title: Chronic unreduced shoulder dislocations: Experience in a developing country trauma centre.
abstract: Chronic shoulder dislocations are extremely rare. The goal of this retrospective study was to describe the epidemiology of chronic shoulder dislocation in our environment and to evaluate the outcome of treatment. Bio-demographic data and injury details were retrieved from case files. Definitive method of reduction and stabilisation and duration of follow-up care were also noted. Nine cases of subcoracoid anterior chronic shoulder dislocation were seen during the 6-year period of the study. Seven (78%) of these patients were male and two (22%) were female. The mean age was 42 (±17.5) years. The common mechanisms of injury were road traffic crash in four patients (44%), domestic falls in four patients (44%) and dislocation while getting out of bed in one patient (12%). None of the patients had neurovascular deficit at presentation. Five patients were managed operatively and four were managed non-operatively. Mean follow-up was 8 months (range 6-12 months). Clinical evaluation by Rowe shoulder score revealed that operated cases had significantly higher mean rank scores than non-operated cases using the Mann-Whitney U test. Two operated cases were graded fair and three poor. All cases managed non-operatively had poor outcome grades. Meticulous attempt at soft tissue repair and early supervised physiotherapy can contribute to a favourable outcome.
authors.affiliation: Department of Orthopaedic and Trauma National Orthopaedic Hospital, Igbobi, Lagos, Nigeria. Electronic address: ladibabalola@yahoo.co.uk.
authors.forename: Oladimeji Ranti
authors.initials: OR
authors.lastname: Babalola
authors.affiliation: Department of Orthopaedic Surgery, University Hospital "Sveti Duh", Zagreb, Croatia.
authors.forename: Goran
authors.initials: G
authors.lastname: Vrgoč
authors.affiliation: Department of Orthopaedic and Trauma National Orthopaedic Hospital, Igbobi, Lagos, Nigeria.
authors.forename: Oluwaseyi
authors.initials: O
authors.lastname: Idowu
authors.affiliation: Institute for Anthropological Research, Zagreb, Croatia.
authors.forename: Joško
authors.initials: J
authors.lastname: Sindik
authors.affiliation: Institute for Anthropological Research, Zagreb, Croatia.
authors.forename: Miran
authors.initials: M
authors.lastname: Čoklo
authors.affiliation: Department of Surgery, University Hospital Rijeka, Rijeka, Croatia.
authors.forename: Marin
authors.initials: M
authors.lastname: Marinović
authors.affiliation: Department of Surgery, General Hospital Karlovac, Karlovac, Croatia.
authors.forename: Bore
authors.initials: B
authors.lastname: Bakota
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data*; D000063:Accidents, Traffic / Q000706:statistics & numerical data*; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009549:Nigeria / Q000453:epidemiology; D017410:Practice Guidelines as Topic; D016059:Range of Motion, Articular; D012008:Recurrence; D012189:Retrospective Studies; D012783:Shoulder Dislocation / Q000453:epidemiology* / Q000503:physiopathology / Q000601:surgery; D017695:Soft Tissue Injuries / Q000453:epidemiology* / Q000601:surgery; D014193:Trauma Centers; D016896:Treatment Outcome
keywords: Chronic shoulder dislocation; Epidemiology; Outcome