POSTTRAUMATIC SHOULDER INSTABILITY IN CHILDREN: CLINICAL PRESENTATION, DIAGNOSIS AND TREATMENT

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Abstract


The article presents an analysis of the treatment of 15 patients with posttraumatic shoulder instability aged 11-17 years, as a result of primary traumatic dislocation and chronic instability. We identified the following causes of chronic shoulder instability: Bankart injury, SLAP-injury; Hill-Sachs defect; fracture of the glenoid, type 3 humeral head-glenoid relation, and retroversion of the humeral head, as well as defects in the treatment of primary shoulder dislocation. Surgical treatment is performed in 7 patients with chronic instability (7 joints). Unsatisfactory result was detected in 1 patient (1 joints), which is caused by a type 3 humeral head-glenoid relation.

Yaroslav Nikolaevich Proshchenko

Federal State Institution “Federal Center of Traumatology, Orthopedics and Endoprosthesis replacement”

Email: Yar2011@list.ru
MD, PhD, orthopedic and trauma surgeon of the department of pediatric traumatology and orthopedics

Pavel Sergeevich Shumkov

Federal State Institution “Federal Center of Traumatology, Orthopedics and Endoprosthesis replacement”

MD, orthopedic and trauma surgeon of the department of pediatric traumatology and orthopedics

Anatoliy Vasilievich Ovsyankin

Federal State Institution “Federal Center of Traumatology, Orthopedics and Endoprosthesis replacement”

Email: Anatoly.Ovsjankin@orthosmolensk.ru
MD, PhD, head doctor

Pavel Igorevich Bortulev

Federal State Institution “Federal Center of Traumatology, Orthopedics and Endoprosthesis replacement”

Email: pavel.bortulev@yandex.ru
MD, orthopedic and trauma surgeon of the department of pediatric traumatology and orthopedics

Alexey Polikarpovich Drozdetskiy

Federal State Institution “Federal Center of Traumatology, Orthopedics and Endoprosthesis replacement”

MD, PhD, chief of the department of pediatric traumatology and orthopedics

Oksana Vyacheslavovna Bortuleva

Federal State Institution “Federal Center of Traumatology, Orthopedics and Endoprosthesis replacement”

MD, orthopedic and trauma surgeon of the department of pediatric traumatology and orthopedics

  1. Баиров Г. А. Детская травматология. 2-е изд. СПб.: Питер, 2000.
  2. Рахимов С. К. К патогенезу привычного вывиха плеча. Вестн. травматол. и ортопед. им. Н. Н.Приорова. 1995. № 1-2. С. 41-44.
  3. Тяжелов А. А. Классификация нестабильности плечевого сустава. Вестн. травматол. и ортопед. им. Н. Н. Приорова. 1999. № 4. С. 13-17. Tyazhelov A. A. Classification of instability of a humeral joint. Vestn. travmatol. i ortped. Im. N. N. Priorova. 1999. № 4. S. 13-17.
  4. Blum A., Coudane Н., Molé D. Gleno-humeral instabilities. Eur. Radiol. 2000. Vol. 10. № 1. P. 63-82.
  5. Isik M., Subasi M., Cebesoy O., Koca I., Pamukcu U. Traumatic shoulder fracture-dislocation in a 7-year-old child: a case report. J Med Case Rep. 2013 Jun 20;7(1):156.
  6. Kraus R., Pavlidis T., Dongowski N., Szalay G., Schnettler R. Children and adolescents with posttraumatic shoulder instability benefit from arthroscopic stabilization. Eur J Pediatr Surg. 2010 Jul; 20(4):253-6.
  7. Lintner S. Am J Sports Med 1996; 24: 716-21.
  8. Michael C. Robinson. Functional Outcome and Risk of Recurrent Instability After Primary Traumatic Anterior Shoulder Dislocation in Young Patients. The Journal of Bone and Joint Surgery (American). 2006. Vol. 88, № 11. P. 2326-2336.
  9. Shankman S., Bencardino J., Beltran J. et al. Glenohumeral instability: evaluation using MR arthrography of the shoulder. Skeletal Radiol. 1999. Vol. 28., № 7. P. 365-382.
  10. Snyder S. J., Karzel R. P., Pizzo W. D., Ferkel R. D., Friedman M. J. Arthroscopy classics. SLAP lesions of the shoulder. Arthroscopy. 2010;26(8):1117.
  11. Walch G., Habermeyer P., The biceps tendon and rotator cuff disease. In: Rotator cuff disorders. Baltimore etc: Williams and Wilkins, 1996. Р. 142-159.

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Copyright (c) 2014 Proshchenko Y.N., Shumkov P.S., Ovsyankin A.V., Bortulev P.I., Drozdetskiy A.P., Bortuleva O.V.

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