Clinical improvement two years after one stage bilateral open reduction of chronic anterior shoulder dislocations with internal fixation of greater tuberosity fractures. Case report
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2013, Vol 15, Issue 2
Abstract
AbstractWe report an unusual case of clinical improvement after 2 years from one stage bilateral open reduction of chronic anterior shoulder dislocations with internal fixation of greater tuberosity fractures. The chronic bilateral anterior shoulder dislocations with greater tuberosity fractures were caused by electric shock. After the injury the patient was hospitalized on a medical ward and the dislocations were not diagnosed. Four weeks later the diagnosis of both anterior shoulders dislocations with greater tuberosity fractures was confirmed by X-ray. The patient was treated with one stage bilateral open reduction of chronic shoulder dislocations with internal fixation of greater tuberosity fractures by means of a deltopectoral approach. The shoulders were kept immobilized for six week, next the patient was rehabilitated. He underwent a thorough first evaluation 1 year after the procedure and second ewaluation after 2 years. He had a very good and comfortable range of motion in both shoulders at a follow-up. The modified Constant score was very good in both shoulders (95 points). To the best of our knowledge, such a case has not yet been described in the literature. Our case proved the chronic anterior bilateral humeral head dislocation may be successfully treated in one stage procedure provided the patient is carefully selected and his consent obtained. Moreover, the clinical improvement may be expected even 2 years after the surgery.
Authors and Affiliations
Grzegorz Kubiak , Jarosław Fabiś
Wczesne wyniki leczenia wysiękowego zapalenia stawu kolanowego synowektomią „otwartą” i artroskopową.
Wstęp: Autorzy porównali wczesne wyniki synowektomii „na otwarto” i synowektomii artroskopowej stawu kolanowego u pacjentów z niespecyficznym, wysiękowym zapaleniem błony maziowej i reumatoidalnym zapaleniem stawów. Mate...
Radiological evaluation of hip joint congruency in children with cerebral palsy.
SummaryBackgroundDisturbed muscle balance in the hip joints of children with cerebral palsy (CP) shifts the pivoting point from the middle of the femoral head to the lesser trochanter. Forces that dislocate the femoral h...
CORRECTIVE ARTHRODESIS TO TREAT SEQUELAE OF COMPARTMENT SYNDROME AND ISCHAEMIC SYNDROMES OF LOWER LEG AND FOOT<br /> <br />
SUMMARYBackground. There is a scarcity of studies concerning the treatment of foot and talocrural deformities secondary to a compartment syndrome or ischaemia. Material and methods. Five patients (4 males and 1 female)...
MRI of the child hips during acute phase of disease and after 1 year of clinical follow-up in remission stage
Summary. Authors present a case of 10 year old girl with spondylometaphyseal dysplasia who had MRI of the hips during acute phase of disease and after 1 year of clinical follow-up in remission stage. MRI was able to pick...
Upper limb joint mobility ranges during activities of daily living determined by three-dimensional motion analysis
Background. Analysis of hand therapy programmes used in various hand therapy centres shows that the programmes primarily aim to restore a maximum range of motion, although basic activities of daily living do not often re...