Bilateral Anterior Shoulder Dislocation: A Systematic Review
محل انتشار: مجله استخوان و جراحی عمومی، دوره: 12، شماره: 5
سال انتشار: 1403
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 65
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شناسه ملی سند علمی:
JR_TABO-12-5_002
تاریخ نمایه سازی: 18 اردیبهشت 1403
چکیده مقاله:
Objectives: To compile the existing literature on bilateral anterior shoulder dislocation (BASD) and analyze patient demographics, mechanisms of injury, injury characteristics, management, and outcome .Methods: This systematic review was conducted in accordance with Preferred Reporting Items for Systematic review and Meta-Analyses (PRISMA) guidelines. Online databases, including Ovid Medline ۱۹۴۶-, Embase.com ۱۹۴۷-, Scopus ۱۹۶۰-, Cochrane Central, and Clinicaltrials.gov were systematically queried. Studies eligible for inclusion were case reports or case-series, documenting BASD. Two reviewers independently screened and applied a set of a priori exclusion criteria to each returned study. Data were extracted, compiled, and synthesized from each reported case of BASD. Contingency tables/Chi-Square Analyses, T-tests, and univariate regression analyses were conducted to assess relationships between different variables.Results: Eighty-one studies (۸۷ cases of BASD) were included. Patients were ۴۱.۱ (SD± ۱۹.۵) years old and most were male (n=۶۳; ۷۲.۴%). Around a quarter of patients (۲۸.۷%) had a history of epilepsy/seizures or were being worked-up for such. Younger males were more likely to have BASD due to a seizure or electrocution (P<۰.۰۵). Close to a third of cases (n=۲۷; ۳۱.۰%) were delayed in presentation. Those sustaining seizures or electrocutions were more likely to be delayed in presentation (P=۰.۰۱۳). Most events resulted in simple dislocations that were closed reduced successfully. BASD resulting from seizures or electrocutions were more likely to be fracturedislocations (P=۰.۰۱۸); and in younger patients with fracture-dislocations, closed reduction was more often to fail or not be attempted (P<۰.۰۵). Median follow-up was ۶ months (IQR: ۳ months – ۱۲ months). Seven patients (۱۰.۶%) had complications and ۴ (۲.۳%) demonstrated recurrent instability.Conclusion: In young males presenting with BASD without known trauma, suspicion should be high for a convulsantevent. In patients with a known seizure disorder who present with chronic bilateral shoulder or arm pain, BASD should be considered and work-up should be expedited to avoid misdiagnosis. Level of evidence: V
کلیدواژه ها:
نویسندگان
Andrew Kuhn
Department of Orthopaedic Surgery, Washington University in St. Louis, MO, USA
Emma Landes
Washington University School of Medicine, St. Louis, MO, USA
Justin Yu
Washington University School of Medicine, St. Louis, MO, USA
Paul Inclan
Department of Orthopaedic Surgery, Washington University in St. Louis, MO, USA
J. Hill
Department of Orthopaedic Surgery, Washington University in St. Louis, MO, USA
Alexander Aleem
Department of Orthopaedic Surgery, Washington University in St. Louis, MO, USA
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