Outcome of osteotomy of coracoid process in treatment of recurrent shoulder dislocation

BACKGROUND AND OBJECTIVE: According to the high prevalence of recurrent anterior and traumatic shoulder dislocation, different methods have been suggested for treatment. This study was conducted to evaluate the outcome of surgery of coracoid osteotomy and fixation to anterior glenoid.METHODS: This q...

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Autores principales: M Bahrami, N Jan Mohammadi, SM Esmaeil Nejad Ganji, M Rouhi
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Lenguaje:EN
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Publicado: Babol University of Medical Sciences 2006
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Acceso en línea:https://doaj.org/article/87917191ba17497e8315cf27e673178e
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spelling oai:doaj.org-article:87917191ba17497e8315cf27e673178e2021-11-10T09:12:49ZOutcome of osteotomy of coracoid process in treatment of recurrent shoulder dislocation1561-41072251-7170https://doaj.org/article/87917191ba17497e8315cf27e673178e2006-06-01T00:00:00Zhttp://jbums.org/article-1-2533-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: According to the high prevalence of recurrent anterior and traumatic shoulder dislocation, different methods have been suggested for treatment. This study was conducted to evaluate the outcome of surgery of coracoid osteotomy and fixation to anterior glenoid.METHODS: This quasi-experimental study was performed on 43 patients suffering anterior dislocation of shoulder from 1993 to 2004 in Babol. All patients were treated by coracoid transfer and fixation to glenoid by its incision and passing through subcapsular muscle without manipulation on articular capsule. Fixation was done with velpo for 21 days and the rehabilitation performed by physiotherapy program. Outcome was evaluated by different radiographics, range of motion, absence or presence of continuous and night pain, recurrence dislocation, muscle atrophy and returning to normal activity. FINDINGS: Mean age of patients was 26.09±6.3 years. Three to twenty eight dislocations were reported. There were no recurrence after surgery and the mean time for returning to normal activity was 7.7±1.5 months. Average loss of external rotation and flexion were 8 degrees compared with normal side. Continuous pain after surgery was seen in one patient, due to screw loosing that was repaired with screw extraction.CONCLUSION: Results show that this procedure had good success in treatment of recurrent and traumatic shoulder dislocation. Comparative studies with other procedures are required to evaluate the results of this procedure.M BahramiN Jan MohammadiSM Esmaeil Nejad GanjiM RouhiBabol University of Medical Sciencesarticlerecurrent dislocationshouldercoracoid osteotomyMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 8, Iss 3, Pp 44-49 (2006)
institution DOAJ
collection DOAJ
language EN
FA
topic recurrent dislocation
shoulder
coracoid osteotomy
Medicine
R
Medicine (General)
R5-920
spellingShingle recurrent dislocation
shoulder
coracoid osteotomy
Medicine
R
Medicine (General)
R5-920
M Bahrami
N Jan Mohammadi
SM Esmaeil Nejad Ganji
M Rouhi
Outcome of osteotomy of coracoid process in treatment of recurrent shoulder dislocation
description BACKGROUND AND OBJECTIVE: According to the high prevalence of recurrent anterior and traumatic shoulder dislocation, different methods have been suggested for treatment. This study was conducted to evaluate the outcome of surgery of coracoid osteotomy and fixation to anterior glenoid.METHODS: This quasi-experimental study was performed on 43 patients suffering anterior dislocation of shoulder from 1993 to 2004 in Babol. All patients were treated by coracoid transfer and fixation to glenoid by its incision and passing through subcapsular muscle without manipulation on articular capsule. Fixation was done with velpo for 21 days and the rehabilitation performed by physiotherapy program. Outcome was evaluated by different radiographics, range of motion, absence or presence of continuous and night pain, recurrence dislocation, muscle atrophy and returning to normal activity. FINDINGS: Mean age of patients was 26.09±6.3 years. Three to twenty eight dislocations were reported. There were no recurrence after surgery and the mean time for returning to normal activity was 7.7±1.5 months. Average loss of external rotation and flexion were 8 degrees compared with normal side. Continuous pain after surgery was seen in one patient, due to screw loosing that was repaired with screw extraction.CONCLUSION: Results show that this procedure had good success in treatment of recurrent and traumatic shoulder dislocation. Comparative studies with other procedures are required to evaluate the results of this procedure.
format article
author M Bahrami
N Jan Mohammadi
SM Esmaeil Nejad Ganji
M Rouhi
author_facet M Bahrami
N Jan Mohammadi
SM Esmaeil Nejad Ganji
M Rouhi
author_sort M Bahrami
title Outcome of osteotomy of coracoid process in treatment of recurrent shoulder dislocation
title_short Outcome of osteotomy of coracoid process in treatment of recurrent shoulder dislocation
title_full Outcome of osteotomy of coracoid process in treatment of recurrent shoulder dislocation
title_fullStr Outcome of osteotomy of coracoid process in treatment of recurrent shoulder dislocation
title_full_unstemmed Outcome of osteotomy of coracoid process in treatment of recurrent shoulder dislocation
title_sort outcome of osteotomy of coracoid process in treatment of recurrent shoulder dislocation
publisher Babol University of Medical Sciences
publishDate 2006
url https://doaj.org/article/87917191ba17497e8315cf27e673178e
work_keys_str_mv AT mbahrami outcomeofosteotomyofcoracoidprocessintreatmentofrecurrentshoulderdislocation
AT njanmohammadi outcomeofosteotomyofcoracoidprocessintreatmentofrecurrentshoulderdislocation
AT smesmaeilnejadganji outcomeofosteotomyofcoracoidprocessintreatmentofrecurrentshoulderdislocation
AT mrouhi outcomeofosteotomyofcoracoidprocessintreatmentofrecurrentshoulderdislocation
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