TITLE:
Recent Traumatic Dislocations of the Shoulder in Adults: Epidemiological, Therapeutic and Evolutionary Aspects
AUTHORS:
Inza Bamba, Achié Jean-Régis Akobe, Kouamé Jean-Eric Kouassi, Serge Amos Ekra, Aya Natacha Adélaide Kouassi, Sédi Louess De Randolphe Akpro, Ibrahim Soumahoro, Zolopégué Marcel Soro, Gbale Yannick Ble, Koffi Léopold Krah, Michel Kodo
KEYWORDS:
Adult, Shoulder, Anterior Dislocation, Traumatic, Orthopaedic Treatment
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.13 No.7,
July
12,
2023
ABSTRACT: Introduction: Shoulder dislocations represent about 50% of all joint dislocations. The objective was to describe the epidemiological, therapeutic and evolutionary aspects of traumatic shoulder dislocations in Bouaké. Methods: This retrospective and descriptive study was conducted between January 2017 and December 2019. It concerned patients over 15 years of age with a recent traumatic shoulder dislocation treated and followed in the department. The variables studied were epidemiological, therapeutic and evolutionary. The severity of the trauma was assessed according to the Injury Severity Score (ISS). Functional outcome was assessed according to the Constant score. Results: There were 49 patients (49 dislocations) out of 22,569 patients. The prevalence was 0.2%. The mean age was 32 years (17 - 62). There were 38 men (77.5%). The sex ratio was 3.4. Students predominated (n = 10; 20.4%). The etiology was dominated by road traffic accidents (n = 19; 38.8%). Anterior dislocation was the most common (n = 45; 92%). The ISS score was minor (n = 46; 93.8%). The mean time to reduction was 7 hours (4 - 16). Orthopaedic reduction using the Kocher technique predominated (n = 44; 89.8%). The mean duration of external rotation immobilisation of the shoulder was 23 days (16 - 45). Recurrence occurred in 8 patients (21.6%). The functional outcome at a mean Constant follow-up of 15 months (8 - 20) was satisfactory (n = 44; 89.8%). Conclusion: Traumatic dislocation of the shoulder represented 0.2%. Treatment was mainly orthopaedic. Recurrence was rare.