RESUMEN
Chronic bilateral anterior shoulder dislocation is a rare entity. Treatment options range from conservative to surgical reduction. We present a case of a young bench-pressing athlete with bilateral locked anterior shoulder dislocation without fracture. Upon presentation, the patient had no pain with functional range of motion so he refused surgery. Conservative treatment could be an acceptable alternative to surgical intervention if pain and functional status are satisfactory.
Asunto(s)
Atletas , Traumatismos en Atletas , Rango del Movimiento Articular/fisiología , Luxación del Hombro/diagnóstico por imagen , Adulto , Terapia por Ejercicio , Humanos , Imagenología Tridimensional , Masculino , Procedimientos Ortopédicos/métodos , Luxación del Hombro/fisiopatología , Luxación del Hombro/terapia , Tomografía Computarizada por Rayos XRESUMEN
Synovial chondromatosis of the shoulder is an uncommon disorder. It usually affects the glenohumeral joint and is characterized by metaplasia of the synovium leading to the formation of osteochondral loose bodies. Few cases of extra-articular subacromial synovial chondromatosis involving the rotator cuff tendon have been reported in the literature. The treatment of previously reported cases consisted of open bursectomy and removal of loose bodies. We report a case of subacromial synovial chondromatosis without rotator cuff involvement but with severe erosion and fracture of the acromion. Treatment consisted of shoulder arthroscopy to remove all loose bodies, total bursectomy, and debridement of the acromion. Potential benefits of arthroscopy were also evaluated.