1/158. brachial plexus lesions complicating anterior fracture-dislocation of the shoulder joint.Four cases of brachial plexus lesions caused by anterior fracture-dislocation of the shoulder are reported. The incidence, mechanism of injury and prognosis are reviewed.- - - - - - - - - - ranking = 1keywords = injury (Clic here for more details about this article) |
2/158. Bilateral anterior shoulder fracture-dislocation. A case report and a review of the literature.We report an unusual case of bilateral anterior shoulder dislocation following trauma. Previously reported cases were either of bilateral dislocations or bilateral fracture dislocations. In our case the patient suffered bilateral anterior dislocation with a three part fracture dislocation on the right. A review of the literature is presented.- - - - - - - - - - ranking = 0.064769700413067keywords = trauma (Clic here for more details about this article) |
3/158. Arthroscopic treatment of acute traumatic anterior glenohumeral dislocation and greater tuberosity fracture.We present a case and a description of treatment of an anterior dislocation of the shoulder with a greater tuberosity fracture. Both the Bankart lesion and the tuberosity fracture were repaired using arthroscopic techniques.- - - - - - - - - - ranking = 0.25907880165227keywords = trauma (Clic here for more details about this article) |
4/158. Asymptomatic chronic anterior posttraumatic dislocation in a young male patient.We report an unusual case of chronic anterior glenohumeral dislocation in a young active patient. The diagnosis was not made until 4 years after the initial injury occurred. X-ray evaluation and magnetic resonance imaging showed an anterior dislocated humeral head that was locked anteroinferior of the glenoid as a result of a large Hill-Sachs lesion. Passive and active range of motion was surprisingly normal, and the patient had no pain and no limitation in his activities of daily living. A chronic dislocation of the glenohumeral articulation has been defined as a joint that has been dislocated for at least several days. It is generally accepted that the longer the dislocation persists, the more the difficulties and complications of reduction increase. In most of the patients the persistence of an unreduced chronic dislocation is a very difficult problem. This condition is mostly seen in elderly patients and in those with limited general mental status. We report a case of a young male patient with only minor clinical symptoms.- - - - - - - - - - ranking = 1.2590788016523keywords = injury, trauma (Clic here for more details about this article) |
5/158. Posterior shoulder dislocation: avoiding a missed diagnosis.Posterior shoulder dislocation is a relatively uncommon event, with an incidence of 1% to 4% of all shoulder dislocations. Because of the infrequency of this condition, the diagnosis is often missed, with significant consequences to the patient Injury in the athlete is usually from a direct blow or fall onto an outstretched arm. After such an injury, symptoms may be confused with a shoulder contusion or rotator cuff injury. Significant complications such as chronic posterior dislocation and degenerative disease of the shoulder can occur if the diagnosis is missed. A careful history and physical examination, complete radiographic evaluation, and a high level of suspicion are required to identify posterior shoulder dislocation. Treatment consists of prompt closed reduction, or operative repair if this is unsuccessful.- - - - - - - - - - ranking = 2keywords = injury (Clic here for more details about this article) |
6/158. Luxatio erecta: a rarely seen, but often missed shoulder dislocation.Luxatio erecta is an uncommon disorder and presents in a unique, unusual manner. Luxatio erecta is often misdiagnosed as an anterior dislocation. The presentation is unmistakable and classic: the arm hyperabducted and locked above the head. Neurovascular injuries consist of neuropraxia of brachial plexus, radial and ulnar nerve. Vascular injuries are complicated by intimal tears, transections, and/or thrombosis of the axillary artery or vein. Reduction is done with the traction and countertraction maneuver. Once it is reduced the arm is then placed and maintained with a sling in adduction to the chest. Orthopedic referral is required because of the high incidence of rotator cuff injury.- - - - - - - - - - ranking = 1.4631573761816keywords = injury, artery (Clic here for more details about this article) |
7/158. Surgical management of posterior shoulder instability in a ten-year-old boy: a case report and literature review.Posterior shoulder instability is an uncommon clinical entity. It is even more rare in the pediatric population. We report the case of a 10-year-old boy who experienced recurrent posttraumatic posterior shoulder instability that eventually required surgical intervention. A review of the literature revealed no previous report of surgical management of nonobstetrical posttraumatic posterior glenohumeral instability in a skeletally immature individual.- - - - - - - - - - ranking = 0.12953940082613keywords = trauma (Clic here for more details about this article) |
8/158. Axillary nerve injuries in children.Isolated axillary nerve injury is uncommon, particularly in children. The motor deficit of shoulder abduction may not recover spontaneously and can be a substantial handicap. Detection may be difficult initially, as the injury is masked by trauma such as head injury, and concomitant shoulder injury requiring immobilization. After mobilization, patients learn to partially compensate by using alternate muscles. There are few reports of surgical management of this nerve injury. Most concern predominantly adults, and the results are mixed with on average slightly greater than half having a good recovery (defined as grade 4-5 Medical research Council muscle power). We present our experience with 4 pediatric patients who had axillary nerve injury. Three patients had an interposition nerve graft, and 1 patient underwent neurolysis. All patients recovered to grade 4-5 deltoid muscle power. Children with an axillary nerve injury which fails to recover spontaneously by 4-6 months should strongly be considered for surgical exploration.- - - - - - - - - - ranking = 7.0647697004131keywords = injury, trauma (Clic here for more details about this article) |
9/158. The use of the Spaso technique in a patient with bilateral dislocations of shoulder.Although anterior shoulder dislocation is a common traumatic condition managed in the accident and emergency department, bilateral anterior shoulder dislocations are rare. We report a patient with bilateral anterior shoulder dislocations after electric shock and stress the need for a high index of suspicion required for the diagnosis of this condition. For this patient, we have adopted a new reduction method to reduce the dislocated shoulders. A brief review on the new method-the Spaso technique-is presented in the discussion.- - - - - - - - - - ranking = 0.064769700413067keywords = trauma (Clic here for more details about this article) |
10/158. HAGL lesion occurring after successful arthroscopic Bankart repair.Recurrent traumatic anterior shoulder instability following surgical repair may be associated with implant failure and an array of capsulolabral pathology including separation of the labrum (Bankart lesion), humeral avulsion of the glenohumeral ligaments (HAGL lesion), and capsular rupture. We detail a previously unreported case of a HAGL lesion occurring in a shoulder with an intact arthrosopic Bankart repair following an additional traumatic event. Anatomic repair of this subsequent injury resulted in an excellent outcome. The patient returned to his high-demand ski racing activities without any shoulder limitation.- - - - - - - - - - ranking = 1.1295394008261keywords = injury, trauma (Clic here for more details about this article) |
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