Reasons and treatments of shoulder dislocation

master's thesis

• Title (croatian): Uzroci i liječenje luksacije ramenog zgloba
• Author: Costa Alon Shani Ashri
• Mentor: Esmat Elabjer (mentor)
• Committee member: Esmat Elabjer (predsjednik povjerenstva)
• Committee member: Ivan Dobrić (član povjerenstva)
• Committee member: Tomislav Meštrović (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Surgery); Zagreb
• Defense date and country: 2021-07-16, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery

Abstract

Joints in the human body are capable of dislocating, and the shoulder joint is the most predisposed to such events. Shoulder dislocations are the most common dislocations in the human body. One of the main causes is a disproportion of size between the articulating surfaces. Furthermore, anterior shoulder instability originating in traumatic mechanisms account for 95% of glenohumeral dislocations and is the most frequent condition in younger population and athletes, making it a bothersome challenge for medical physicians. Due to pathological changes, following the primary dislocation, recurrences usually follow. Therefore, prompt and adequate treatment should be applied. Although subluxations do not cause pathological lesions, with every recurrent dislocation, the risk of additional lesions such as the Hill-Sachs and the Bankart lesions only rises while the overall joint stability only decreases. Following a dislocation, the shoulder joint must be immobilized until a skilled professional can treat it accordingly, and adequate rehabilitation program must be exercised subsequently. Furthermore, given the evidence and research collected so far, surgical treatment ought to be considered. On the topic of surgical techniques, there are different types of surgical interventions regarding open and arthroscopic surgery. While in the field’s past, open Bankart operation was considered the gold standard for surgical treatment of this condition, nowadays alongside the development of arthroscopic methods, open surgeries are becoming less and less popular. There are pros and cons regarding each technic, but it must not be forgotten that in some occasions, open surgery is still the superior choice.

Abstract (croatian)

Zglobovi u ljudskom tijelu se mogu dislocirati, a rameni zglob je najskloniji takvim događajima. Iščašenja ramena su najčešća iščašenja u ljudskom tijelu. Jedan od glavnih uzroka je nesrazmjer veličine između zglobnih površina. Nadalje, prednja nestabilnost ramena uzrokovana traumom čini 95% glenohumeralnih dislokacija i najčešće je stanje kod mlađe populacije i sportaša, što liječnicima predstavlja izazov. Zbog patoloških promjena, nakon primarnog iščašenja obično slijede recidivi. Stoga treba primijeniti brz i adekvatan tretman. Iako subluksacije ne uzrokuju patološke lezije, sa svakom ponovljenom dislokacijom, rizik od dodatnih lezija kao što su Hill-Sachsove i Bankart lezije samo raste, dok se ukupna stabilnost zgloba smanjuje. Nakon iščašenja, rameni zglob mora biti imobiliziran sve dok ga kvalificirani stručnjak ne može u skladu s tim liječiti, a naknadno se mora provesti adekvatan program rehabilitacije. Nadalje, s obzirom na do sada prikupljene dokaze i istraživanja, trebalo bi razmotriti kirurško liječenje. Postoje različite vrste otvorenih i artroskopskih kirurških intervencija. Iako se u prošlosti otvorena operacija po Bankartu smatrala zlatnim standardom za kirurško liječenje ovog stanja, u današnje vrijeme, uz razvoj artroskopskih metoda, otvorene operacije postaju sve manje popularne. Svaka tehnika ima prednosti i nedostatke, ali ne smije se zaboraviti da je u nekim prilikama otvorena operacija i dalje optimalan izbor.

• Keywords: shoulder joint dislocation; Hill-Sachs lesion; open Bankart repair; arthroscopic shoulder instability procedures
• Keywords (croatian): dislokacija ramenog zgloba; Hill-Sachsova lezija; otvorena Bankartova operacija; artroskopske operacije nestabilnosti ramenog zgloba
• Language: english
• URN:NBN: urn:nbn:hr:105:335082
• Study programme: Title: Medicine (in English language); Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2021-12-22 10:20:53