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International Orthopaedics

, Volume 17, Issue 6, pp 337–341 | Cite as

The rate of recurrence of traumatic anterior dislocation of the shoulder

A study of 154 cases and a review of the literature
  • J. Vermeiren
  • F. Handelberg
  • P. P. Casteleyn
  • P. Opdecam
Article

Summary

We have reviewed the history of 154 primary, traumatic dislocations of the shoulder in order to determine the risk of recurrence. We found a recurrence rate of 68% in patients under the age of 20, after a follow-up period of 1–9 years (average 4.5 years). There was a highly significant difference (p<0.0001) in the recurrence rate of patients under, and above, 30 years of age. Twenty per cent of the patients had a concurrent minor fracture at the shoulder with 2 out of 39 of the recurrent cases (5%) and 29 of the 115 non-recurrent cases (25%); this is also a significant difference (p<0.01). Neither the need for general anaesthesia at primary injury nor the occupation of the patient was a relevant factor in the final outcome of the dislocation. Four nerve injuries were encountered (3%), with no severe sequelae at follow-up. The young patient with no concurrent fracture at the time of the primary shoulder dislocation has a high risk of recurrence.

Keywords

General Anaesthesia Recurrence Rate Nerve Injury Relevant Factor Final Outcome 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Résumé

Afin d'évaluer le risque de récidive, on a revu 154 observations de luxations traumatiques primitives. 68% des patients âgés de moins de 20 ans ont présenté une récidive après une période variant de 1 à 9 ans (4.5 ans en moyenne). Le pourcentage de récidive, au dessus ou au dessous de l'âge de 30 ans, diffère de façon hautement significative (p<0.001). Vingt pour cent des cas présentaient également une fracture mineure de l'épaule, parmi lesquels 2 sur les 39 cas de récidive (5%) et 29 sur les 115 cas de non-récidive (25%). Cette différence est également significative (p<0.01). Ni la nécessité d'une anesthésie générale à l'occasion de la première réduction, ni le métier du patient n'étaient des facteurs influant sur le résultat final. Quatre lésions nerveuses (3%) ont été observées, aucune n'a entraîné de séquelles. Chez les patients jeunes qui présentent une première luxation de l'épaule sans fracture, le risque de récidive est très élevé.

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Copyright information

© Springer-Verlag 1993

Authors and Affiliations

  • J. Vermeiren
    • 1
  • F. Handelberg
    • 1
  • P. P. Casteleyn
    • 1
  • P. Opdecam
    • 1
  1. 1.Department of OrthopaedicsUniversity Hospital of the Vrije Universiteit BrusselBrusselsBelgium

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