Abstract
AbstractIntroductionTraumatic anterior shoulder dislocation occurs frequently and usually affects young, active male patients. Detachment of the anteroinferior labrum, known as the Bankart lesion, is a common result. However, more extensive entities including bony lesions and disruptions of the labral ring can also be found. The aim of the present work was to analyze all cases of first-time traumatic anterior shoulder dislocation at a level‑1 trauma center with regard to the type of labral lesion. Focus was placed on the frequency and distribution of complex lesions and the extent of the surgical repair.Patients and methodsThe clinical database of a level‑1 trauma center with a specialized shoulder unit was searched to identify all patients with first-time anterior shoulder dislocation treated between 2015 and 2019. Of 224 patients, 110 underwent primary surgical repair after first-time dislocation (mean age 40 years).ResultsA total of 62% of patients had only a soft tissue injury, while 38% (n = 40) showed a bony Bankart lesion/fracture of the glenoid fossa with a mean defect size of 26%. In only 31% of patients (n = 34), a classicBankart repair was performed, whereas the remaining 69% underwent additional procedures.ConclusionIn this series of surgically treated first-time traumatic anterior shoulder dislocations, the majority of cases presented with more complex lesions than an isolated classic Bankart lesion. The risk for bony involvement and associated pathologies, such as cuff tears and greater tuberosity fracture, increases with age and requires a more extensive surgical approach. Disruption of the labral ring was frequently found in both soft tissue and bony lesions and directly affected the surgical procedure.
Highlights
Traumatic anterior shoulder dislocation occurs frequently and usually affects young, active male patients
The clinical database of a German level-1 trauma center with a specialized shoulder unit was searched by International Classification of Diseases (ICD)-10 codes in order to identify all patients with shoulder dislocation that were treated between 2015 and 2019
superior labrum anterior to posterior lesions (SLAP) lesions were found in 23 patients (20.9%)
Summary
Traumatic anterior shoulder dislocation occurs frequently and usually affects young, active male patients. Concomitant injuries (i.e., fractures of the greater tuberosity) may occur and influence the treatment strategy [7,8,9] These injuries may require more comprehensive surgical management with additional procedures such as screw fixation of glenoid rim fractures or rotator cuff repairs. The aim of the present work was to analyze all cases of first-time traumatic anterior shoulder dislocation at a level-1 trauma center with regard to the type of labral lesion. In this series of surgically treated first-time traumatic anterior shoulder dislocations, the majority of cases presented with more complex lesions than an isolated classic Bankart lesion. Disruption of the labral ring was frequently found in both soft tissue and bony lesions and directly affected the surgical procedure
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
