Lesions related to glenohumeral dislocation in patients who are older then 40 years old
Abstract: Introduction The glenohumeral dislocation of the shoulder is amongst the most frequents articulary dislocations. With a higher occurrence in youngsters, due to traumas or because of articular instability ( ligament – capsule ); although it has a favorable evolution, it prese...
| Autores principales: | , , , , , |
|---|---|
| Formato: | Artículo revista |
| Publicado: |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
|
| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/34920 |
| Aporte de: |
| id |
I10-R327-article-34920 |
|---|---|
| record_format |
ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| format |
Artículo revista |
| topic |
Dislocation associated lesions complementary studies Luxación lesiones asociadas estudios complementarios . |
| spellingShingle |
Dislocation associated lesions complementary studies Luxación lesiones asociadas estudios complementarios . Palenque Paputsachis , Felix Alvarez , Emanuel Simondi , Nestor Quinteros , Mauricio Coronel , Rodrigo Sanchez Carpio , Diego Lesions related to glenohumeral dislocation in patients who are older then 40 years old |
| topic_facet |
Dislocation associated lesions complementary studies Luxación lesiones asociadas estudios complementarios . |
| author |
Palenque Paputsachis , Felix Alvarez , Emanuel Simondi , Nestor Quinteros , Mauricio Coronel , Rodrigo Sanchez Carpio , Diego |
| author_facet |
Palenque Paputsachis , Felix Alvarez , Emanuel Simondi , Nestor Quinteros , Mauricio Coronel , Rodrigo Sanchez Carpio , Diego |
| author_sort |
Palenque Paputsachis , Felix |
| title |
Lesions related to glenohumeral dislocation in patients who are older then 40 years old |
| title_short |
Lesions related to glenohumeral dislocation in patients who are older then 40 years old |
| title_full |
Lesions related to glenohumeral dislocation in patients who are older then 40 years old |
| title_fullStr |
Lesions related to glenohumeral dislocation in patients who are older then 40 years old |
| title_full_unstemmed |
Lesions related to glenohumeral dislocation in patients who are older then 40 years old |
| title_sort |
lesions related to glenohumeral dislocation in patients who are older then 40 years old |
| description |
Abstract:
Introduction
The glenohumeral dislocation of the shoulder is amongst the most frequents articulary dislocations. With a higher occurrence in youngsters, due to traumas or because of articular instability ( ligament – capsule ); although it has a favorable evolution, it presents a high relapse.
Beginning in the fourth decade of life, the occurrence of the relapse decreases, but the frequence of lesions associated like fracture, rotator cuff tear, ligament – capsule lesion and articulary rigidness.
Objective:
To describe anatomic lesions associated to glenohumeral dislocations in patients who are older tan 40 years old.
Material and Methods:
Transversal retrospective study of registered cases by a medical traumatological guard in a high complex health institution. Patients with acute glenohumeral dislocation, over tan 40 years old, treated betwen january 2019 and december 2020 were included. Cases with recurrent dislocations, previous pathological or surgical antecedents and with previously diagnosed lesions were excluded. After the medical examination, a shoulder bone scan ( front and contour ) was required, in order to confirm diagnose; afterwards the orthopedic reduction was conducted. Later, control reduction bone scans were performed, and then a Computed Tomography ( CT ) and a Magnetic Resonance Imaging ( MRI ) for assessment in out patient office were performed.
Results:
15458 patients in the consigned period were seen to; 0,13 % ( 21 cases )belonged to people who were older tan 40 years old with acute glenohumeral dislocation. Meduim age was 54 years old ( range 41-90 ); 12 ( 57 % ) were female and 9 ( 43% ) male. 85 % ( 19 cases ) were resolved in medical guard orthopedic reduction maneuvers and 2 cases ( 15 % ) required surgical sedation. In 10 cases ( 47,6 % ) the complementary studies did not show associated lesions. In 5 cases ( 23,8 %) a rotator cuff lesion was observed, 3 patients ( 14 % ) showed lesion associated to the rotator cuff and Bankart; 2 patients ( 95 % ) presented lesion of the rotator cuff combined with Hill-Sachs and 1 patient ( 5 % ) presented joint injury of Bankart/Slap and Hill/Sachs.
Conclusions:
The complementary studies, both CT and MRI are of hifher importance in order to identify associated lesions; in our study almost half of the patients were older tan 40 years old presented associated lesions.
|
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/34920 |
| work_keys_str_mv |
AT palenquepaputsachisfelix lesionsrelatedtoglenohumeraldislocationinpatientswhoareolderthen40yearsold AT alvarezemanuel lesionsrelatedtoglenohumeraldislocationinpatientswhoareolderthen40yearsold AT simondinestor lesionsrelatedtoglenohumeraldislocationinpatientswhoareolderthen40yearsold AT quinterosmauricio lesionsrelatedtoglenohumeraldislocationinpatientswhoareolderthen40yearsold AT coronelrodrigo lesionsrelatedtoglenohumeraldislocationinpatientswhoareolderthen40yearsold AT sanchezcarpiodiego lesionsrelatedtoglenohumeraldislocationinpatientswhoareolderthen40yearsold AT palenquepaputsachisfelix lesionesasociadasaluxacionglenohumeralenpacientesmayoresde40anos AT alvarezemanuel lesionesasociadasaluxacionglenohumeralenpacientesmayoresde40anos AT simondinestor lesionesasociadasaluxacionglenohumeralenpacientesmayoresde40anos AT quinterosmauricio lesionesasociadasaluxacionglenohumeralenpacientesmayoresde40anos AT coronelrodrigo lesionesasociadasaluxacionglenohumeralenpacientesmayoresde40anos AT sanchezcarpiodiego lesionesasociadasaluxacionglenohumeralenpacientesmayoresde40anos AT palenquepaputsachisfelix a AT alvarezemanuel a AT simondinestor a AT quinterosmauricio a AT coronelrodrigo a AT sanchezcarpiodiego a |
| first_indexed |
2024-09-03T21:02:46Z |
| last_indexed |
2024-09-03T21:02:46Z |
| _version_ |
1809210269309599744 |
| spelling |
I10-R327-article-349202024-04-15T16:19:09Z Lesions related to glenohumeral dislocation in patients who are older then 40 years old Lesiones asociadas a luxación glenohumeral en pacientes mayores de 40 años A Palenque Paputsachis , Felix Alvarez , Emanuel Simondi , Nestor Quinteros , Mauricio Coronel , Rodrigo Sanchez Carpio , Diego Dislocation associated lesions complementary studies Luxación lesiones asociadas estudios complementarios . Abstract: Introduction The glenohumeral dislocation of the shoulder is amongst the most frequents articulary dislocations. With a higher occurrence in youngsters, due to traumas or because of articular instability ( ligament – capsule ); although it has a favorable evolution, it presents a high relapse. Beginning in the fourth decade of life, the occurrence of the relapse decreases, but the frequence of lesions associated like fracture, rotator cuff tear, ligament – capsule lesion and articulary rigidness. Objective: To describe anatomic lesions associated to glenohumeral dislocations in patients who are older tan 40 years old. Material and Methods: Transversal retrospective study of registered cases by a medical traumatological guard in a high complex health institution. Patients with acute glenohumeral dislocation, over tan 40 years old, treated betwen january 2019 and december 2020 were included. Cases with recurrent dislocations, previous pathological or surgical antecedents and with previously diagnosed lesions were excluded. After the medical examination, a shoulder bone scan ( front and contour ) was required, in order to confirm diagnose; afterwards the orthopedic reduction was conducted. Later, control reduction bone scans were performed, and then a Computed Tomography ( CT ) and a Magnetic Resonance Imaging ( MRI ) for assessment in out patient office were performed. Results: 15458 patients in the consigned period were seen to; 0,13 % ( 21 cases )belonged to people who were older tan 40 years old with acute glenohumeral dislocation. Meduim age was 54 years old ( range 41-90 ); 12 ( 57 % ) were female and 9 ( 43% ) male. 85 % ( 19 cases ) were resolved in medical guard orthopedic reduction maneuvers and 2 cases ( 15 % ) required surgical sedation. In 10 cases ( 47,6 % ) the complementary studies did not show associated lesions. In 5 cases ( 23,8 %) a rotator cuff lesion was observed, 3 patients ( 14 % ) showed lesion associated to the rotator cuff and Bankart; 2 patients ( 95 % ) presented lesion of the rotator cuff combined with Hill-Sachs and 1 patient ( 5 % ) presented joint injury of Bankart/Slap and Hill/Sachs. Conclusions: The complementary studies, both CT and MRI are of hifher importance in order to identify associated lesions; in our study almost half of the patients were older tan 40 years old presented associated lesions. Resumen: Introducción La luxación glenohumeral del hombro, se encuentra entre las luxaciones articulares más frecuentes. Con mayor incidencia en jóvenes, debido a traumatismos o por inestabilidad articular (capsulo-ligamentarias), aunque tiene una evolución favorable, presenta elevada recidiva. A partir de la cuarta década de la vida, disminuye la incidencia de recidiva, pero aumenta la frecuencia de lesiones asociadas como fractura, ruptura del manguito rotador, lesión capsulo-ligamentaria y rigidez articular. Objetivo Describir las lesiones anatómicas asociadas a luxación glenohumeral en pacientes mayores de cuarenta años de edad. Material y Métodos Estudio retrospectivo transversal de casos registrados por guardia traumatológica en una institución de salud de alta complejidad. Se incluyeron pacientes con luxación glenohumeral aguda, mayores de 40 años, tratados entre enero de 2019 y diciembre de 2020. Se excluyeron casos con luxaciones recidivantes, antecedentes patológicos o quirúrgicos previos y con lesiones diagnosticadas previamente. Posterior al examen médico, se requirieron radiografías de hombro (frente y perfil), para confirmar diagnóstico; luego se procedió a la reducción ortopédica. Posteriormente se realizaron radiografías de control de reducción, y se solicitó tomografía computada (TAC) y resonancia magnetica nuclear (RMN) para valoración en consultorio externo. Resultados Se atendieron 15.458 pacientes en el periodo consignado, el 0,13 % (21 casos) correspondieron a mayores de 40 años, con luxación aguda glenohumeral. La edad media fue de 54 años (rango 41 – 90); 12 (57 %) fueron de sexo femenino y 9 (43 %) masculino. El 85 % (19 casos) se resolvieron en guardia con maniobras ortopédicas de reducción y 2 casos (15 %) requirieron sedación quirúrgica. En 10 casos (47,6 %), los estudios complementarios no mostraron lesiones asociadas. En 5 casos (23,8 %) se observó lesión del manguito rotador, 3 pacientes (14 %) presentaron lesión asociada del manguito rotador y de Bankart, 2 pacientes (9,5 %) tuvieron lesión del manguito rotador combinada con Hill-Sachs y 1 paciente (5%) presentó lesión conjunta de Bankart/Slap y Hill-Sachs. Conclusiones Los estudios complementarios tanto TAC y RMN son de suma importancia para identificar lesiones asociadas, en nuestro estudio casi la mitad de los pacientes mayores de 40 años presentaron lesiones asociadas. . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-10-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto texto https://revistas.unc.edu.ar/index.php/med/article/view/34920 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. Suplemento (2021): Suplemento JIC XXII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. Suplemento (2021): Suplemento JIC XXII Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. Suplemento (2021): Suplemento JIC XXII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0 |