Document Detail


Traumatic anterior shoulder dislocation in adolescents.
MedLine Citation:
PMID:  12975198     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Recurrent instability is the most common complication after traumatic anterior shoulder dislocation in young patients. HYPOTHESIS: The rate of recurrent instability in a homogeneous population of adolescents after initial traumatic anterior shoulder dislocation is significant and is associated with a guarded prognosis for full recovery. STUDY DESIGN: Retrospective cohort study. METHODS: We identified 32 patients 11 to 18 years of age treated at our institution for a radiographically documented traumatic anterior shoulder dislocation; we performed a functional outcome assessment on 30 patients with use of two standard scoring systems. RESULTS: Overall, instability recurred in 24 of 32 patients, with 23 experiencing at least one recurrent dislocation. Persistent instability led 16 of 32 to undergo a shoulder stabilization procedure. There were no significant differences in the functional outcome of patients who had undergone surgical stabilization and those who were treated nonoperatively. CONCLUSIONS: The recurrence rate of shoulder instability was 75%. Outcome scores were similar for patients treated with a surgical procedure and those treated nonoperatively. Clinical Significance: Treatment efforts must be aimed at optimizing shoulder strength and stability. Prognosis for full recovery remains guarded. Available outcome instruments may not discriminate well between patients who do and do not choose surgery.
Authors:
John Deitch; Charles T Mehlman; Susan L Foad; Amir Obbehat; Mia Mallory
Related Documents :
16148718 - Impact of neck length on the safety of percutaneous and surgical tracheotomy: a prospec...
10882438 - Arthroscopic inferior capsular split and advancement for anterior and inferior shoulder...
11573908 - Comparison of open and arthroscopic stabilization for recurrent shoulder dislocation in...
19664508 - Incidence and treatment of postoperative stiffness following arthroscopic rotator cuff ...
9197948 - Long-term treatment with intermitent intranasal or subcutaneous apormorphine in patient...
24669558 - Holmium laser enucleation versus transurethral resection of the prostate: a comparison ...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of sports medicine     Volume:  31     ISSN:  0363-5465     ISO Abbreviation:  Am J Sports Med     Publication Date:    2003 Sep-Oct
Date Detail:
Created Date:  2003-09-16     Completed Date:  2004-03-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7609541     Medline TA:  Am J Sports Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  758-63     Citation Subset:  IM    
Affiliation:
Cincinnati Children's Hospital Medical Center, Division of Pediatric Orthopaedic Surgery, Cincinnati, Ohio 45229, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Cohort Studies
Female
Humans
Joint Instability / pathology*
Male
Orthopedic Procedures*
Prognosis
Recurrence
Retrospective Studies
Shoulder Dislocation / etiology,  pathology*,  surgery*
Treatment Outcome

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


Previous Document:  Injuries to the upper extremity in ice hockey: analysis of a series of 760 injuries.
Next Document:  Anatomic structures at risk during minimal-incision endoscopically assisted fascial compartment rele...