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[Chronic scapulo-humeral instability in children].
Summary
Early surgical treatment for recurrent shoulder dislocation in children can prevent secondary humeral head lesions and future osteoarthritis. A simple, well-executed procedure followed by physical therapy yields good results.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Sports Medicine
Context:
- Recurrent shoulder dislocation is uncommon in children.
- Early intervention is crucial to prevent secondary humeral head lesions.
- Osteoarthritis is a potential long-term complication.
Purpose:
- To evaluate the outcomes of surgical treatment for recurrent shoulder dislocation in pediatric patients.
- To assess the effectiveness of different surgical procedures and post-operative management.
Summary:
- Ten children (5 boys, 5 girls, all >10 years old) with recurrent shoulder dislocation were treated between 1989-1998.
- Procedures included anterior Bankart (6), posterior Bankart (3), and Putti-Platt (2).
- Post-operative casting (3 weeks) and physical therapy were administered. Very good results were achieved in 4/6 cases; recurrence occurred in 2 cases.
Impact:
- Simple, well-performed surgical procedures combined with physical therapy are recommended for pediatric recurrent shoulder dislocation.
- Psychotherapy may be necessary for cases with a voluntary component.
- Effective management can mitigate the risk of osteoarthritis in adulthood.