Inferior Dislocation of Shoulder Joint: Case Report
Published: 2024-06-04
Page: 80-87
Issue: 2024 - Volume 7 [Issue 2]
Aung Kyi Winn *
Department of Orthopaedics, Manipal University College Malaysia (MUCM), Melaka, Malaysia.
Kyi Swe Tint
Department of Orthopaedics, Manipal University College Malaysia (MUCM), Melaka, Malaysia.
Thin Nandi Swe Win
Penang General Hospital, Malaysia.
Viriya Low Hui Jian
Penang General Hospital, Malaysia.
*Author to whom correspondence should be addressed.
Abstract
Although inferior shoulder dislocations are rare, they can occur due to high-energy trauma and present diagnostic and management challenges. This report describes the case of a 28-year-old male elephant handler who experienced an inferior dislocation of the right shoulder after falling from about 10 feet height while handling an elephant. Upon first inspection, it was seen that the shoulder was distorted, with the arm positioned in a state of hyperabduction and external rotation. The diagnosis was verified by imaging examinations, and a successful closed reduction procedure was performed in the operating room under general anaesthesia. The rehabilitation program after the reduction procedure aims to restore shoulder function and prevent any future occurrences. This example emphasises the significance of timely diagnosis, interdisciplinary treatment, and customized rehabilitation in attaining positive results in uncommon shoulder dislocations.
Keywords: Inferior dislocation, shoulder joint, ball and socket joint
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References
Bawale R, Soliman A, Jain R, Singh B. Bilateral luxatio erecta–etiology, diagnosis and management. Open Science Journal. 2021;6(2).
Owens BD, DeBerardino TM, Nelson BJ, Thurman J, Cameron KL, Taylor DC, Uhorchak JM. and Arciero RA. Long-term follow-up of acute arthroscopic Bankart repair for initial anterior shoulder dislocations in young athletes. The American Journal of Sports Medicine. 2009;37(4):669-673.
Kumar GR. Neglected anterior shoulder dislocation managed by open reduction combined with Latarjet procedure. International Journal of Orthopaedics. 2020;6(3):909-911.
Tamrakar R, Acharya BM, Pradhan NMS, Shrestha SK. External rotation method for reduction of acute anterior dislocation of shoulder. Journal of Patan Academy of Health Sciences. 2017;4(2):39-43.
Raiss P, Lin A, Mizuno N, Melis B, Walch G. Results of the latarjet procedure for recurrent anterior dislocation of the shoulder in patients with epilepsy. The Journal of Bone s& Joint Surgery British. 2012;94(9):1260-1264.
Murray JC, Leclerc A, Balatri A, Pelet S. Immobilization in external rotation after primary shoulder dislocation reduces the risk of recurrence in young patients. A randomized controlled trial. Orthopaedics & Traumatology: Surgery & Research. 2020;106(2):217-222.
Robinson CM, Howes J, Murdoch H, Will E, Graham C. Functional outcome and risk of recurrent instability after primary traumatic anterior shoulder dislocation in young patients. The Journal of bone and joint surgery. American. 2006;88(11):2326–2336. Available:https://doi.org/10.2106/JBJS.E.01327
Owens BD, DeBerardino TM, Nelson BJ, Thurman J, Cameron KL, Taylor DC, Uhorchak JM, Arciero RA. Long-term follow-up of acute arthroscopic Bankart repair for initial anterior shoulder dislocations in young athletes. The American Journal of Sports Medicine. 2009;37(4):669-673.
Bankart AB. The pathology and treatment of recurrent dislocation of the shoulder joint. Journal of British Surgery. 1938;26(101):23-29.
Leland DP, Bernard CD, Keyt LK, Krych AJ, Dahm DL, Sanchez-Sotelo J, Camp CL. An age-based approach to anterior shoulder instability in patients under 40 years old: Analysis of a US population. The American Journal of Sports Medicine. 2020;48(1);56-62.
van der Meijden OA, Gaskill TR, Millett PJ. Glenohumeral joint preservation: A review of management options for young, active patients with osteoarthritis. Advances in Orthopedics; 2012.
Skare Ø, Liavaag S, Reikerås O, Mowinckel P, Brox JI. Evaluation of oxford instability shoulder score, western ontario shoulder instability index and euroqol in patients with SLAP (superior labral anterior posterior) lesions or recurrent anterior dislocations of the shoulder. BMC Research Notes. 2013;6:1-10.