Topic
Dislocated shoulder
About: Dislocated shoulder is a research topic. Over the lifetime, 80 publications have been published within this topic receiving 1879 citations. The topic is also known as: Shoulder Dislocation.
Papers published on a yearly basis
Papers
TL;DR: The defect was variously interpreted by different consultants as due to infection, metastasis, and post-traumatic osteoporosis, but was identified not as a late result of dislocation of the shoulder, but as a true fracture.
Abstract: Incentive for this study was the discovery within a short period of time of two shoulders, each of which presented a large defect or groove in the posterolateral aspect of the head of the humerus (Figs. 3 and 4). The defect was variously interpreted by different consultants as due to infection, metastasis, and post-traumatic osteoporosis. A survey of the standard textbooks on roent-gen diagnosis and on orthopedics was of no assistance in differential diagnosis. Accordingly, a detailed study of the literature was made and 119 cases of dislocated shoulder, examined roentgenographically at the San Francisco Hospital between the years 1930 and 1940, were reviewed. This led to a clarification of our original conceptions regarding the nature of this lesion, and identified it not as a late result of dislocation of the shoulder, but as a true fracture. Review of the Literature Inasmuch as shoulder dislocations are the most frequent of all dislocations of the body, this subject has been of medical interest since a...
566 citations
TL;DR: The clinician is provided with a rational treatment protocol based on an understanding of available methods, their categorization, and a comparison of techniques to determine the difficulty of reduction, the need for analgesia, the efficacy.
Abstract: Anterior gleno humeral dislocation is the most common dislocation seen in the emergency department.‘.* Many methods have been advocated for reduction of this common dislocation with varying success rates and complications.2-3h Most dislocations can be reduced in the emergency department (ED) using simple methods. Occasionally, dislocations will require the use of more than one method. In 5% to 10% of cases, ED reduction can not be accomplished. Due to the common nature of shoulder dislocations, the ease with which most dislocations are treated, and the large number of reduction techniques that have been advocated, it is important for the emergency physician to have a clear understanding of various techniques to accomplish reduction of this dislocation. This review will discuss the anatomy and diagnosis of anterior shoulder dislocation. Methods used for reduction of the dislocated shoulder will be categorized and described in detail. This article provides the clinician with a rational treatment protocol based on an understanding of available methods, their categorization, and a comparison of techniques to determine the difficulty of reduction, the need for analgesia, the efficacy. and the specific indications for each technique.
125 citations
TL;DR: Twenty-three patients who had obstetric brachial plexus palsy and shoulder subluxation or dislocation that required open reduction and tendon lengthening were entered into a prospective study to evaluate glenoid version after surgery and the mean glenoids retroversion for the dislocated shoulder progressively decreased.
Abstract: Twenty-three patients who had obstetric brachial plexus palsy and shoulder subluxation or dislocation that required open reduction and tendon lengthening were entered into a prospective study to evaluate glenoid version after surgery. All the patients had a preoperative computerized axial tomograph and postoperative computed tomography scan of both shoulders at approximately yearly intervals to assess the degree of congruity of the glenohumeral joint and glenoid version. Surgery was performed between 1988 and 1997. There were 11 girls and 12 boys. The mean age was 2 years 5 months (range 8 months-6 years 7 months). The left shoulder was affected in 12 patients and the right shoulder was affected in 11 patients. At mean follow-up of 3 years 7 months, the mean glenoid retroversion for the dislocated shoulder progressively decreased. The difference in glenoid version between the dislocated and the normal side decreased. The angle of glenoid retroversion in the affected shoulders decreased by a mean of 31% after open reduction, and the retroversion continued to imorove at 9% per vear.
90 citations
TL;DR: A new method has been introduced for reduction of anterior shoulder dislocation by reporting the experience of junior residents and the Spaso technique is simple, effective and able to be performed by single operator.
Abstract: Objective —To introduce the Spaso technique for reducing anterior shoulder dislocation by reporting the success rate of the Spaso technique performed by junior emergency medicine residents. Design —Retrospective case series. Setting —Urban accident and emergency department. Participants —Patients with anterior shoulder dislocations. Interventions —The Spaso technique was applied by the emergency medicine residents to reduce anterior shoulder dislocation. Results —The emergency medicine residents applied the Spaso technique to reduce 16 cases of anterior dislocated shoulder during the study period. The Spaso technique was successful in 14 of 16 cases. The overall success rate was 87.5% (95% CI 60.4, 97.8%). No complications were noted. Conclusion —A new method has been introduced for reduction of anterior shoulder dislocation by reporting the experience of junior residents. The Spaso technique is simple, effective and able to be performed by single operator. Although the sample size was small, the result of the study could provide background information for planning a properly designed randomised controlled trial to evaluate the Spaso technique.
77 citations
TL;DR: The use of intraarticular lidocaine (IAL) injection is as effective as IV procedural sedation with narcotics and benzodiazepines for reduction of anterior shoulder dislocations and should be strongly considered as a first line therapy because it is effective and safe and may potentially reduce time spent in the ED.
Abstract: Background: Anterior shoulder dislocations commonly present to the emergency department (ED). The time associated with procedural sedation for the reduction of anterior shoulder dislocations can be lengthy and may require use of additional personnel. Complications associated with intravenous (IV) medications for procedural sedation are well documented.
Objectives: The aim was to determine if intraarticular lidocaine (IAL) injection is as effective as IV procedural sedation with narcotics and benzodiazepines for reduction of anterior shoulder dislocations.
Methods: This was a systematic review of randomized controlled trials (RCTs). The authors performed a PubMed, EMBASE, and Cochrane database search using key words: “shoulder dislocation” and “reduction” and retrieved every RCT published that compared the use of IV sedation to IAL as medication for reduction. Each manuscript was reviewed and the results of each was compared regarding medications used, success of reduction, complications, pain perceived, ease of reduction, and time spent in the ED.
Results: Six Level 1 RCTs were identified. No studies showed a statistically significant difference in success rate between IAL versus IV sedation. The complication rate was significantly higher in the IV sedation groups (p < 0.001), and the total time spent in the ED was longer for the IV sedation group.
Conclusions: The use of IAL for reduction of anterior shoulder dislocations should be strongly considered as a first line therapy because it is effective and safe and may potentially reduce time spent in the ED.
66 citations
Related Topics (5)
Performance Metrics
| Year | Papers |
|---|---|
| 2021 | 2 |
| 2019 | 1 |
| 2017 | 6 |
| 2016 | 4 |
| 2015 | 5 |
| 2014 | 3 |