Arthroscopic Evaluation on Intra-Articular Pathology in Recurrent Shoulder Dislocation Aged Over 40 Years.
- Author:
Woo Kie MIN
1
;
Ju Eun KIM
;
Hwan Seong CHO
;
Poong Taek KIM
;
In Ho JEON
Author Information
1. Department of Orthopedic Surgery, Kyung Pook National University Hospital, Daegu, Korea. jeonchoi@chol.com
- Publication Type:Original Article
- Keywords:
Capsule;
Rotator cuff;
Recurrent dislocation;
Elderly
- MeSH:
Aged;
Dislocations;
Female;
Humans;
Incidence;
Male;
Prevalence;
Retrospective Studies;
Rotator Cuff;
Shoulder;
Shoulder Dislocation
- From:Journal of the Korean Shoulder and Elbow Society
2009;12(2):215-220
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study is to analyze the prevalence of various intra-articular lesions in patients with traumatic recurrent anterior dislocation of shoulder over 40 years and suggest clinical implications for treatment. MATERIALS AND METHODS: We retrospectively studied 16 cases that underwent surgical treatment for recurrent anterior dislocation of shoulder from January 2001 to May 2009. There were 9 males and 7 females, and the mean age was 52.7years. We carried out arthroscopic exam for all patients based on standard protocol, which included labrum, capular lesion, cuff, bony lesions. RESULTS: All 16 cases showed Hill-Sachs lesion, 3 patients (19%) had bony Bankart lesion, 6 patients (38%) had labral tear. Capsular tear were found 15 patients (94%). Twelve (75%) had ruptured supraspinatus and 5 (31%) had subscapularis tear. Only one (6%) had SLAP lesion. CONCLUSION: There was relatively higher incidence of capsular and rotator cuff tears in patients over age 40 years. Preoperative planning to address these lesions is highly recommended.
