Pustaka Ilmiah Universitas Padjadjaran

Abstrak

Neglected unreduced anterior shoulder dislocation: how far shoulder function can be recovered?

Neglected unreduced anterior shoulder dislocation is a challenging orthopaedicproblem in Indonesia. Looking at demographics, many patients are looking for traditional medicine for treating this kind of disease. The results are certainly not satisfactory when the humeral head is still outside the glenoid.Surgery carried out by performing the anterior capsulolabral reconstruction. The purpose of this study is to report the results of shoulder function in ten patients with neglected unreduced anterior shoulder dislocation after open reduction. Ten patients with neglected unreduced anterior shoulder dislocation underwent open reduction and capsulolabral reconstruction after an average delay of 12 weeks from injury. Early motion was allowed two days after surgery in the safe position and the clinical and radiographic results were analyzed at an average follow-up of two year.The average Rowe’s score was 74 points. Two shoulders were excellent, six shoulder as good and two as fair (Rowe’s system). All patients were able to perform their daily activities and they had either mild or no pain. Anterior active forward flexion loss averaged 30 degrees, external active rotation loss averaged 20 degrees and internal rotation loss averaged buttock levels. Mild degenerative joint alterations were noted in two patients. It may be concluded that open reduction with anterior capsulolabral repair offers a moderate functional result.