Document Detail

Recurrent instability of the shoulder after age 40.
MedLine Citation:
PMID:  8665285     Owner:  NLM     Status:  MEDLINE    
Twelve patients who had recurrent instability of the shoulder with onset after age 40 were reviewed. Eleven had anterior instability, and one had a posterior dislocation. The average age of the patients was 62.7 years. Symptoms began soon after initial injury. All patients with anterior instability had ruptured the subscapularis and anterior capsule from the lesser tuberosity, whereas the posterior dislocator had torn the infraspinatus and upper teres minor with the posterior capsule from the greater tuberosity. No patient had a Bankart lesion. Stability was restored in all cases by reattaching the ruptured tendons and capsule to the tuberosities. Follow-up was from 2 to 13 years. One patient required a reoperation. All patients now have a stable shoulder. Recurrent instability of the shoulder after age 40 can be caused by rotator cuff and capsular rupture from the tuberosities without additional significant injury to the ligamentolabral complex. In such cases, repairing the torn structures is sufficient to restore stability.
R J Neviaser; T J Neviaser
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  4     ISSN:  1058-2746     ISO Abbreviation:  J Shoulder Elbow Surg     Publication Date:    1995 Nov-Dec
Date Detail:
Created Date:  1996-08-07     Completed Date:  1996-08-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  416-8     Citation Subset:  IM    
Department of Orthopaedic Surgery, George Washington University Medical Center, Washington, D.C., USA.
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MeSH Terms
Aged, 80 and over
Dislocations / etiology,  physiopathology,  surgery
Follow-Up Studies
Joint Instability / etiology,  physiopathology*,  surgery
Ligaments, Articular / injuries,  surgery
Middle Aged
Rotator Cuff / injuries,  surgery
Shoulder Joint / injuries,  physiopathology*,  surgery
Tendon Injuries
Tendons / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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