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Upper extremity joint dislocation

MedGen UID:
868126
•Concept ID:
C4022517
•
Finding
Synonym: Dislocated arm joints
 
HPO: HP:0030310

Definition

Displacement or malalignment of one or more joints in the upper extremity (arm). [from HPO]

Professional guidelines

PubMed

Diagnosis and Management of Traumatic Anterior Shoulder Instability.
Provencher MT, Midtgaard KS, Owens BD, Tokish JM
J Am Acad Orthop Surg 2021 Jan 15;29(2):e51-e61. doi: 10.5435/JAAOS-D-20-00202. PMID: 33275397
Anterior Shoulder Instability Management: Indications, Techniques, and Outcomes.
Arner JW, Peebles LA, Bradley JP, Provencher MT
Arthroscopy 2020 Nov;36(11):2791-2793. doi: 10.1016/j.arthro.2020.09.024. PMID: 33172578
Approach to the treatment of primary anterior shoulder dislocation: A review.
Kane P, Bifano SM, Dodson CC, Freedman KB
Phys Sportsmed 2015 Feb;43(1):54-64. Epub 2015 Jan 6 doi: 10.1080/00913847.2015.1001713. PMID: 25559018

Recent clinical studies

Etiology

First-time traumatic anterior shoulder dislocation: current concepts.
Nazzal EM, Herman ZJ, Engler ID, Dalton JF, Freehill MT, Lin A
J ISAKOS 2023 Apr;8(2):101-107. Epub 2023 Jan 24 doi: 10.1016/j.jisako.2023.01.002. PMID: 36706837
Surgical treatment of terrible triad of the elbow.
Ohl X, Siboni R
Orthop Traumatol Surg Res 2021 Feb;107(1S):102784. Epub 2021 Jan 9 doi: 10.1016/j.otsr.2020.102784. PMID: 33333276
Diagnosis and Management of Traumatic Anterior Shoulder Instability.
Provencher MT, Midtgaard KS, Owens BD, Tokish JM
J Am Acad Orthop Surg 2021 Jan 15;29(2):e51-e61. doi: 10.5435/JAAOS-D-20-00202. PMID: 33275397
Anterior Shoulder Instability Management: Indications, Techniques, and Outcomes.
Arner JW, Peebles LA, Bradley JP, Provencher MT
Arthroscopy 2020 Nov;36(11):2791-2793. doi: 10.1016/j.arthro.2020.09.024. PMID: 33172578
The Effects of Active Shoulder Exercise with a Sling Suspension System on Shoulder Subluxation, Proprioception, and Upper Extremity Function in Patients with Acute Stroke.
Jung KM, Choi JD
Med Sci Monit 2019 Jun 30;25:4849-4855. doi: 10.12659/MSM.915277. PMID: 31256191Free PMC Article

Diagnosis

Anterior Shoulder Instability Part I-Diagnosis, Nonoperative Management, and Bankart Repair-An International Consensus Statement.
Hurley ET, Matache BA, Wong I, Itoi E, Strauss EJ, Delaney RA, Neyton L, Athwal GS, Pauzenberger L, Mullett H, Jazrawi LM; Anterior Shoulder Instability International Consensus Group
Arthroscopy 2022 Feb;38(2):214-223.e7. Epub 2021 Jul 29 doi: 10.1016/j.arthro.2021.07.022. PMID: 34332055
Diagnosis and Management of Traumatic Anterior Shoulder Instability.
Provencher MT, Midtgaard KS, Owens BD, Tokish JM
J Am Acad Orthop Surg 2021 Jan 15;29(2):e51-e61. doi: 10.5435/JAAOS-D-20-00202. PMID: 33275397
Galeazzi Injuries.
Garg R, Mudgal C
Hand Clin 2020 Nov;36(4):455-462. doi: 10.1016/j.hcl.2020.07.006. PMID: 33040957
Imaging of shoulder instability.
De Filippo M, Schirò S, Sarohia D, Barile A, Saba L, Cella S, Castagna A
Skeletal Radiol 2020 Oct;49(10):1505-1523. Epub 2020 May 23 doi: 10.1007/s00256-020-03459-z. PMID: 32447469
Posterior Shoulder Instability.
Brelin A, Dickens JF
Sports Med Arthrosc Rev 2017 Sep;25(3):136-143. doi: 10.1097/JSA.0000000000000160. PMID: 28777216

Therapy

Elastic Dynamic Sling on Subluxation of Hemiplegic Shoulder in Patients with Subacute Stroke: A Multicenter Randomized Controlled Trial.
Kim MG, Lee SA, Park EJ, Choi MK, Kim JM, Sohn MK, Jee SJ, Kim YW, Son JE, Lee SJ, Hwang KS, Yoo SD
Int J Environ Res Public Health 2022 Aug 12;19(16) doi: 10.3390/ijerph19169975. PMID: 36011613Free PMC Article
A Combination of Long-Duration Electrical Stimulation with External Shoulder Support during Routine Daily Activities in Patients with Post-Hemiplegic Shoulder Subluxation: A Randomized Controlled Study.
Lavi C, Elboim-Gabyzon M, Naveh Y, Kalichman L
Int J Environ Res Public Health 2022 Aug 8;19(15) doi: 10.3390/ijerph19159765. PMID: 35955118Free PMC Article
Anterior Shoulder Instability Management: Indications, Techniques, and Outcomes.
Arner JW, Peebles LA, Bradley JP, Provencher MT
Arthroscopy 2020 Nov;36(11):2791-2793. doi: 10.1016/j.arthro.2020.09.024. PMID: 33172578
Shoulder-Pacemaker Treatment Concept for Posterior Positional Functional Shoulder Instability: A Prospective Clinical Trial.
Moroder P, Plachel F, Van-Vliet H, Adamczewski C, Danzinger V
Am J Sports Med 2020 Jul;48(9):2097-2104. doi: 10.1177/0363546520933841. PMID: 32667266Free PMC Article
The Effects of Active Shoulder Exercise with a Sling Suspension System on Shoulder Subluxation, Proprioception, and Upper Extremity Function in Patients with Acute Stroke.
Jung KM, Choi JD
Med Sci Monit 2019 Jun 30;25:4849-4855. doi: 10.12659/MSM.915277. PMID: 31256191Free PMC Article

Prognosis

Carpal dislocations.
Heineman N, Do DH, Golden A
J Hand Surg Eur Vol 2023 Sep;48(2_suppl):11S-17S. doi: 10.1177/17531934231183260. PMID: 37704022
Arthroscopic Bankart repair versus conservative treatment for first-time traumatic anterior shoulder dislocation: a systematic review and meta-analysis.
Hu B, Hong J, Zhu H, Yan S, Wu H
Eur J Med Res 2023 Jul 27;28(1):260. doi: 10.1186/s40001-023-01160-0. PMID: 37501089Free PMC Article
Anterior Shoulder Instability Part I-Diagnosis, Nonoperative Management, and Bankart Repair-An International Consensus Statement.
Hurley ET, Matache BA, Wong I, Itoi E, Strauss EJ, Delaney RA, Neyton L, Athwal GS, Pauzenberger L, Mullett H, Jazrawi LM; Anterior Shoulder Instability International Consensus Group
Arthroscopy 2022 Feb;38(2):214-223.e7. Epub 2021 Jul 29 doi: 10.1016/j.arthro.2021.07.022. PMID: 34332055
Axillary nerve injury.
Perlmutter GS
Clin Orthop Relat Res 1999 Nov;(368):28-36. PMID: 10613150
Ulnar dysmelia.
Ogden JA, Watson HK, Bohne W
J Bone Joint Surg Am 1976 Jun;58(4):467-75. PMID: 818089

Clinical prediction guides

Carpal dislocations.
Heineman N, Do DH, Golden A
J Hand Surg Eur Vol 2023 Sep;48(2_suppl):11S-17S. doi: 10.1177/17531934231183260. PMID: 37704022
Arthroscopic Bankart repair versus conservative treatment for first-time traumatic anterior shoulder dislocation: a systematic review and meta-analysis.
Hu B, Hong J, Zhu H, Yan S, Wu H
Eur J Med Res 2023 Jul 27;28(1):260. doi: 10.1186/s40001-023-01160-0. PMID: 37501089Free PMC Article
A Combination of Long-Duration Electrical Stimulation with External Shoulder Support during Routine Daily Activities in Patients with Post-Hemiplegic Shoulder Subluxation: A Randomized Controlled Study.
Lavi C, Elboim-Gabyzon M, Naveh Y, Kalichman L
Int J Environ Res Public Health 2022 Aug 8;19(15) doi: 10.3390/ijerph19159765. PMID: 35955118Free PMC Article
Functional Rehabilitation and Return to Play After Arthroscopic Surgical Stabilization for Anterior Shoulder Instability.
Kelley TD, Clegg S, Rodenhouse P, Hinz J, Busconi BD
Sports Health 2022 Sep-Oct;14(5):733-739. Epub 2021 Dec 17 doi: 10.1177/19417381211062852. PMID: 34918564Free PMC Article
The Effects of Active Shoulder Exercise with a Sling Suspension System on Shoulder Subluxation, Proprioception, and Upper Extremity Function in Patients with Acute Stroke.
Jung KM, Choi JD
Med Sci Monit 2019 Jun 30;25:4849-4855. doi: 10.12659/MSM.915277. PMID: 31256191Free PMC Article

Recent systematic reviews

Arthroscopic Bankart repair versus conservative treatment for first-time traumatic anterior shoulder dislocation: a systematic review and meta-analysis.
Hu B, Hong J, Zhu H, Yan S, Wu H
Eur J Med Res 2023 Jul 27;28(1):260. doi: 10.1186/s40001-023-01160-0. PMID: 37501089Free PMC Article
Shoulder Stabilization Versus Immobilization for First-Time Anterior Shoulder Dislocation: A Systematic Review and Meta-analysis of Level 1 Randomized Controlled Trials.
Belk JW, Wharton BR, Houck DA, Bravman JT, Kraeutler MJ, Mayer B, Noonan TJ, Seidl AJ, Frank RM, McCarty EC
Am J Sports Med 2023 May;51(6):1634-1643. Epub 2022 Feb 11 doi: 10.1177/03635465211065403. PMID: 35148222
Short- and long-term outcomes in Bankart repair vs. conservative treatment for first-time anterior shoulder dislocation: a systematic review and meta-analysis of randomized controlled trials.
Alkhatib N, Abdullah ASA, AlNouri M, Ahmad Alzobi OZ, Alkaramany E, Ishibashi Y
J Shoulder Elbow Surg 2022 Aug;31(8):1751-1762. Epub 2022 Apr 6 doi: 10.1016/j.jse.2022.02.032. PMID: 35398165
Arthroscopic Bankart Repair Versus Conservative Management for First-Time Traumatic Anterior Shoulder Instability: A Systematic Review and Meta-analysis.
Hurley ET, Manjunath AK, Bloom DA, Pauzenberger L, Mullett H, Alaia MJ, Strauss EJ
Arthroscopy 2020 Sep;36(9):2526-2532. Epub 2020 May 8 doi: 10.1016/j.arthro.2020.04.046. PMID: 32389771
A systematic review and pooled analysis of the prevalence of rotator cuff disease with increasing age.
Teunis T, Lubberts B, Reilly BT, Ring D
J Shoulder Elbow Surg 2014 Dec;23(12):1913-1921. doi: 10.1016/j.jse.2014.08.001. PMID: 25441568

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