2000 Volume 24 Issue 3 Pages 301-304
The treatment of chronic anterior dislocation of the shoulder is a difficult problem in shoulder surgery. The purpose of this study is to investigate the clinical results of open reduction in patients with chronic anterior dislocation of the shoulder.
Materials & methods
Eight shoulders of 8 patients were included in this study. The average age at the time of surgery was 67.5 (range: 53 to 79) years old. The period from trauma to surgery ranged from 2 weeks to 20 mo nths. Axillay nerve palsy was found in 2 shoulders, Bankart's lesion in 5, rotator cuff tear in 4, and fracture of the greater tubercle in 3. All cases but one had received open reduction without a temporary fixation of the shoulder joint. A rotator cuff tear, a Bankart's lesion and a fracture were also repair ed. A case which did not have open reduction of the shoulder received arthrodesis of the shoulder joint due to having complete axillary nerve palsy.
Postoperative results were evaluated by the shoulder score of the Japanese Shoulder Assciation (JOA score). Follow-up periods ranged from 14 to 42 (average: 28.4) months.
