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Diagnosis and Therapeutic options for posterior shoulder dislocation

Published in N°20 - November / December 2022
Article viewed 64 times

Diagnosis and Therapeutic options for posterior shoulder dislocation

By Arnaud Godenèche(1), Steven Roulet(2) in category UPDATE
(1) Santy Orthopaedic Centre, Jean Mermoz Private Hospital, Lyon, France - (2) Dauphiné Shoulder and Hand Unit/Groupe Elsan, Clinique Belledonne, St Martin d’Hères, France

Posterior shoulder instability is rare, with an incidence ranging from 2–5%.
The difficulties in managing the condition comes from the patient profile, recognising the different clinical forms, and interpreting the different anatomical forms.

 

Pierre Mansat, P. Clavert, G. Nourrissat, J. Garret, M-B. Hardy, P. Métais, J. Barth, P. Abadie,
F. Sirveaux, Blandine Marion, Yves Bouju, Kevin Andrieu, French-Speaking Arthroscopy Society (SFA)

 

Introduction

Posterior shoulder instability is rare, with an incidence ranging from 2–5%.[1,2]

The difficulties in managing the condition comes from the patient profile, recognising the different clinical forms, and interpreting the different anatomical forms.

In 2016, the French-Speaking Arthroscopy Society held a symposium on posterior shoulder instability. A multi-centre study across mainland France was presented comprising two cohorts (one prospective and one retrospective). One hundred and eighty-eight patients were recruited and 167 were operated.

After a brief review of the different clinical presentations, imaging studies and treatments, we report the results of this  multi-centre study and the prognostic factors for treating this pathology. The aim is to identify how our attitude towards, and management of this rare condition could change.

 

Clinical presentations

1. Involuntary instability

This form is most similar to anterior instability in terms of clinical presentation, physiopathology and management.

Four in every five cases affect men in their thirties. Only 40%...

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