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Midterm results after operatively stabilised shoulder dislocations in elderly patients
Marcus Maier1, Emanuel V Geiger, Christine Ilius
1Department of Trauma, Hand and Reconstructive Surgery, Johann Wolfgang Goethe-University Frankfurt/Main, Frankfurt/Main, Germany. Marcus.Maier@kgu.de
International Orthopaedics
|May 27, 2008
Summary
Operative stabilization effectively reduces anterior shoulder dislocation recurrence in both young and elderly patients. However, younger patients achieve significantly better functional outcomes post-surgery compared to older individuals.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Geriatric Medicine
Background:
- Anterior shoulder dislocation is common in young individuals, but treatment guidelines for elderly patients are less defined.
- Understanding the comparative efficacy of operative stabilization in different age groups is crucial for optimizing patient care.
Purpose of the Study:
- To compare the clinical benefits of operative stabilization for anterior shoulder dislocation in young versus elderly patients.
- To evaluate functional outcomes and recurrence rates following surgical intervention across age demographics.
Main Methods:
- Seventy-two patients with anterior shoulder dislocations were divided into two groups: Group 1 (>40 years) and Group 2 (<40 years).
- Operative stabilization was performed, and outcomes were assessed using the Constant score, Rowe score, and Disabilities of the Arm, Shoulder and Hand (DASH) score.
Main Results:
- Operative stabilization significantly reduced recurrence rates in both young and elderly patient groups.
- Younger patients (Group 2) demonstrated significantly better clinical functional results (Constant, Rowe, DASH scores) compared to older patients (Group 1).
Conclusions:
- While operative stabilization is effective in preventing recurrent anterior shoulder dislocations in the elderly, functional recovery is less optimal than in younger patients.
- Age is a significant factor influencing functional outcomes after surgical management of anterior shoulder dislocations.
