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Missed posterior shoulder dislocation with malunited proximal humerus fracture

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Chinese Journal of Traumatology 2013年第6期16卷 375-378页

作者： Sunil Kumar Rajesh Kumar Chopra Abhishek Kashyap Sumit Arora Central Institute of Orthopaedics Vardhman MahavirMedical College & Safdarjung Hospital New Delhi 110029India

Posterior dislocation of the shoulder may be missed or neglected at initial presentation especially in developing *** present a case of 40-year-old Indian man who had 3-month missed posterior dislocation of the right shoulder along with malunited fracture of the anatomical neck of the *** reduction and stabilization with modified McLaughlin procedure was *** osteotomy of proximal humerus had to be performed as supplementary procedure to keep the humeral head stable in glenoid cavity during functional range of *** patient had excellent result of the shoulder at 3 years follow-up.

关键词： shoulder dislocation Humerus Os-teotomy

Simultaneous bilateral anterior shoulder dislocation： report of two cases and review of the literature

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Chinese Journal of Traumatology 2011年第5期14卷 312-315页

作者： Sujit Kumar Tripathy Ramesh Kumar Sen Sameer Aggarwal Sarvdeep Singh Dhatt Naveen Tahasildar Department of Orthopedics Postgraduate Institute of Medical Education and Research Sector 12 Chandigarh 160 012 India

Bilateral shoulder dislocations are rare and almost always occur in the posterior direction. Simultaneous bilateral anterior shoulder dislocation is even rarer and only a few cases are stated in the literature. The most interesting part of a bilateral shoulder dislocation is about its injury mechanism as a synchronous and simultaneous force is needed to result in it. In cases of epilepsy or electrocution, the mechanism is different and the forceful contractions of the selective group of muscles result in the dislocation. This article reports two cases of bilateral simultaneous anterior shoulder joint dislocation that occurred after a road side accident and after an episode of convulsion in an epileptic patient. The dislocations were diagnosed early and reduced immediately with a proper postreduction rehabilitation. During their follow-up, both patients had satisfactory functional outcome. This article emphasizes on the importance of shoulder examination in road side accident victims and epileptic patients. All orthopedic surgeons and emergency physicians should be aware of such unusual possibilities to have an early diagnosis and *** early reduction and appropriate rehabilitation can provide satisfactory functional outcome. This article also briefly discusses the injury mechanisms, diagnoses and treatments of bilateral shoulder dislocation as reported in the literature.

关键词： shoulder dislocation Epilepsy Accidents, traffic

Missed posterior shoulder dislocation and McLaughlin lesion after an electrocution accident

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Chinese Journal of Traumatology 2012年第6期15卷 376-378页

作者： Fabio Rodia Angelo Ventura Georgios Touloupakis Emmanouil Theodorakis Marco Ceretti CTO Trauma and Orthopedic Hospital RomeItaly

Posterior shoulder dislocation is a rare event that may occur after a direct trauma, an epileptic seizure, electric shock or electroconvulsive therapy. In more than 50% of the cases, posterior dislocations are missed on initial evaluation and often misdiagnosed as frozen shoul- ders with unfortunate consequences. We present the case of a missed posterior suhluxation and reverse Hill Sachs lesion （McLaughlin lesion） in a 40-year-old woman caused by anelectric shock of 240 V. The patient underwent sur- gery in our institute two weeks after the injury. The humeralhead was reduced and the reverse Hill Sachs lesion was filled by demineralized bone matrix allograft with osteoinductive factors. Tendons were repaired and a temporaneous artrodesis was performed. At the final follow up of 12 months, we obtained a Costant Score of 93 and the patient returned to her previous daily activities.

关键词： shoulder dislocation Electric injuries Bone matrix

Axillary artery thrombosis with anteroinferior shoulder dislocation： a rare case report and review of literature

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Chinese Journal of Traumatology 2012年第4期15卷 244-248页

作者： Sushil S Rangdal Shashidhar B Kantharajanna Daljit Singh Vikas Bachhal Nirmal Raj Vibhu Krishnan Vijay Goni Mandeep Singh Dhillon Department of Orthopaedics Postgraduate Institute of Medical Education and ResearchChandigarh 160012India

A very rare and serious complication of shoulder dislocation is a lesion to the axillary artery in the elderly population, whose vascular structures have become less flexible. Axillary artery injury secondary to anteroinferior shoulder dislocation is much rarer, especially in the young people. Proper recognition and treatment of this entity of- fers a full recovery to the patient. Present report highlights the possibility of axillary artery injury with anteroinferior shoulder dislocation. A few case reports and small case se- ries of this injury have been reviewed. And recommenda- tions for management have been brought up to date, in line with current thinking.

关键词： shoulder dislocation Axillary artery Thrombosis

Posterior shoulder fracture-dislocation:A systematic review of the literature and current aspects of management

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Chinese Journal of Traumatology 2021年第1期24卷 18-24页

作者： Georgios Paparoidamis Efthymios Iliopoulos AAli Narvani Ofer Levy Eleftherios Tsiridis loannis Polyzois The Rowley Bristow Unit Ashford&St Peter's HospitalsNHS Foundation TrustChertseySurreyUnited Kingdom Academic Orthopaedic Department Papageorgiou General HospitalFaculty of Health SciencesMedical SchoolAristotle University of Thessalonikiand CORE LabCIRI-AUThThessalonikiGreece shoulder and Elbow Centre-Reading shoulder Unit United Kingdom International Center for Arthroplasty&Robotic Orthopaedic Surgery(ICAROS) European Interbalkan Medical CenterThessalonikiGreece Surrey Orthopaedic Clinic United Kingdom

Purpose Posterior fracture-dislocation of shoulder is an infrequent traumatic event;however,most orthopaedic surgeons may face the challenge of treating *** aim of this study is to review and summarise systematically the current principles of the management of this complex injury,and create a treatment *** Both PubMed and Scopus Databases were systematically searched for the terms“posterior shoulder fracture-dislocation”or“posterior glenohumeral fracture-dislocation”or“posterior glenoid fracture-dislocation”for articles written in English and published in the last *** A total of 900 articles were identified,of which 13 were retained for analysis.A total of 153 patients(161 shoulders)were *** patients were treated either with open reduction and internal fixation,modified McLaughlin procedure,allograft/autograft humeral head reconstruction or shoulder *** mean age was 40.15 *** mean postoperative Constant score in cases treated by open reduction and internal fixation was 86.45,whereas by bone graft was ***,the mean postoperative Constant score was between 79.6 and 67.1 in those that were managed by modified McLaughlin and arthroplasty procedure,*** The management of posterior shoulder fracture-dislocation may be challenging,and the best surgical option depends on many variables such as the chronicity of the injury,the presence of a fracture at the level of the surgical neck or tuberosities and the extend of the Hill-Sachs lesion if any.A treatment algorithm is proposed,based on the current literature in an effort to create a consensus for these *** the acute shoulder fracture-dislocations,an open reduction should be *** the chronic fracture/dislocations in the elderly low-demand patients,conservative treatment should be *** the rest of the patients,depending on the severity of the Hill-Sachs lesion different surgical options are available such as the

关键词： Treatment algorithm shoulder injury Posterior dislocation Fracture-dislocation shoulder dislocation

Anterior dislocation of shoulder in eclampsia： a case report

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Chinese Journal of Traumatology 2012年第4期15卷 249-250页

作者： Seema Rawat Sanjay Meena Shreesh Kumar Gangari Lafit Kumar Lohia Department of Obstetrics and Gynaecology Maulana Azad Medical CollegeNew Delhi 110001India Department of Orthopaedics All India Institute of Medi-cal SciencesNew Delhi 110029India Department of Orthopaedics Maulana Azad Medical CollegeNew Delhi 110001India Department of Orthopaedics Lady Hardinge Medical CollegeNew Delhi 110001India

This case report presents a 25-year-old female patient with anterior dislocation of right shoulder secondary to seizures as a complication of eclampsia. This is an unusual mechanism of injury, but similar to other un- controlled muscular contractions caused by electroconvul- sive therapy, etc. To the best of our knowledge only one such case has been reported in the English literature. Closed reduction under general anaesthesia was successfully achieved. High suspicion in patients complaining of pain over shoulder joint is necessary for early diagnosis of this condition.

关键词： shoulder dislocation Seizures Eclampsia Pregnancy

Epidemiology of shoulder dislocations presenting to United States emergency departments:An updated ten-year study

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World Journal of Orthopedics 2023年第9期14卷 690-697页

作者： Cole M Patrick Josiah Snowden Michael D Eckhoff Clare K Green John P Scanaliato John C Dunn Nata Parnes Department of Orthopaedics William Beaumont Army Medical CenterFort BlissTX 79918United States Burnett School of Medicine Texas Christian UniversityFort WorthTX 76129United States School of Medicine and Health Sciences George Washington UniversityWashingtonWA 20052United States Department of Orthopaedic Surgery Carthage Area HospitalCarthageNY 13619United States

BACKGROUND Glenohumeral dislocation is a common injury that may predispose patients to chronic pain and ***,there is a paucity of current data available regarding the epidemiological trends of this *** To provide an updated,comparative assessment of the epidemiology of shoulder dislocations presenting to emergency departments in the United *** also sought to analyze patient demographic risk factors and consumer products associated with dislocation *** Data were obtained from the national electronic injury surveillance system database for glenohumeral dislocations between 2012 and ***,age,sex,and injury characteristics were analyzed using weighted population statistics as well as incidence rates and 95%confidence intervals(CI).RESULTS In total,an estimated 773039 shoulder dislocations(CI:640598-905481)presented to emergency rooms across the United States during the study *** annual incidence rate was 23.96 per 100000 persons and the average patient age at the time of injury was 37.1 *** more male patients sustained dislocations than female patients(537189,69.5%,vs 235834,30.5%,Pdislocations throughout the study period was approximately 23.92 per 100000 *** adolescents sustained the highest proportion of dislocations,with a peak incidence in age group 15-20 years,predominantly secondary to participation in sporting and recreational ***,women experienced a relatively consistent incidence of dislocation throughout their *** age 63,the i

关键词： shoulder dislocation Epidemiology United States Emergency department Glenohumeral dislocation national electronic injury surveillance system

Progress of Acupuncture and Tuina for shoulder Joint Subluxation Following Apoplexy

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Journal of Acupuncture and Tuina Science 2008年第1期6卷 21-23页

作者：吴昔钧崔学军 Nanjing University of Traditional Chinese Medicine Jiangsu 210029P.R.China

The treatments of shoulder joint subluxation following apoplexy with acupuncture, tuina, acupoint injection, and comprehensive methods in recent 10 years were reviewed. By comparing and analyzing the clinical effects of different methods, acupuncture combing with rehabilitation therapy is considered as a satisfactory one in treating subluxation following apoplexy.

关键词： Poststroke Syndrome Cerebrovascular Disorder shoulder dislocation Acupuncture Therapy Tuina Massage Literature Review

Mechanisms of shoulder trauma: Current concepts

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World Journal of Orthopedics 2024年第1期15卷 11-21页

作者： Konstantinos Mastrantonakis Athanasios Karvountzis Christos K Yiannakopoulos Georgios Kalinterakis Department of Orthopedic General Hospital of RethymnonRethymnon 73100CreteGreece 1^(st)Orthopedic Department Naval Hospital of AthensAthens 11521Greece Department of Orthopaedic Surgery National and Kapodistrian University of AthensAthens 11527Greece

Acute traumatic injuries to the glenohumeral articulation are *** types of injuries depend on age,muscle strength,bone density,and biomechanics of the traumatic *** the different mechanisms of trauma and how they affect the functional anatomical structures of the shoulder joint is crucial for the treatment of these ***,when clinicians have knowledge of these mechanisms they can accurately diagnose and treat shoulder pathology and predict distinct injury ***,we have described the fundamentals of the mechanisms of injury of the glenohumeral dislocation,dislocation with fracture of the humeral head,and the proximal humerus *** have focused on common injury mechanisms and the correlation with radiological *** and laboratory findings of distinct types of injury were also discussed.

关键词： Mechanism Hill-Sachs shoulder dislocation Proximal humerus fracture shoulder biomechanics