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Neglected Anterior Dislocation of Shoulder: is surgery necessary? A Rare Case with review of literature

INTRODUCTION: Shoulder joint is the most frequently dislocated joint. However, it is rarely neglected and treatment is sought immediately. Delayed or neglected shoulder dislocations are difficult to manage and require extensive procedures to obtain good functional outcome. Very few cases are describ...

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Autores principales: Shah, Kunal, Ubale, Tushar, Ugrappa, Harish, Pilankar, Samir, Bhaskar, Atul, Kale, Satishchandra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4845460/
https://www.ncbi.nlm.nih.gov/pubmed/27299102
http://dx.doi.org/10.13107/jocr.2250-0685.348
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author Shah, Kunal
Ubale, Tushar
Ugrappa, Harish
Pilankar, Samir
Bhaskar, Atul
Kale, Satishchandra
author_facet Shah, Kunal
Ubale, Tushar
Ugrappa, Harish
Pilankar, Samir
Bhaskar, Atul
Kale, Satishchandra
author_sort Shah, Kunal
collection PubMed
description INTRODUCTION: Shoulder joint is the most frequently dislocated joint. However, it is rarely neglected and treatment is sought immediately. Delayed or neglected shoulder dislocations are difficult to manage and require extensive procedures to obtain good functional outcome. Very few cases are described in literature showing neglected shoulder dislocation with good functional range of movement. We report a case with 3 years of neglected anterior shoulder dislocation with preserved joint function. CASE REPORT: A 40 years old gentleman presented withfracture distal end of the radius (left). On clinical examination we observed that he had anterior dislocation of his left shoulder which was confirmed on radiographic evaluation. He had history of seizures 3 years back, which may be the cause of dislocation which went unnoticed. On examination he had good range of motion without any pain. Patient could perform all routine activities with no major functional limitation. At three years after dislocation CT Scan showed neocavity formation. CONCLUSION: Neglected shoulder dislocation with preserved joint function without major functional limitation is a rare presentation. This condition should be kept in mind in patients with history of seizures. Proper evaluation and counseling of patients avoids extensive procedures and avoids complications of surgery. Observation can be a treatment option in patients with preserved range of movement especially involving non dominant handand having low functional demand. This report presents rare presentation of neglected shoulder dislocation highlighting its natural history and its outcome following conservative treatment.
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spelling pubmed-48454602016-06-13 Neglected Anterior Dislocation of Shoulder: is surgery necessary? A Rare Case with review of literature Shah, Kunal Ubale, Tushar Ugrappa, Harish Pilankar, Samir Bhaskar, Atul Kale, Satishchandra J Orthop Case Reports Case Report INTRODUCTION: Shoulder joint is the most frequently dislocated joint. However, it is rarely neglected and treatment is sought immediately. Delayed or neglected shoulder dislocations are difficult to manage and require extensive procedures to obtain good functional outcome. Very few cases are described in literature showing neglected shoulder dislocation with good functional range of movement. We report a case with 3 years of neglected anterior shoulder dislocation with preserved joint function. CASE REPORT: A 40 years old gentleman presented withfracture distal end of the radius (left). On clinical examination we observed that he had anterior dislocation of his left shoulder which was confirmed on radiographic evaluation. He had history of seizures 3 years back, which may be the cause of dislocation which went unnoticed. On examination he had good range of motion without any pain. Patient could perform all routine activities with no major functional limitation. At three years after dislocation CT Scan showed neocavity formation. CONCLUSION: Neglected shoulder dislocation with preserved joint function without major functional limitation is a rare presentation. This condition should be kept in mind in patients with history of seizures. Proper evaluation and counseling of patients avoids extensive procedures and avoids complications of surgery. Observation can be a treatment option in patients with preserved range of movement especially involving non dominant handand having low functional demand. This report presents rare presentation of neglected shoulder dislocation highlighting its natural history and its outcome following conservative treatment. Indian Orthopaedic Research Group 2015 /pmc/articles/PMC4845460/ /pubmed/27299102 http://dx.doi.org/10.13107/jocr.2250-0685.348 Text en Copyright: © Indian Orthopaedic Research Group http://creativecommons.org/licenses/by-nc-sa/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Shah, Kunal
Ubale, Tushar
Ugrappa, Harish
Pilankar, Samir
Bhaskar, Atul
Kale, Satishchandra
Neglected Anterior Dislocation of Shoulder: is surgery necessary? A Rare Case with review of literature
title Neglected Anterior Dislocation of Shoulder: is surgery necessary? A Rare Case with review of literature
title_full Neglected Anterior Dislocation of Shoulder: is surgery necessary? A Rare Case with review of literature
title_fullStr Neglected Anterior Dislocation of Shoulder: is surgery necessary? A Rare Case with review of literature
title_full_unstemmed Neglected Anterior Dislocation of Shoulder: is surgery necessary? A Rare Case with review of literature
title_short Neglected Anterior Dislocation of Shoulder: is surgery necessary? A Rare Case with review of literature
title_sort neglected anterior dislocation of shoulder: is surgery necessary? a rare case with review of literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4845460/
https://www.ncbi.nlm.nih.gov/pubmed/27299102
http://dx.doi.org/10.13107/jocr.2250-0685.348
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