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Upper extremity joint dislocation

MedGen UID:
868126
•Concept ID:
C4022517
•
Finding
Synonym: Dislocated arm joints
 
HPO: HP:0030310

Definition

Displacement or malalignment of one or more joints in the upper extremity (arm). [from HPO]

Professional guidelines

PubMed

Diagnosis and Management of Traumatic Anterior Shoulder Instability.
Provencher MT, Midtgaard KS, Owens BD, Tokish JM
J Am Acad Orthop Surg 2021 Jan 15;29(2):e51-e61. doi: 10.5435/JAAOS-D-20-00202. PMID: 33275397
Anterior Shoulder Instability Management: Indications, Techniques, and Outcomes.
Arner JW, Peebles LA, Bradley JP, Provencher MT
Arthroscopy 2020 Nov;36(11):2791-2793. doi: 10.1016/j.arthro.2020.09.024. PMID: 33172578
Approach to the treatment of primary anterior shoulder dislocation: A review.
Kane P, Bifano SM, Dodson CC, Freedman KB
Phys Sportsmed 2015 Feb;43(1):54-64. Epub 2015 Jan 6 doi: 10.1080/00913847.2015.1001713. PMID: 25559018

Recent clinical studies

Etiology

First-time traumatic anterior shoulder dislocation: current concepts.
Nazzal EM, Herman ZJ, Engler ID, Dalton JF, Freehill MT, Lin A
J ISAKOS 2023 Apr;8(2):101-107. Epub 2023 Jan 24 doi: 10.1016/j.jisako.2023.01.002. PMID: 36706837
Surgical treatment of terrible triad of the elbow.
Ohl X, Siboni R
Orthop Traumatol Surg Res 2021 Feb;107(1S):102784. Epub 2021 Jan 9 doi: 10.1016/j.otsr.2020.102784. PMID: 33333276
Diagnosis and Management of Traumatic Anterior Shoulder Instability.
Provencher MT, Midtgaard KS, Owens BD, Tokish JM
J Am Acad Orthop Surg 2021 Jan 15;29(2):e51-e61. doi: 10.5435/JAAOS-D-20-00202. PMID: 33275397
Anterior Shoulder Instability Management: Indications, Techniques, and Outcomes.
Arner JW, Peebles LA, Bradley JP, Provencher MT
Arthroscopy 2020 Nov;36(11):2791-2793. doi: 10.1016/j.arthro.2020.09.024. PMID: 33172578
The Effects of Active Shoulder Exercise with a Sling Suspension System on Shoulder Subluxation, Proprioception, and Upper Extremity Function in Patients with Acute Stroke.
Jung KM, Choi JD
Med Sci Monit 2019 Jun 30;25:4849-4855. doi: 10.12659/MSM.915277. PMID: 31256191Free PMC Article

Diagnosis

Comprehensive Review of Shoulder Instability Includes Diagnosis, Nonoperative Management, Bankart, Latarjet, Remplissage, Glenoid Bone-Grafting, Revision Surgery, Rehabilitation and Return to Play, and Clinical Follow-Up.
Lubowitz JH, Brand JC, Rossi MJ
Arthroscopy 2022 Feb;38(2):209-210. doi: 10.1016/j.arthro.2021.11.052. PMID: 35123703
Anterior Shoulder Instability Part I-Diagnosis, Nonoperative Management, and Bankart Repair-An International Consensus Statement.
Hurley ET, Matache BA, Wong I, Itoi E, Strauss EJ, Delaney RA, Neyton L, Athwal GS, Pauzenberger L, Mullett H, Jazrawi LM; Anterior Shoulder Instability International Consensus Group
Arthroscopy 2022 Feb;38(2):214-223.e7. Epub 2021 Jul 29 doi: 10.1016/j.arthro.2021.07.022. PMID: 34332055
Diagnosis and Management of Traumatic Anterior Shoulder Instability.
Provencher MT, Midtgaard KS, Owens BD, Tokish JM
J Am Acad Orthop Surg 2021 Jan 15;29(2):e51-e61. doi: 10.5435/JAAOS-D-20-00202. PMID: 33275397
Imaging of shoulder instability.
De Filippo M, Schirò S, Sarohia D, Barile A, Saba L, Cella S, Castagna A
Skeletal Radiol 2020 Oct;49(10):1505-1523. Epub 2020 May 23 doi: 10.1007/s00256-020-03459-z. PMID: 32447469
Multidirectional Instability of the Shoulder: Treatment Options and Considerations.
Best MJ, Tanaka MJ
Sports Med Arthrosc Rev 2018 Sep;26(3):113-119. doi: 10.1097/JSA.0000000000000199. PMID: 30059445

Therapy

Elastic Dynamic Sling on Subluxation of Hemiplegic Shoulder in Patients with Subacute Stroke: A Multicenter Randomized Controlled Trial.
Kim MG, Lee SA, Park EJ, Choi MK, Kim JM, Sohn MK, Jee SJ, Kim YW, Son JE, Lee SJ, Hwang KS, Yoo SD
Int J Environ Res Public Health 2022 Aug 12;19(16) doi: 10.3390/ijerph19169975. PMID: 36011613Free PMC Article
A Combination of Long-Duration Electrical Stimulation with External Shoulder Support during Routine Daily Activities in Patients with Post-Hemiplegic Shoulder Subluxation: A Randomized Controlled Study.
Lavi C, Elboim-Gabyzon M, Naveh Y, Kalichman L
Int J Environ Res Public Health 2022 Aug 8;19(15) doi: 10.3390/ijerph19159765. PMID: 35955118Free PMC Article
Short- and long-term outcomes in Bankart repair vs. conservative treatment for first-time anterior shoulder dislocation: a systematic review and meta-analysis of randomized controlled trials.
Alkhatib N, Abdullah ASA, AlNouri M, Ahmad Alzobi OZ, Alkaramany E, Ishibashi Y
J Shoulder Elbow Surg 2022 Aug;31(8):1751-1762. Epub 2022 Apr 6 doi: 10.1016/j.jse.2022.02.032. PMID: 35398165
Anterior Shoulder Instability Management: Indications, Techniques, and Outcomes.
Arner JW, Peebles LA, Bradley JP, Provencher MT
Arthroscopy 2020 Nov;36(11):2791-2793. doi: 10.1016/j.arthro.2020.09.024. PMID: 33172578
The Effects of Active Shoulder Exercise with a Sling Suspension System on Shoulder Subluxation, Proprioception, and Upper Extremity Function in Patients with Acute Stroke.
Jung KM, Choi JD
Med Sci Monit 2019 Jun 30;25:4849-4855. doi: 10.12659/MSM.915277. PMID: 31256191Free PMC Article

Prognosis

Carpal dislocations.
Heineman N, Do DH, Golden A
J Hand Surg Eur Vol 2023 Sep;48(2_suppl):11S-17S. doi: 10.1177/17531934231183260. PMID: 37704022
Comprehensive Review of Shoulder Instability Includes Diagnosis, Nonoperative Management, Bankart, Latarjet, Remplissage, Glenoid Bone-Grafting, Revision Surgery, Rehabilitation and Return to Play, and Clinical Follow-Up.
Lubowitz JH, Brand JC, Rossi MJ
Arthroscopy 2022 Feb;38(2):209-210. doi: 10.1016/j.arthro.2021.11.052. PMID: 35123703
Anterior Shoulder Instability Part I-Diagnosis, Nonoperative Management, and Bankart Repair-An International Consensus Statement.
Hurley ET, Matache BA, Wong I, Itoi E, Strauss EJ, Delaney RA, Neyton L, Athwal GS, Pauzenberger L, Mullett H, Jazrawi LM; Anterior Shoulder Instability International Consensus Group
Arthroscopy 2022 Feb;38(2):214-223.e7. Epub 2021 Jul 29 doi: 10.1016/j.arthro.2021.07.022. PMID: 34332055
Fractures and dislocation of the base of the thumb metacarpal.
Liverneaux PA, Ichihara S, Hendriks S, Facca S, Bodin F
J Hand Surg Eur Vol 2015 Jan;40(1):42-50. Epub 2014 Oct 13 doi: 10.1177/1753193414554357. PMID: 25311936
Ulnar dysmelia.
Ogden JA, Watson HK, Bohne W
J Bone Joint Surg Am 1976 Jun;58(4):467-75. PMID: 818089

Clinical prediction guides

Carpal dislocations.
Heineman N, Do DH, Golden A
J Hand Surg Eur Vol 2023 Sep;48(2_suppl):11S-17S. doi: 10.1177/17531934231183260. PMID: 37704022
A Combination of Long-Duration Electrical Stimulation with External Shoulder Support during Routine Daily Activities in Patients with Post-Hemiplegic Shoulder Subluxation: A Randomized Controlled Study.
Lavi C, Elboim-Gabyzon M, Naveh Y, Kalichman L
Int J Environ Res Public Health 2022 Aug 8;19(15) doi: 10.3390/ijerph19159765. PMID: 35955118Free PMC Article
Short- and long-term outcomes in Bankart repair vs. conservative treatment for first-time anterior shoulder dislocation: a systematic review and meta-analysis of randomized controlled trials.
Alkhatib N, Abdullah ASA, AlNouri M, Ahmad Alzobi OZ, Alkaramany E, Ishibashi Y
J Shoulder Elbow Surg 2022 Aug;31(8):1751-1762. Epub 2022 Apr 6 doi: 10.1016/j.jse.2022.02.032. PMID: 35398165
Functional Rehabilitation and Return to Play After Arthroscopic Surgical Stabilization for Anterior Shoulder Instability.
Kelley TD, Clegg S, Rodenhouse P, Hinz J, Busconi BD
Sports Health 2022 Sep-Oct;14(5):733-739. Epub 2021 Dec 17 doi: 10.1177/19417381211062852. PMID: 34918564Free PMC Article
The Effects of Active Shoulder Exercise with a Sling Suspension System on Shoulder Subluxation, Proprioception, and Upper Extremity Function in Patients with Acute Stroke.
Jung KM, Choi JD
Med Sci Monit 2019 Jun 30;25:4849-4855. doi: 10.12659/MSM.915277. PMID: 31256191Free PMC Article

Recent systematic reviews

Shoulder Stabilization Versus Immobilization for First-Time Anterior Shoulder Dislocation: A Systematic Review and Meta-analysis of Level 1 Randomized Controlled Trials.
Belk JW, Wharton BR, Houck DA, Bravman JT, Kraeutler MJ, Mayer B, Noonan TJ, Seidl AJ, Frank RM, McCarty EC
Am J Sports Med 2023 May;51(6):1634-1643. Epub 2022 Feb 11 doi: 10.1177/03635465211065403. PMID: 35148222
Systematic Review of Ligament Reconstruction of Traumatic Isolated Thumb Carpometacarpal Joint Dislocation.
Court T, Hussain K, Kim JS, Patel I, Higginbotham DO, Tsai AG
J Am Acad Orthop Surg Glob Res Rev 2022 Dec 1;6(12) Epub 2022 Dec 5 doi: 10.5435/JAAOSGlobal-D-22-00103. PMID: 36732303Free PMC Article
Short- and long-term outcomes in Bankart repair vs. conservative treatment for first-time anterior shoulder dislocation: a systematic review and meta-analysis of randomized controlled trials.
Alkhatib N, Abdullah ASA, AlNouri M, Ahmad Alzobi OZ, Alkaramany E, Ishibashi Y
J Shoulder Elbow Surg 2022 Aug;31(8):1751-1762. Epub 2022 Apr 6 doi: 10.1016/j.jse.2022.02.032. PMID: 35398165
Arthroscopic Bankart Repair Versus Conservative Management for First-Time Traumatic Anterior Shoulder Instability: A Systematic Review and Meta-analysis.
Hurley ET, Manjunath AK, Bloom DA, Pauzenberger L, Mullett H, Alaia MJ, Strauss EJ
Arthroscopy 2020 Sep;36(9):2526-2532. Epub 2020 May 8 doi: 10.1016/j.arthro.2020.04.046. PMID: 32389771
Overuse Physeal Injuries in Youth Athletes.
Arnold A, Thigpen CA, Beattie PF, Kissenberth MJ, Shanley E
Sports Health 2017 Mar/Apr;9(2):139-147. Epub 2017 Feb 6 doi: 10.1177/1941738117690847. PMID: 28165873Free PMC Article

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