Anterior (Subscribe)  

The shoulder is the most commonly dislocated large joint seen in the emergency department (ED), and anterior dislocations account for 90-98% of cases.1 Most dislocations are straightforward and easily reducible in the ED using one of several techniques. However, difficult cases do occur, and clinicians need to be mindful of...

Mechanism of anterior dislocations:
- combination of abduction, extension, and a posteriorly directed force applied to the arm;
- humeral head is driven anteriorly, tearing the shoulder capsule,...

* osteochondral fracture of inferior glenoid labrum
* a/w anterior shoulder dislocation

Conservative management following closed reduction of traumatic anterior dislocation of the shoulder (Cochrane Review) Handoll HHG, Hanchard NCA, Goodchild L, Feary J The Cochrane Database of Systematic Reviews 2006, Issue 1. Art. No.: CD004962. Abstract Authors' conclusions: There is a lack of evidence from randomised controlled trials to inform the choices for conservative... Highly Reputable

Humeral avulsion of the inferior glenohumeral ligament (HAGL) has been shown to be an infrequent cause of shoulder instability. This lesion occurs when the inferior glenohumeral ligament avulses from the inferior humeral neck. This is in contrast to the Bankart lesion in which the IGHL is disrupted from the glenoid.

CONCLUSION: Glenoid bone loss is common in anterior shoulder dislocation. It is probably multifactorial in origin, is usually mild in degree, and has a maximum observed severity of -33%. Dislocation frequency cannot accurately predict the degree of bone loss.
Prevalence, pattern, and spectrum of glenoid bone loss in anterior shoulder dislocation:...

Radiology case 414-421 Clinical presentation: 76 year old lady with pain in the right shoulder and some restriction of movement.
The head of the right humerus lies medial and below its normal position. The surfaces of the gleno-humeral joint are no longer congruent. There is an irregular defect in the lateral margin...

Dislocation of the shoulder is the commonest of all large joint dislocations. Inferior dislocation constitutes 0.5% of all shoulder dislocations. It characteristically presents with overhead abduction of the arm, the humerus being parallel to the spine of scapula. We present an unusual case of recurrent luxatio erecta in which the...