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Volume 2, Issue 2 (2023)
GMJM 2023, 2(2): 57-61 |
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Received: 2022/09/12 | Accepted: 2023/03/1 | Published: 2023/04/23
Received: 2022/09/12 | Accepted: 2023/03/1 | Published: 2023/04/23
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Maroufi P, Nazari B. Radiography Need in Patients with Shoulder Dislocations; Case Study of Shohada Hospital, Iran. GMJM 2023; 2 (2) :57-61
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Authors
P. Maroufi1, B. Nazari *2
1- Department of Orthopedics, School of Medicine, Shohada Medical Research & Training Hospital, Tabriz University of Medical Sciences, Tabriz, Iran
2- Department of Orthopedics, School of Medicine, Rahat Breath and Sleep Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
2- Department of Orthopedics, School of Medicine, Rahat Breath and Sleep Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
Abstract (592 Views)
Aims: Due to the fact that radiography before and after reduction requires significant waste of time, the patient is exposed to harmful radiation and imposes a significant material burden on patients, the present study was conducted based on these objectives to see if The physician's clinical judgment in determining the presence of anterior shoulder dislocation is so accurate that preoperative radiography can be ruled out in these patients. Positive results, improvements in the process of diagnosis and treatment of these patients.
Instrument & Methods: This descriptive cross-sectional study was conducted in 2019 at Tabriz University of Medical Sciences with the participation of 116 patients with shoulder trauma. Patients underwent appropriate shoulder dissection and then underwent control radiography to determine if radiography was required. Relevant data were compared using a statistical test.
Findings: In group 1, there were no fractures before and after reduction of 8 cases. There were fractures in cases with group 2 trauma, but no new fractures were seen in all cases after reduction. In group 1, one case and in group 2, six cases of unsuccessful reduction were sent to the operating room.
Conclusion: As a general conclusion, this study shows that physicians in cases of shoulder dislocation without fracture are able to accurately diagnose dislocation and correct reduction. Shoulder radiography should be requested at a time when the physician is unsure of the condition of the joint.
Instrument & Methods: This descriptive cross-sectional study was conducted in 2019 at Tabriz University of Medical Sciences with the participation of 116 patients with shoulder trauma. Patients underwent appropriate shoulder dissection and then underwent control radiography to determine if radiography was required. Relevant data were compared using a statistical test.
Findings: In group 1, there were no fractures before and after reduction of 8 cases. There were fractures in cases with group 2 trauma, but no new fractures were seen in all cases after reduction. In group 1, one case and in group 2, six cases of unsuccessful reduction were sent to the operating room.
Conclusion: As a general conclusion, this study shows that physicians in cases of shoulder dislocation without fracture are able to accurately diagnose dislocation and correct reduction. Shoulder radiography should be requested at a time when the physician is unsure of the condition of the joint.
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References
1. Eljabu W, Klinger HM, von Knoch M. The natural course of shoulder instability and treatment trends: A systematic review. J Orthop Traumatol. 2017;18(1):1-8. [Link] [DOI:10.1007/s10195-016-0424-9]
2. Longo UG, Loppini M, Rizzello G, Ciuffreda M, Maffulli N, Denaro V. Management of primary acute anterior shoulder dislocation: systematic review and quantitative synthesis of the literature. Arthroscopy. 2014;30(4):506-22. [Link] [DOI:10.1016/j.arthro.2014.01.003]
3. Helfen T, Ockert B, Pozder P, Regauer M, Haasters F. Management of prehospital shoulder dislocation: Feasibility and need of reduction. Eur J Trauma Emerg Surg. 2016;42(3):357-62 [Link] [DOI:10.1007/s00068-015-0545-5]
4. Siebenbürger G, Zeckey C, Fürmetz J, Ockert B, Böcker W, Helfen T. Medical speciality, medication or skills: Key factors of prehospital joint reduction: A prospective, multicenter cohort study. Eur J Trauma Emerg Surg. 2014;44(4):637-42. [Link] [DOI:10.1007/s00068-018-0933-8]
5. Bokor-Billmann T, Lapshyn H, Kiffner E, Goos MF, Hopt UT, Billmann FG. Reduction of acute shoulder dislocations in a remote environment: A prospective multicenter observational study. Wilderness Environ Med. 2015;26(3):395-400. [Link] [DOI:10.1016/j.wem.2014.12.027]
6. Lebus GF, Raynor MB, Nwosu SK, Wagstrom E, Jani SS, Carey JL, et al. Predictors for Surgery in shoulder instability: A retrospective cohort study using the FEDS system. Orthop J Sports Med. 2015;3(10):2325967115607434. [Link] [DOI:10.1177/2325967115607434]
7. Kanji A, Atkinson P, Fraser J, Lewis D, Benjamin S. Delays to initial reduction attempt are associated with higher failure rates in anterior shoulder dislocation: A retrospective analysis of factors affecting reduction failure. Emerg Med J. 2016;33(2):130-3. [Link] [DOI:10.1136/emermed-2015-204746]
8. Tajima K, Nishida Y, Shimizu C, Hori S. Double traction method-an easy and safe reduction method for anterior shoulder dislocations, even for non-orthopedic surgeons. Acute Med Surg. 2015;3(3):272-5. [Link] [DOI:10.1002/ams2.179]
9. Olivos-Meza A, Almazán-Diaz A, Calvo JA, Jiménez-Aroche CA, Valdez-Chávez MV, Pérez-Jiménez F, et al. Radiographic displacement of acute acromioclavicular joint dislocations fixed with AC tightrope. JSES Int. 2020;4(1):49-54. [Link] [DOI:10.1016/j.jseint.2019.11.002]
10. Cano-Martínez JA, Nicolás-Serrano G, Bento-Gerard J, Picazo-Marín F, Andrés-Grau J. Acute high-grade acromioclavicular dislocations treated with triple button device (MINAR): Preliminary results. Injury. 2016;47(11):2512-9. [Link] [DOI:10.1016/j.injury.2016.09.029]
11. Faria RS, Ribeiro FR, Amin BO, Junior AC, Costa MP, Filho CS, et al. Acromioclavicular dislocation: Postoperative evaluation of the coracoclavicular ligaments using magnetic resonance. Rev Bras Ortop. 2015;50(2):195-9. [Link] [DOI:10.1016/j.rboe.2015.04.007]
12. Weiser L, Nüchtern JV, Sellenschloh K, Püschel K, Morlock MM, Rueger JM, et al. Acromioclavicular joint dislocations: Coracoclavicular reconstruction with and without additional direct acromioclavicular repair. Knee Surg Sports Traumatol Arthrosc. 2017;25(7):2025-31. [Link] [DOI:10.1007/s00167-015-3920-1]
13. Vulliet P, Le Hanneur M, Cladiere V, Loriaut P, Boyer P. A comparison between two double-button endoscopically assisted surgical techniques for the treatment acute acromioclavicular dislocations. Musculoskelet Surg. 2018;102(1):73-9. [Link] [DOI:10.1007/s12306-017-0501-0]
14. Schliemann B, Roblenbroich SB, Schneider KN, Theisen C, Petersen W, Raschke MJ, Weimann A. Why does minimally invasive coracoclavicular ligament reconstruction using a flip button repair technique fail? An analysis of risk factors and complications. Knee Surg Sports Traumatol Arthrosc. 2015;23(5):1419-25. [Link] [DOI:10.1007/s00167-013-2737-z]
15. Di Giacomo GD, Golijanin P, Sanchez G, Provencher MT. Radiographic analysis of the hill-sachs lesion in anteroinferior shoulder instability after first-time dislocations. Arthroscopy. 2016;32(8):1509-14. [Link] [DOI:10.1016/j.arthro.2016.01.022]
16. Fox JA, Sanchez A, Zajac TJ, Provencher MT. Understanding the hill-sachs lesion in its role in patients with recurrent anterior shoulder instability. Curr Rev Musculoskelet Med. 2017;10(4):469-79. [Link] [DOI:10.1007/s12178-017-9437-0]
17. Saqib R, Harris J, Funk L. Comparison of magnetic resonance arthrography with arthroscopy for imaging of shoulder injuries: Retrospective study. Ann R Coll Surg Engl. 2017;99(4):271-4. [Link] [DOI:10.1308/rcsann.2016.0249]
18. Berg BV, Omoumi P. Dislocation of the shoulder joint-radiographic analysis of osseous abnormalities. J Belg Soc Radiol. 2016;100(1):89. [Link] [DOI:10.5334/jbr-btr.1210]
19. Lädermann A, Denard PJ, Boileau P, Farron A, Deransart P, Terrier A, et al. Effect of humeral stem design on humeral position and range of motion in reverse shoulder arthroplasty. Int Orthop. 2015;39(11):2205-13. [Link] [DOI:10.1007/s00264-015-2984-3]
20. Cusick MC, Hussey MM, Steen BM, Hartzler RU, Clark RE, Cuff DJ, et al. Glenosphere dissociation after reverse shoulder arthroplasty. J Shoulder Elbow Surg. 2015;24(7):1061-8. [Link] [DOI:10.1016/j.jse.2014.12.019]
21. Lópiz Y, Rodríguez-González A, García-Fernández C, Marco F. Scapula insufficiency fractures after reverse total shoulder arthroplasty in rotator cuff arthropathy: What is their functional impact?. Rev Esp Cir Ortop Traumatol. 2015;59(5):318-25. [Link] [DOI:10.1016/j.recote.2015.07.007]
22. Mayne IP, Bell SN, Wright W, Coghlan JA. Acromial and scapular spine fractures after reverse total shoulder arthroplasty. Shoulder Elbow. 2016;8(2):90-100. [Link] [DOI:10.1177/1758573216628783]
23. Kennon JC, Lu C, McGee-Lawrence ME, Crosby LA. Scapula fracture incidence in reverse total shoulder arthroplasty using screws above or below metaglene central cage: Clinical and biomechanical outcomes. J Shoulder Elbow Surg. 2017;26(6):1023-30. [Link] [DOI:10.1016/j.jse.2016.10.018]
24. Ascione F, Kilian CM, Laughlin MS, Bugelli G, Domos P, Neyton L. Increased scapular spine fractures after reverse shoulder arthroplasty with a humeral onlay short stem: an analysis of 485 consecutive cases. J Shoulder Elbow Surg. 2018;27(12):2183-90. [Link] [DOI:10.1016/j.jse.2018.06.007]
25. King JJ, Dalton SS, Gulotta LV, Wright TW, Schoch BS. How common are acromial and scapular spine fractures after reverse shoulder arthroplasty?: A systematic review. Bone Joint J. 2019;101-B(6):627-34. [Link] [DOI:10.1302/0301-620X.101B6.BJJ-2018-1187.R1]
26. Neyton L, Erickson J, Ascione F, Bugelli G, Lunini E, Walch G. Grammont award 2018: Scapular fractures in reverse shoulder arthroplasty (Grammont style): Prevalence, functional, and radiographic results with minimum 5-year follow-up. J Shoulder Elbow Surg. 2019;28(2):260-7. [Link] [DOI:10.1016/j.jse.2018.07.004]
27. Schenk P, Aichmair A, Beeler S, Ernstbrunner L, Meyer DC, Gerber C. Acromial fractures following reverse total shoulder arthroplasty: A cohort-controlled analysis. Orthopedics. 2020;43(1):15-22. [Link] [DOI:10.3928/01477447-20191031-03]
28. Kerrigan AM, Reeves JM, Langohr GD, Johnson JA, Athwal GS. The influence of reverse arthroplasty humeral component design features on scapular spine strain. J Shoulder Elbow Surg. 2021;30(3):572-9. [Link] [DOI:10.1016/j.jse.2020.06.011]
29. Taylor SA, Shah SS, Chen X, Gentile J, Gulotta LV, Dines JS. Scapular ring preservation: coracoacromial ligament transection increases scapular spine strains following reverse total shoulder arthroplasty. J Bone Joint Surg Am. 2020;102(15):1358-64. [Link] [DOI:10.2106/JBJS.19.01118]
30. Cho CH, Jung JW, Na SS, Bae KC, Lee KJ, Kim DH. Is acromial fracture after reverse total shoulder arthroplasty a negligible complication?: A systematic review. Clin Orthop Surg. 2019;11(4):427-35. [Link] [DOI:10.4055/cios.2019.11.4.427]
31. Lau SC, Large R. Acromial fracture after reverse total shoulder arthroplasty: A systematic review. Shoulder Elbow. 2020;12(6):375-89. [Link] [DOI:10.1177/1758573219876486]