Arthroscopic surgery in cases with an aging locked posterior dislocation of the shoulder
| dc.contributor.author | Dimitrov, N. | |
| dc.contributor.author | Tsekov, P. | |
| dc.contributor.author | Matev, B. | |
| dc.date.accessioned | 2014-01-17T14:39:35Z | |
| dc.date.available | 2014-01-17T14:39:35Z | |
| dc.date.issued | 2012-04 | |
| dc.description | Address for correspondence: B. Matev, DM Clinic of Surgery fo the Upper Limb USHATO − "Prof. B. Boychev" 56 Nikola Petkov blvd.; 1614 Sofi a, Bulgaria; tel.: 02/81-81-622; mobile tel.:0888 46 11 75; e-mail: bimatev@abv.bg | en_US |
| dc.description.abstract | The shoulder joint is most vulnerable to dislocation. Anterior dislocation is common, while the posterior one is very rare – about 4% of all dislocations of the shoulder. Because of this, the diagnosis is frequently missed at the initial examination – McLaughlin called the situation a “diagnostic trap”. The surgical treatment of posterior dislocations initially aimed at reduction of the joint. However, this is not suffi cient for aging dislocations. Stability is to be provided. In recent years, the promotion of arthroscopic treatment is becoming increasingly important, especially given for its indisputable advantages. In the Department of Surgery of the Upper Limb in the University Specialized Hospital for Active Treatment in Orthopedics USHATO – “Prof. B. Boychev” for the period 2005-2011, were operated 12 patients (8 men and 4 women – a total of 12 shoulders). All had persistent posterior dislocation of the shoulder as a result of injury, after a lapse of between 3 and 8 months – an average of 4.5 months. In all cases an osteohondral defect from 25 to 45% (average 30%) located on the front surface of the head of the humerus was set. Surgery: Seven patients were fi rst operated through arthroscopic reduction and then stability was restored by transposition of m.subscapularis in the osteohondral defect. Five patients were operated without prior arthroscopic reduction – only through open surgery. Follow-up period was from 6 months to 6 years (3 years averagely). The reported results indicate that abduction, fl exion and internal rotation increased much more rapidly and to a larger volume in patients in which fi rst arthroscopic reduction was made, compared with those where it was held via conventional surgery, due to its larger volume and greater operational trauma. These results were also confi rmed using two post-operative function of the shoulder joint scoring systems: Murley Constant Score and UCLA. | en_US |
| dc.identifier.citation | N. Dimitrov, P. Tsekov and B. Matev. Arthroscopic surgery in cases with an aging locked posterior dislocation of the shoulder - Acta medica bulgarica , 39, 2012, No 1, 104-119. | en_US |
| dc.identifier.issn | 0324-1750 | |
| dc.identifier.uri | http://hdl.handle.net/10861/383 | |
| dc.language.iso | en | en_US |
| dc.publisher | Централна медицинска библиотека, МУ София / Central Medical Library - MU Sofia | en_US |
| dc.subject | posterior locked luxation of the shoulder, arthroscopic-assisted reduction, stability | en_US |
| dc.title | Arthroscopic surgery in cases with an aging locked posterior dislocation of the shoulder | en_US |
| dc.type | Article | en_US |