Of 545 consecutive patients with anterior shoulder dislocations, 108 (20%) were aged 60 years or more at the time of injury.
We reviewed and radiographed 95 of these elderly patients after a mean follow-up of 7.1 years.
Axillary nerve injuries were seen in 9.3% of the 108 patients, but all recovered completely in 3 to 12 months.
There were single or multiple recurrences of dislocation in 21 patients (22.1%), but within this group age had no influence on the tendency to redislocate.
Tears of the rotator-cuff were diagnosed by imaging studies or clinically in 58 patients (61%), including all who had redislocations.
Sixteen patients required surgery.
Eight with a single dislocation and a cuff tear had only repair of the torn cuff.
Of the eight patients with multiple dislocations requiring operation, five also had a torn cuff and needed either a stabilising procedure and a cuff repair or repair of the cuff only.
All patients who were operated on had a satisfactory result, with the exception of those with multiple redislocations and a cuff tear who had repair of the cuff only.
Anterior shoulder dislocation in elderly subjects is more common than is generally believed ; 20% suffer redislocation and 60% have a cuff tear.
Operation may be needed to repair a torn cuff or to stabilise the shoulder.
Patients with multiple redislocations will probably require both procedures.
Mots-clés Pascal : Luxation, Antérieur, Epaule, Epidémiologie, Vieillard, Homme, Etude longitudinale, Radiographie, Pronostic, Long terme, Membre supérieur, Système ostéoarticulaire pathologie, Juxtaarticulaire pathologie, Traumatisme, Radiodiagnostic
Mots-clés Pascal anglais : Luxation, Anterior, Shoulder, Epidemiology, Elderly, Human, Follow up study, Radiography, Prognosis, Long term, Upper limb, Diseases of the osteoarticular system, Juxtaarticular disease, Trauma, Radiodiagnosis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0416985
Code Inist : 002B16H. Création : 19/12/1997.