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[Shoulder dislocations in elderly patients].

N Hawi1, D Ratuszny2, E Liodakis2

  • 1Klinik für Unfallchirurgie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland. hawi.nael@mh-hannover.de.

Der Unfallchirurg
|October 25, 2017
PubMed
Summary
This summary is machine-generated.

Anterior shoulder dislocation in the elderly often involves rotator cuff tears and fractures. Treatment involves evaluation, conservative care, and potentially surgery or reverse shoulder prosthesis for optimal outcomes.

Keywords:
FractureGeriatric patientHumerus, proximalPlexus lesionRotator cuff

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Area of Science:

  • Orthopedic Surgery
  • Geriatric Medicine
  • Sports Medicine

Background:

  • Anterior shoulder dislocation in the elderly differs from younger patients, frequently presenting with rotator cuff tears, fractures, and nerve involvement.
  • Prompt evaluation and management are crucial for functional recovery.

Purpose of the Study:

  • To outline the distinct characteristics of anterior shoulder dislocation in the elderly.
  • To discuss optimal diagnostic and therapeutic strategies, including conservative and surgical options.

Main Methods:

  • Review of current literature on elderly shoulder dislocations.
  • Analysis of concomitant injuries and treatment outcomes.
  • Discussion of surgical interventions like rotator cuff repair and reverse shoulder prosthesis.

Main Results:

  • Elderly patients often present with complex injuries, including rotator cuff tears and fractures.
  • Conservative management is the primary approach, but surgical intervention may be necessary for persistent symptoms.
  • Reconstructive surgery or reverse shoulder prosthesis can be effective in select cases.

Conclusions:

  • Accurate assessment of structural shoulder injuries is vital for elderly patients with anterior dislocation.
  • Treatment should be individualized, considering rotator cuff integrity and patient factors.
  • A combination of physiotherapy, conservative care, and surgical options can optimize functional recovery.