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  1. Anterior dislocation of the shoulder in elderly patients.

    Article - En anglais

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0416985

    Code Inist : 002B16H. Création : 19/12/1997.