Management of Chronic Unreduced Anterior Dislocations of the Shoulder: Case Series of 53 Patients
Otman Benabdallah, Ahmed Khamlichi
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hospitaliers de Tanger
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Received on: March 12, 2018, Accepted on: March 19, 2018, Published on: March 26, 2018
Citation: Otman Benabdallah, Ahmed Khamlichi (2018). Management of Chronic Unreduced Anterior Dislocations of the Shoulder: Case Series of
Copyright: 2018 Otman Benabdallah, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which
permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: Chronic anterior dislocations of the shoulder have been reported on since White's comments in 1741. Anatomopathologically, such cases exhibit modifications of the injured tissues (fibrosis, neo-articulation, muscle contracture, capsular, ligamentous, bone and tendon lesions) because of the longstanding unreduced humeral head. We hypothesize that the clinical status of such cases and the different lesion patterns observed in them obviate the need for conservative treatment or the use of classic open procedures.
Methods: The study reports on 53 non-randomized cases showing duration of dislocation of at least 3 weeks in patients aged between 20 and 75 years. The 53 patients were placed in three management categories: conservative, closed reduction and open reduction groups.
Results: The results were evaluated following Rowe's evaluation of results for chronic unreduced dislocation of the shoulder. Among the 49% of patients with open management, the overall score averaged 74 points. In 4 cases, we performed a modified Boytchev procedure, and the overall rating units averaged 81 points.
Conclusion: These results show that the overall prognosis for surgical treatment is improved.
This study is a Level IV case series.