92 results match your criteria: "Joint Reduction Shoulder Dislocation Inferior"

Noninvasive bracing of acromioclavicular joint dislocations is not superior to early functional rehabilitation and not inferior to surgical stabilization in Rockwood type III and V injuries.

J Shoulder Elbow Surg

October 2024

Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Center for Musculoskeletal Surgery, Berlin, Germany; Department of Shoulder and Elbow Surgery, Schulthess Clinic, Zurich, Switzerland.

Background: Treatment of acromioclavicular joint (ACJ) separations remains controversial. Yet, conservative treatment has become more common even for high-grade injuries. Available conservative treatment does currently however not address the loss of anatomical joint integrity in Rockwood (RW) III and V injuries.

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Article Synopsis
  • * The two-step process involves first changing the inferior dislocation into an anterior one and then placing the humeral head back in its original position.
  • * This new technique can be performed by a single medical professional, usually takes only one attempt, requires less force, and can be done with minimal sedation, making it a better option than older methods.
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5 months old neglected anterior shoulder dislocation treated with open reduction and laterjet procedure: A case report.

Int J Surg Case Rep

November 2024

College of Health Sciences, School of Medicine and Surgery, Amoud University, Borama 25263, Somalia; Faculty of Science, Charles University, Prague, Czech Republic. Electronic address:

Article Synopsis
  • * The unsuccessful preliminary attempts to treat the dislocation were followed by successful surgical intervention using open reduction and a Latarjet procedure, which provided a good outcome for the patient.
  • * Effective treatment for chronic dislocations relies on various factors, and while surgical techniques are promising, early and strict rehabilitation is essential for achieving optimal recovery results.
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[Mid-term effectiveness of LU-tarjet procedure for recurrent anterior shoulder dislocation].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi

June 2024

Department of Sports Medicine, the Second People's Hospital of Shenzhen, the First Affiliated Hospital of Shenzhen University, Shenzhen Guangdong, 518025, P. R. China.

Objective: To evaluate the mid-term effectiveness of limited unique coracoid osteotomy suture button fixation Latarjet (LU-tarjet) procedure in treatment of recurrent anterior shoulder dislocation.

Methods: Between March 2017 and February 2019, 56 patients with recurrent shoulder dislocation were treated with arthroscopic LU-tarjet procedure. There were 44 males and 12 females with an average age of 26.

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Background: Many patients who undergo shoulder arthroplasty (SA) have had at least 1 nonarthroplasty shoulder surgery before the surgery. There is conflicting evidence regarding the effects of previous shoulder surgery on the outcome of SA. A systematic review was conducted to compare functional outcomes and complications between SA patients with and without prior non-SA surgery on the ipsilateral shoulder.

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Article Synopsis
  • Inferior shoulder dislocation is a rare injury that can lead to serious complications like axillary artery injury, which may cause permanent damage.
  • A case involving a 71-year-old man on blood thinners who experienced this type of dislocation highlighted the need for careful monitoring after treatment, as he later showed signs of an axillary artery rupture, confirmed by CT and treated with an endovascular stent.
  • This case underscores the critical importance of recognizing potential artery injuries post-dislocation and suggests using diagnostic imaging early if symptoms like enlarging hematoma or pulse changes occur.
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Introduction: Multidirectional instability is defined as symptomatic glenohumeral joint subluxation or dislocation occurring in more than one direction. Multidirectional shoulder instability with recurrent shoulder dislocation is a rare condition with controversies in the literature about the best treatment strategy. Physiotherapy remains the initial treatment of choice, and surgical intervention should be performed only if debilitating symptoms continue to be experienced.

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Article Synopsis
  • A 68-year-old woman experienced a rare inferior shoulder dislocation in her glenohumeral joint, which is uncommon compared to other types of shoulder dislocations.
  • After the dislocation was successfully treated and her neurovascular status was checked, she recovered well without any common complications linked to this injury.
  • The report aims to explain how this type of injury occurs, what typical symptoms or presentations are like, and review treatment methods and potential complications.
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First-time traumatic anterior shoulder dislocation: Approach for the primary health care physician.

S Afr Fam Pract (2004)

June 2023

Division of Orthopaedic Surgery, Department of Surgery, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa; and, Department of Orthopaedic Surgery, Mitchels Plain Hospital, Metro Health Services, Western Cape Government: Health and Wellness, Cape Town.

Traumatic anterior shoulder dislocation is a very common injury encountered in emergency rooms as well as in the primary health care physician's office. This injury occurs either in the setting of competitive or recreational sports injuries or as a high-energy injury during a fall or a road traffic accident. Common complications such as a recurrent dislocation can be predicted, monitored and prevented.

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Background: The internal joint stabilizer of the elbow (IJS-E) adds to techniques for maintaining reduction of elbow fracture-dislocations while allowing early motion. Literature on this device is limited to small case series.

Methods: Retrospective comparison of function, motion and complications in patients who sustained elbow fracture-dislocations reconstructed with (30 patients) and without (34 patients) an IJS-E by a single surgeon.

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Clavicular Tunnel Widening After Acromioclavicular Stabilization Shows Implant-Dependent Correlation With Postoperative Loss of Reduction.

Arthroscopy

November 2023

Department of Shoulder and Elbow Surgery, Schulthess Clinic, Zurich, Switzerland; Center for Musculoskeletal Surgery, Charité-Universitaetsmedizin, Berlin, Germany. Electronic address:

Purpose: To radiographically describe, quantify, and compare clavicular tunnel widening (cTW) of 2 different types of stabilization devices and investigate a possible correlation between cTW and loss of reduction.

Methods: In a retrospective analysis of single-center registry data, we compared patients who were treated for an acute AC dislocation (Rockwood types III to V) with either the AC Dog Bone (DB) or low-profile AC (LP) repair systems. On 6-week and 6-month postoperative radiographs, we measured clavicle height and tunnel diameter.

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Luxatio Erecta: A Case Report and Literature Review.

Cureus

December 2022

Orthopaedics and Traumatology, Division of Trauma and Orthopaedic Surgery, SANNA - San Borja Clinic, Lima, PER.

Luxatio erecta (inferior shoulder dislocation) is a rare entity, infrequent, but with a good prognosis. There are two mechanisms for this injury to occur, by an indirect force, which is the most frequent, and by a direct force. Both involve hyperabduction of the arm.

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Luxatio erecta is an inferior glenohumeral dislocation. It is an uncommon pathology with a prevalence of 0.5% of all shoulder dislocations.

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Han's technique: a new reduction technique for acute anterior shoulder dislocation.

Arch Orthop Trauma Surg

July 2023

Department of Orthopaedics, The Affiliated Hospital of Medical School of Ningbo University, No. 247, People Road, Jiangbei District, Ningbo, Zhejiang Province, China.

Introduction: Acute anterior shoulder dislocation (AASD) is the most common joint dislocation. Here, we introduced a new reduction technique for AASD, named "Han's technique" (or "Touch overhead technique").

Methods: Patients diagnosed with AASD were treated with "Han's technique" in the orthopaedic department of our hospital from October 2018 to November 2020.

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The authors present a case of transient postoperative inferior subluxation of the shoulder after arthroscopic surgical stabilization for recurrent anterior dislocation. The patient was a 61-year-old woman with myasthenia gravis (MG). The first anterior shoulder dislocation occurred because of a fall to the ground.

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Background: Many surgical procedures are proposed to manage shoulder instability with recurrent dislocation but there is still a high rate of failure or complications. Repairs are often limited to anterior part of inferior glenohumeral ligament but some authors are reporting better clinical results if its posterior band is also repaired. This biomechanical study aimed to investigate the impact of a supplementary posterior injury compared with an isolated anterior injury and to analyze the contribution of a posterior repair of the inferior glenohumeral ligament compared with an isolated anterior repair.

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Purpose: Optimal treatment of chronic unstable acromioclavicular (AC) joint dislocations (stage 3-5 according the Rockwood classification) is still debated. Anatomic coracoclavicular (CC) reconstruction is a reliable option in terms of two-dimensional radiographic reduction, clinical outcomes, and return to sports, but there remain concerns regarding anterior-posterior stability of the AC joint with CC ligament reconstruction alone. The aim of the present study was to describe the mid-term results of a new hybrid technique with CC and AC ligament reconstruction for chronic AC joint dislocations.

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[Anterior-superior dislocation of the shoulder: case report and review of the literature].

Pan Afr Med J

October 2021

Service de Traumatologie et d´Orthopédie à la Faculté de Médecine et de Pharmacie, Université Cadi Ayyad, Marrakech, Maroc.

Traumatic dislocations of the shoulder joint are generally described as an antero-inferior dislocations. Anterior-superior dislocations are extremely rare. We report a rare case of traumatic dislocation of the anterior-superior shoulder in a 45-year-old patient whose physical examination showed an anterior-superior subcutaneous protrusion of the head filling the subacromial space.

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Backgroud: Coracoacromial ligament transfer is the traditional procedure for treating chronic acromioclavicular separation, but it is significantly inferior to ligament reconstruction according to biomechanical and clinical studies. However, ligament reconstruction carries the risk of complications of graft loosening and peri-tunnel fractures. Currently, there is no ligament reconstruction procedure optimal for preventing such complications.

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Purpose: The purpose of this study was to establish consensus statements via a modified Delphi process on the diagnosis, nonoperative management, and Bankart repair for anterior shoulder instability.

Methods: A consensus process on the treatment using a modified Delphi technique was conducted, with 65 shoulder surgeons from 14 countries across 5 continents participating. Experts were assigned to one of 9 working groups defined by specific subtopics of interest within anterior shoulder instability.

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Locked Anterior-Inferior Sternoclavicular Joint Dislocation: A Case Report.

JBJS Case Connect

April 2021

Department of Orthopaedic Surgery, Division of Shoulder and Elbow, New York University Langone Health, Grossman School of Medicine, New York, New York.

Case: We report a rare variant of sternoclavicular joint (SCJ) dislocation, namely locked anterior-inferior dislocation, with unique clinical, radiographic, and intraoperative findings. In this variant, the medial clavicle was displaced anteriorly and inferiorly and locked in the manubrial-intercostal space, with corresponding mechanical dysfunction of the ipsilateral shoulder girdle joints. Symptoms unique to this variant included painful neck spasms and limited glenohumeral elevation.

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Surgical treatment of the radial head is crucial for the outcome in terrible triad injuries of the elbow.

Bone Joint J

December 2020

Department of Trauma and Orthopaedic Surgery, BG Unfallklinik Frankfurt am Main, Frankfurt, Germany.

Aims: To evaluate the outcomes of terrible triad injuries (TTIs) in mid-term follow-up and determine whether surgical treatment of the radial head influences clinical and radiological outcomes.

Methods: Follow-up assessment of 88 patients with TTI (48 women, 40 men; mean age 57 years (18 to 82)) was performed after a mean of 4.5 years (2.

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Missed or chronic bilateral anterior shoulder dislocation is a rare presentation, usually secondary to epileptic attack. We present herein an exceptional case of this injury pattern, associated with bilateral displaced fracture of the coracoid process, and unilateral rupture of the long head of biceps. Treatment consisted of open reduction through osteotomy of the lesser tuberosity, with additional stabilization of the glenohumeral joint, using the Latarjet procedure by transposition of the coracoid fragment with its attached conjoint tendon to the antero-inferior glenoid rim.

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Case: A 69-year-old man fell from a height, resulting in direct axial loading while both shoulders were fully abducted. He was referred to the surgical ward, and both shoulders were reduced by closed reduction using the traction-countertraction maneuver. After little improvement of complaints of pain in the right shoulder over 45 days, magnetic resonance demonstrated traumatic rupture of the supraspinatus.

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