Frequency of recurrent dislocation after conservative management of acute traumatic shoulder dislocation
Keywords:
acute traumatic, shoulder dislocation, conservative care, recurrent dislocationAbstract
Dislocations of the shoulder are a serious and expensive issue. Younger males are more likely than older men to experience shoulder dislocations, with overall incidence rates ranging between 23.91 and 23.12 per 100,000 person/years. After initial closure reduction and sling immobilization of the traumatic anterior shoulder dislocation, this study will give us the most recent and accurate information about the severity of recurrence of dislocation. Aim: The goal is to determine the frequency of recurrent shoulder dislocation occurs following conservative treatment. Place and Duration: In the Orthopaedics Department, Khyber Teaching Hospital, Peshawar for six months duration from 28/6/2012 to 28/12/2018. Methods: A total of 172 patients were observed during this study. All patients had conservative treatment, which included manual shoulder reduction and three weeks of immobilization with a sling. In order to reduce bias, all treatments were carried out by a consultant orthopedic surgeon with at least seven years of experience, assisted by a senior postgraduate resident. To check for the recurrence of the dislocation, all patients were instructed to maintain regular follow-up for the following three months.
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References
Blasier RB, Guldberg RE, Rothman ED. Anterior shoulder stability: Contributions of rotator cuff forces and the capsular ligaments in a cadaver model. J Shoulder Elbow Surg. 1992. 1:140-50.
Burkhead WZ Jr, Rockwood CA Jr. Treatment of instability of the shoulder with an exercise program. J Bone Joint Surg Am. 1992 Jul. 74(6):890-6.
Cofield RH, Kavanagh BF, Frassica FJ. Anterior shoulder instability. Instr Course Lect. 1985. 34:210-27.
Cox CL, Kuhn JE. Operative versus nonoperative treatment of acute shoulder dislocation in the athlete. Curr Sports Med Rep. 2008 Sep-Oct. 7(5):263-8.
Dodson CC, Cordasco FA. Anterior glenohumeral joint dislocations. Orthop Clin North Am. 2008 Oct. 39(4):507-18
Dumont GD, Fogerty S, Rosso C, Lafosse L. The arthroscopic Latarjet procedure for anterior shoulder instability: 5-year minimum follow-up. Am J Sports Med 2014 Nov;42(11):2560-6.
Gutierrez V, Monckeberg JE, Pinedo M, Radice F. Arthroscopically determined degree of injury after shoulder dislocation relates to recurrence rate. Clin Orthop Relat Res. 2012 Apr; 470(4): 961–64.
Hoffman TC, Montori VM, Del Mar C. The connection between evidence-based medicine and shared decision making. JAMA 2014;312:1295–6.
Hovelius L, Augustini BG, Fredin H, et al. Primary anterior dislocation of the shoulder in young patients. A ten-year prospective study. J Bone Joint Surg Am. 1996 Nov. 78(11):1677-84.
Itoi E, Hatakeyama Y, Kido T, Sato T, Minagawa H, Wakabayashi I, et al. A new method of immobilization after traumatic anterior dislocation of the shoulder: a preliminary study. J Shoulder Elbow Surg. 2003 Sep-Oct. 12(5):413-5.
Itoi E, Hatakeyama Y, Urayama M, Pradhan RL, Kido T, Sato K. Position of immobilization after dislocation of the shoulder. A cadaveric study. J Bone Joint Surg Am. 1999 Mar. 81(3):385-90.
Itoi E, Sashi R, Minagawa H, Shimizu T, Wakabayashi I, Sato K. Position of immobilization after dislocation of the glenohumeral joint. A study with use of magnetic resonance imaging. J Bone Joint Surg Am. 2001 May. 83-A(5):661-7.
Kardouni JR, McKinnon CJ, Seitz AL. Incidence of Shoulder Dislocations and the Rate of Recurrent Instability in Soldiers. Med Sci Sports Exerc. 2016 Nov. 48 (11):2150-2156.
Leroux T, Wasserstein D, Veillette C. Epidemiology of primary anterior shoulder dislocation requiring closed reduction in Ontario, Canada. Am J Sports Med 2014;42:442–50.
Longo UG, Loppini M, Rizzello G, Ciuffreda M, Maffulli N, Denaro V. Management of primary acute anterior shoulder dislocation: systematic review and quantitative synthesis of the literature. Arthroscopy: J Arthoscop Surg. 2014 Apr 30;30(4):506-22.
Longo UG, van der Linde JA, Loppini M, Coco V, Poolman RW, Denaro V. Surgical versus nonoperative treatment in patients up to 18 years old with traumatic shoulder instability: a systematic review and quantitative synthesis of the literature. Arthroscopy: J Arthroscop Surg 2016;32(5):944-52.
Matsen FA III, Thomas SC, Rockwood CA Jr. Anterior glenohumeral instability. Rockwood CA Jr, Matsen FA III, eds. The Shoulder. Philadelphia, Pa: WB Saunders Co; 1990. Vol 1: 526-622.
Monk AP, Roberts PG, Logishetty K, Price AJ, Kulkarni R, Rangan A, et al. Evidence in managing traumatic anterior shoulder instability: a scoping review. BJS 2015;49(5):307-11.
Olds M, Ellis R, Donaldson K, Parmar P, Kersten P. Risk factors which predispose first-time traumatic anterior shoulder dislocations to recurrent instability in adults: a systematic review and meta-analysis. Br J Sports Med. 2015;49:913–23.
Owens BD, Dickens JF, Kilcoyne KG, Rue JP. Management of mid-season traumatic anterior shoulder instability in athletes. J Am Acad Orthop Surg 2012;20:518-26.
Schenk TJ, Brems JJ. Multidirectional instability of the shoulder: pathophysiology, diagnosis, and management. J Am Acad Orthop Surg. 1998 Jan-Feb. 6(1):65-72.
Tas¸koparan H, Kılınc¸o_glu V, Tunay S, Bilgic¸ S, Yurttas¸ Y, K€om€urc€u M. Immobilization of the shoulder in external rotation for prevention of recurrence in acute anterior dislocation. Acta Orthop Traumatol Turc 2012;44:278-84.
Wakai A, O’Sullivan R, McCabe A. Intra-articular lignocaine versus intravenous analgesia with or without sedation for manual reduction of acute anterior shoulder dislocation in adults. Cochrane Database Syst Rev 2011;4:CD004919.
Yang JS, Mazzocca AD, Cote MP, Edgar CM, Arciero RA. Recurrent anterior shoulder instability with combined bone loss: treatment and results with the modified Latarjet procedure. Am J Sports 2016;44(4):922-32.
Zacchilli MA, Owens BD. Epidemiology of shoulder dislocations presenting to emergency departments in the United States. J Bone Joint Surg Am 2012;92:542–9.
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