SciELO - Scientific Electronic Library Online

 
vol.7 número1 índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Artigo

Indicadores

Links relacionados

  • Em processo de indexaçãoCitado por Google
  • Em processo de indexaçãoSimilares em Google

Compartilhar


SA Orthopaedic Journal

versão On-line ISSN 2309-8309
versão impressa ISSN 1681-150X

SA orthop. j. vol.7 no.1 Centurion Jan./Mar. 2008

 

CASE REPORT AND REVIEW OF THE LITERATURE

 

Complicated shoulder dislocation in the elderly patient

 

 

PH LaubscherI; PG CollinII; SMA GainIII

IMBChB, MMed (Pret), FCS SA(Ortho). Shoulder Fellow, Upper Limb Unit, Centre Hospitalier Privé St Gregoire, Rennes, France
IIMD. Shoulder Surgeon, Upper Limb Unit, Centre Hospitalier Privé St Gregoire, Rennes, France
IIIPhysiotherapist. Upper Limb Unit, Centre Hospitalier Privé St Gregoire, Rennes, France

Reprint requests

 

 


ABSTRACT

Anterior shoulder dislocation in the elderly patient is an injury that is often neglected. Because people are retiring early and living longer than previous generations, the demands for good function remain high despite an increased age. We report on the case of a 66 year-old male patient who had sustained a right anterior shoulder dislocation, greater tuberosity fracture and brachial plexus traction injury. An aggressive approach was followed which led to a satisfactory outcome. We also review opinions expressed in literature on the management of injuries associated with shoulder dislocation in the elderly.


 

 

“Full text available only in PDF format”

 

References

1. Rowe C. Prognosis in dislocations of the shoulder. J Bone Joint Surg Am 1956;38:951-11.         [ Links ]

2. McLaughlin MC. Trauma. Saunders: Philadelphia; 233-96.         [ Links ]

3. Groh GI, Rockwood CA. The terrible triad: anterior dislocation of the shoulder associated with rupture of the rotator cuff and injury to the brachial plexus. J Shoulder Elbow Surg 1995;4(pt 1):51-3.         [ Links ]

4. Simank H, Dauer G, Scheider S, Loew M. Incidence of rotator cuff tears in shoulder dislocations and results of therapy in older patients. Arch Orthop Trauma Surg 2006;126:235-40.         [ Links ]

5. Gumina A, Postacchini F. Anterior dislocation of the shoulder in elderly patients. J Bone Joint Surg Br 1991;79:540-3.         [ Links ]

6. Stevens JH. Dislocation of the shoulder. Ann Surg 1926;83:84.         [ Links ]

7. Codman E. The shoulder. (2nd edition). Boston: Todd, 1934:262-312.         [ Links ]

8. Gumina A, Postacchini R. Anterior dislocation of the shoulder in the elderly patient. J Bone Joint Surg Br 1991;79:540-3.         [ Links ]

9. Penvy T, Hunter R, Freeman J. Primary traumatic anterior shoulder dislocation in patients 40 years of age and older. Arthoscopy 1998;14:289-94.         [ Links ]

10. Itoi E, Tabata S. Rotator cuff tears in anterior dislocation of the shoulder. Int Orthop 1992;19:240-4.         [ Links ]

11. Neviaser RJ, Neviaser TJ, Neviaser JS. Concurrent rupture of the rotator cuff and anterior dislocation of the shoulder in the older patent. J Bone Joint Surg 1988;70A:1308-11.         [ Links ]

12. Berbig R, Weihaupt D, Jurg P, Shahin O. Primary anterior shoulder dislocation and rotator cuff tears. J Shoulder Elbow Surg 1999;8:220-5.         [ Links ]

13. Stayner LR, Cummings J, Andersen J, Jobe CM. Shoulder dislocations in patients older than 40 years of age. Orthop Clin North Am 2000;31:231-9.         [ Links ]

14. Bassett R, Cofield R. Acute tears of the rotator cuff, the timing of surgical repair. Clin Orthop 1983;175:18-24.         [ Links ]

15. Gonzales D, Lopez R. Concurrent rotator-cuff tear and brachial plexus associated with anterior dislocations of the shoulder. J Bone Joint Surg Am 1991;73:620-1.         [ Links ]

16. Rockwood C, Matsen F (eds). The shoulder (2nd edition). Philadelphia: WB Saunders; 1998:611-754.         [ Links ]

17. Sparks SR, De LaRosa J, Bergan JJ, Hoyt DB, Owen EL. Arterial injury in uncomplicated upper extremity dislocation. Ann of Vasc Surg 2000;14:110-3.         [ Links ]

18. Kelley SP, Hinsche AF, Hossain JFM: Axillary artery transection following anterior shoulder dislocation: classical presentation and current concepts. Injury, Int J Care Injured 2004;35:1128-32.         [ Links ]

19. Dimakopoulos P, Panagopoulos A, Kasimatis G, Syggelos SA, Lambiris E. Anterior Traumatic Shoulder Dislocation Associated With Displaced Greater Tuberosity Fracture: The Necessity of Operative Treatment. J Orthop Trauma 2007;21:104-12.         [ Links ]

20. Neer CS 2nd. Displaced proximal humeral fractures: Classification and evaluation. J Bone Joint Surg 1970;53-A:1077-89.         [ Links ]

21. Olivier H, Duparc J, Romain F. Fractures of the greater tuberosity of the humerus. Orthop Trans 1986;10:223.         [ Links ]

22. Young T, Wallace W. Conservative treatment of fractures and fracture-dislocation of the upper end of the humerus. J Bone Joint Surg Br 1985;67-B:373-7.         [ Links ]

 

 

Reprint Requests:
Dr PH Laubscher
PO Box 413902, Craighall, 2024. South Africa
Tel: +27 82 3302109
phlaubscher@gmail.com

Creative Commons License Todo o conteúdo deste periódico, exceto onde está identificado, está licenciado sob uma Licença Creative Commons