63%) of the patients with a comminuted fracture of proximal humerus the exact number of fracture fragments was underestimated in radiographs. MDCT with multiplanar reconstructions (MPR) is a recommended complementary examination in patients with complex proximal humerus fractures where the extent of the fractures and the position or origin of dislocated fragments is not clear on radiography. This may increase the accuracy of the fracture classification and reveal occult fractures in other parts of the shoulder.

Adolescent↗
PubMed1993

Philosophy of osteosynthesis in shoulder fractures.

A wide range of workable instrumentation is available for the treatment of proximal humeral fractures, whereas osteosynthesis of scapular fractures is commonly achieved by plate/screw fixation. Older persons are confronted with a steadily rising incidence of osteoporotic fractures. Especially for this group of patients, minimally invasive and minimally instrumented surgical procedures, such as K-wiring and bone sutures, seem to have superseded plate fixation. For the treatment of scapular fractures, an important question remains: Which fracture types provide better functional results with open reduction and internal fixation, and which with conservative treatment? Our indications for an operative procedure are limited to the floating shoulder, dislocated scapular neck fracture, and dislocated glenoid fracture.

Fracture Fixation, Internal↗