抄録
Background: The purpose of this study is to evaluate the clinical outcomes of the conservative therapy for old anterior dislocation of the shoulder.
Methods: We performed conservative therapy on 5 patients (average age, 76 years old) who suffered from old anterior dislocation of the shoulder. All cases were just followed closely without treatment. The follow-up mean period was 17.5 months. 2 patients have had incomplete paralysis by cerebral apoplexy, 1 patient has had Parkinson's disease, and another patient suffered from dementia. We investigated the cause and background of old anterior dislocation of the shoulder, and evaluated their clinical outcomes using JOA score.
Results: The causes of old anterior dislocation of the shoulder were 2 cases. One was false self-judgment and delayed treatment, the other was wrong diagnosis and inadequate treatment. The mean JOA score was 57.8/100 points, in particular the mean pain score was 27/30 points. Failure cases were the inactive patient before injury and the patient complicated with reducing hand function owing to peripheral neuropathy for this dislocation.
Conclusion: The patients suffering from old anterior dislocation of the shoulder were satisfied with the conservative therapy in their own way. The activities of daily living could be maintained relatively well. If the patients did not need high level shoulder function, as is the case for the elderly or inactive patients, we could choose the conservative therapy for them.
