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Pathologic changes associated with shoulder dislocations. Arthroscopic and physical examination findings in first-time, traumatic anterior dislocations.

Publication ,  Journal Article
Taylor, DC; Arciero, RA
Published in: Am J Sports Med
1997

This prospective observational study was performed on young patients, less than 24 years old, with first-time, traumatic anterior shoulder dislocations. These patients were offered either arthroscopic or nonoperative treatment. Fifty-three patients chose nonoperative treatment. Sixty-three patients elected to have arthroscopic procedures. The average patient age was 19.6 years. There were 59 men and 4 women. All procedures were performed within 10 days of dislocation. All 63 patients had hemarthrosis. Sixty-one of 63 (97%) patients treated surgically had complete detachment of the capsuloligamentous complex from the glenoid rim and neck (Perthes-Bankart lesion), with no gross evidence of intracapsular injury. Of the other two patients, one had an avulsion of the inferior glenohumeral ligament from the neck of the humerus, and one had an interstitial capsular tear adjacent to the intact glenoid labrum. Fifty-seven patients had Hill-Sachs lesions; none were large. There were six superior labral anterior posterior lesions, two with detachment of the biceps tendon. There were no rotator cuff tears. Of the 53 nonoperatively treated patients, 48 (90%) have developed recurrent instability. In this population, the capsulolabral avulsion appeared to be the primary gross pathologic lesion after a first-time dislocation. These findings, associated with the 90% nonoperative recurrence rate, suggest a strong association between recurrent instability and the Perthes-Bankart lesion in this population.

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Published In

Am J Sports Med

DOI

ISSN

0363-5465

Publication Date

1997

Volume

25

Issue

3

Start / End Page

306 / 311

Location

United States

Related Subject Headings

  • Shoulder Dislocation
  • Recurrence
  • Prospective Studies
  • Physical Examination
  • Orthopedics
  • Male
  • Joint Instability
  • Joint Capsule
  • Humans
  • Female
 

Citation

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Taylor, D. C., & Arciero, R. A. (1997). Pathologic changes associated with shoulder dislocations. Arthroscopic and physical examination findings in first-time, traumatic anterior dislocations. Am J Sports Med, 25(3), 306–311. https://doi.org/10.1177/036354659702500306
Taylor, D. C., and R. A. Arciero. “Pathologic changes associated with shoulder dislocations. Arthroscopic and physical examination findings in first-time, traumatic anterior dislocations.Am J Sports Med 25, no. 3 (1997): 306–11. https://doi.org/10.1177/036354659702500306.
Taylor, D. C., and R. A. Arciero. “Pathologic changes associated with shoulder dislocations. Arthroscopic and physical examination findings in first-time, traumatic anterior dislocations.Am J Sports Med, vol. 25, no. 3, 1997, pp. 306–11. Pubmed, doi:10.1177/036354659702500306.
Journal cover image

Published In

Am J Sports Med

DOI

ISSN

0363-5465

Publication Date

1997

Volume

25

Issue

3

Start / End Page

306 / 311

Location

United States

Related Subject Headings

  • Shoulder Dislocation
  • Recurrence
  • Prospective Studies
  • Physical Examination
  • Orthopedics
  • Male
  • Joint Instability
  • Joint Capsule
  • Humans
  • Female