Treatment of shoulder instability with related rotator cuff tears in middle-aged and elderly patients

doi:10.3877/cma.j.issn.1674-134X.2022.04.015

Abstract

Abstract:

Objective

To investigate the diagnosis, treatments and related functional outcomes of different surgical choices in middle aged and elderly patients with anterior dislocation of shoulder joint associated with rotator cuff tears and other injuries.

Methods

Fifteen patients older than 40 with shoulder dislocation complicated with rotator cuff injury and other injuries from June 2016 to August 2020 in ChangHai Hospital were analyzed retrospectively. All the patients were treated by shoulder arthroscopy, and the exercise of joint function was guided after operation. The American Shoulder and Elbow Surgeons scale (ASES), visual analogue scale (VAS) and Constant-Murley score (Constant score)were used to evaluate the function of the shoulder joint. Paired t test was used for data comparison.

Results

Fourteen patients were followed up for an average of (15±4) months and one patient was excluded because of paralysis caused by other reasons. The ASES score, VAS score and Constant score were (33.0±11.8), (5.1±1.4), (37.4±8.8) respectively before the operation, and (88.7±6.4), (0.9±0.7), (82.3±8.2) respectively at the last follow-up; the differences were statistically significant (t=17.341, 12.902, 13.270, all P<0.001).

Conclusions

Shoulder dislocation in the middle aged and elderly is often complicated with rotator cuff injury, Bankart injury or bony Bankart injury, Hill-sachs injury and other injuries. Timely and comprehensive surgical repair should be performed to reconstruct the stability of the shoulder joint, relieve pain and restore the function of the shoulder joint.

Key words: Middle aged, Shoulder dislocation, Rotator cuff injuries

Shensheng Nian, Xiawei Fu, Zimin Wang. Treatment of shoulder instability with related rotator cuff tears in middle-aged and elderly patients[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2022, 16(04): 477-482.

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Figures/Tables 5

References 12

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