Chronic locked posterior shoulder dislocation with severe head involvement
Arthroplasty is the treatment of choice for severely damaged humeral heads in chronic locked posterior dislocation of the shoulder. We retrospectively reviewed the results of 12 shoulder arthroplasties (11 patients) between 1999 and 2005. Mean follow-up was 37.4 ± 16.8 months. Mean postoperative Con...
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Veröffentlicht in: | International orthopaedics 2010-01, Vol.34 (1), p.79-84 |
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description | Arthroplasty is the treatment of choice for severely damaged humeral heads in chronic locked posterior dislocation of the shoulder. We retrospectively reviewed the results of 12 shoulder arthroplasties (11 patients) between 1999 and 2005. Mean follow-up was 37.4 ± 16.8 months. Mean postoperative Constant score (CS) was 59.4 ± 21.6 (normative age and gender-related CS 67.1 ± 24). There was a significant improvement in range of motion for flexion, abduction and external rotation. There was negative correlation (Pearson’s coefficient) between the related CS and number of previous operations, pain and duration of symptoms. One patient underwent revision surgery 36 months postoperatively with polyethylene insert exchange. There were two patients with mild and one with severe migration of the humeral head. Shoulder arthroplasty resulted in good midterm results for this patient group with benefits for range of motion, pain and patient satisfaction. |
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We retrospectively reviewed the results of 12 shoulder arthroplasties (11 patients) between 1999 and 2005. Mean follow-up was 37.4 ± 16.8 months. Mean postoperative Constant score (CS) was 59.4 ± 21.6 (normative age and gender-related CS 67.1 ± 24). There was a significant improvement in range of motion for flexion, abduction and external rotation. There was negative correlation (Pearson’s coefficient) between the related CS and number of previous operations, pain and duration of symptoms. One patient underwent revision surgery 36 months postoperatively with polyethylene insert exchange. There were two patients with mild and one with severe migration of the humeral head. 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We retrospectively reviewed the results of 12 shoulder arthroplasties (11 patients) between 1999 and 2005. Mean follow-up was 37.4 ± 16.8 months. Mean postoperative Constant score (CS) was 59.4 ± 21.6 (normative age and gender-related CS 67.1 ± 24). There was a significant improvement in range of motion for flexion, abduction and external rotation. There was negative correlation (Pearson’s coefficient) between the related CS and number of previous operations, pain and duration of symptoms. One patient underwent revision surgery 36 months postoperatively with polyethylene insert exchange. There were two patients with mild and one with severe migration of the humeral head. Shoulder arthroplasty resulted in good midterm results for this patient group with benefits for range of motion, pain and patient satisfaction.</description><subject>Adult</subject><subject>Arthroplasty - adverse effects</subject><subject>Arthroplasty - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Humerus - injuries</subject><subject>Humerus - pathology</subject><subject>Humerus - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Movement</subject><subject>Original Paper</subject><subject>Orthopedics</subject><subject>Pain</subject><subject>Patient Satisfaction</subject><subject>Postoperative Complications - etiology</subject><subject>Postoperative Complications - surgery</subject><subject>Range of Motion, Articular</subject><subject>Reoperation</subject><subject>Retrospective Studies</subject><subject>Rotation</subject><subject>Shoulder Dislocation - pathology</subject><subject>Shoulder Dislocation - surgery</subject><subject>Shoulder Joint - pathology</subject><subject>Shoulder Joint - physiopathology</subject><subject>Shoulder Joint - surgery</subject><subject>Treatment Outcome</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UU1P3DAUtCpQd9n2B_SCcuMU8LMTO75UQivagpC4tGfLsV-It9l4ayeL-Pc12hUtF07vMB9vNEPIF6CXQKm8SpQyUZWUqpJKwUr1gSyh4qysQdUnZEl5BSUTql6Qs5Q2lIIUDXwkC1A8i5Rakrt1H8PobTEE-xtdsQtpwuhDLFIf5sFhLJxPGTSTD2Px5Ke-SLjHiEWPxhV-3Idhj1scp0_ktDNDws_HuyK_vt38XP8o7x--366v70tbVTCVQooci0EjmAPbyhZk04FoRedYXalWGgnIOlMJyyk61VEuwElla16ryhq-Il8Pvru53aKz-XU0g95FvzXxWQfj9Vtk9L1-DHvNGqWYZNng4mgQw58Z06S3PlkcBjNimJOWnDc0Z6WZCQemjSGliN3rF6D6ZQJ9mEDnNvXLBFplzfn_8f4pjp1nAjsQUobGR4x6E-Y45srecf0LhUyTLQ</recordid><startdate>20100101</startdate><enddate>20100101</enddate><creator>Gavriilidis, Iosif</creator><creator>Magosch, Petra</creator><creator>Lichtenberg, Sven</creator><creator>Habermeyer, Peter</creator><creator>Kircher, Jörn</creator><general>Springer-Verlag</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20100101</creationdate><title>Chronic locked posterior shoulder dislocation with severe head involvement</title><author>Gavriilidis, Iosif ; Magosch, Petra ; Lichtenberg, Sven ; Habermeyer, Peter ; Kircher, Jörn</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c441t-67634121862d1cb7b178f16b6fd2549b7a71e2fa46c30ed9f0361d79c53594ca3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Arthroplasty - adverse effects</topic><topic>Arthroplasty - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Humerus - injuries</topic><topic>Humerus - pathology</topic><topic>Humerus - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Movement</topic><topic>Original Paper</topic><topic>Orthopedics</topic><topic>Pain</topic><topic>Patient Satisfaction</topic><topic>Postoperative Complications - etiology</topic><topic>Postoperative Complications - surgery</topic><topic>Range of Motion, Articular</topic><topic>Reoperation</topic><topic>Retrospective Studies</topic><topic>Rotation</topic><topic>Shoulder Dislocation - pathology</topic><topic>Shoulder Dislocation - surgery</topic><topic>Shoulder Joint - pathology</topic><topic>Shoulder Joint - physiopathology</topic><topic>Shoulder Joint - surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gavriilidis, Iosif</creatorcontrib><creatorcontrib>Magosch, Petra</creatorcontrib><creatorcontrib>Lichtenberg, Sven</creatorcontrib><creatorcontrib>Habermeyer, Peter</creatorcontrib><creatorcontrib>Kircher, Jörn</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gavriilidis, Iosif</au><au>Magosch, Petra</au><au>Lichtenberg, Sven</au><au>Habermeyer, Peter</au><au>Kircher, Jörn</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chronic locked posterior shoulder dislocation with severe head involvement</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><addtitle>Int Orthop</addtitle><date>2010-01-01</date><risdate>2010</risdate><volume>34</volume><issue>1</issue><spage>79</spage><epage>84</epage><pages>79-84</pages><issn>0341-2695</issn><eissn>1432-5195</eissn><abstract>Arthroplasty is the treatment of choice for severely damaged humeral heads in chronic locked posterior dislocation of the shoulder. We retrospectively reviewed the results of 12 shoulder arthroplasties (11 patients) between 1999 and 2005. Mean follow-up was 37.4 ± 16.8 months. Mean postoperative Constant score (CS) was 59.4 ± 21.6 (normative age and gender-related CS 67.1 ± 24). There was a significant improvement in range of motion for flexion, abduction and external rotation. There was negative correlation (Pearson’s coefficient) between the related CS and number of previous operations, pain and duration of symptoms. One patient underwent revision surgery 36 months postoperatively with polyethylene insert exchange. There were two patients with mild and one with severe migration of the humeral head. Shoulder arthroplasty resulted in good midterm results for this patient group with benefits for range of motion, pain and patient satisfaction.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>19300999</pmid><doi>10.1007/s00264-009-0762-9</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Arthroplasty - adverse effects Arthroplasty - methods Female Humans Humerus - injuries Humerus - pathology Humerus - surgery Male Medicine Medicine & Public Health Middle Aged Movement Original Paper Orthopedics Pain Patient Satisfaction Postoperative Complications - etiology Postoperative Complications - surgery Range of Motion, Articular Reoperation Retrospective Studies Rotation Shoulder Dislocation - pathology Shoulder Dislocation - surgery Shoulder Joint - pathology Shoulder Joint - physiopathology Shoulder Joint - surgery Treatment Outcome |
title | Chronic locked posterior shoulder dislocation with severe head involvement |
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