[Shoulder dislocations in elderly patients]. / Schulterluxationen des älteren Patienten.
Unfallchirurg
; 121(2): 126-133, 2018 Feb.
Article
in De
| MEDLINE
| ID: mdl-29064032
ABSTRACT
In contrast to shoulder dislocations in younger patients, anterior shoulder dislocation in the elderly is often associated with concomitant injuries to the rotator cuff and fractures. There is also frequent involvement of the brachial plexus or peripheral nerves. After closed reduction and a short period of immobilization, physiotherapy should be performed to restore mobility and strength. The evaluation of the rotator cuff is essential for further treatment decisions. The majority of patients are classically treated conservatively. Elderly patients with accompanying rotator cuff lesions and failed conservative therapy can benefit from a surgical intervention. Reconstructive interventions of the rotator cuff should be principally considered; however, some individuals may benefit from a reverse prosthesis in this elderly subgroup of patients. The challenge for the treating surgeon is to exactly define the structural injury of the shoulder (which may include pre-existing lesions) and to select the optimal treatment option.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Shoulder Dislocation
Type of study:
Diagnostic_studies
/
Prognostic_studies
Limits:
Aged
/
Humans
Language:
De
Journal:
Unfallchirurg
Journal subject:
TRAUMATOLOGIA
Year:
2018
Type:
Article