A method for treating neglected shoulder dislocations by means of a reposition system with external transosseous fixation

Andrey Shyika, Mykola Klepach, Vasil Bobyk


Neglected shoulder dislocation is a difficult orthopaedic pathology and makes 23.7-25.0 % of all dislocations of the shoulder. Closed reduction of shoulder dislocations without complications is actually impossible because of significant cicatricial changes in the shoulder joint capsule and adjacent anatomical formations. Therefore open reduction becomes necessary, but it often results in disruption of the shoulder joint function. The authors developed a method of closed reduction for neglected shoulder dislocations using a reposition system of external transosseous fixation with controlled stage-by-stage restoration of the shoulder joint congruence and tested this technique on 17 patients at the age of 16-75 years, whose dislocation had taken place from 4 weeks to 5 years before. It was proved that the application of the above method ensured a high efficacy of the controlled reposition, satisfactory restoration of the shoulder joint function and reduction of the treatment duration by 16-20 days.


obsolete shoulder dislocation; closed reduction shoulder Ilizarov apparatus; transosseous osteosynthesis


Бейдик О.В. Остеосинтез стержневыми и спицестержневыми аппаратами внешней фиксации [Текст] / О.В. Бейдик, Г.П. Котельников, Н.В. Островский. — Самара, 2002. — 206 с.

Вайнштейн В.Г. Лечение закрытых внутрисуставных переломов и вывихов костей конечностей [Текст] / В.Г. Вайнштейн, С.Е. Кашкаров. — Медицина, 1973. — 221 с.

Девятов А.А. Чрескостный остеоисинтез [Текст] / А.А. Девятов. — Штиинца: Кишинев, 1990. — 312 с.

Краснов А.Ф. Вывихи плеча [Текст] / А.Ф. Краснов. — Медицина, 1982. — 158 с.

Блокады в травматологии и ортопедии [Текст] / С.Н. Куценко, Т.В. Войно-Ясенецкая, Л.Л. Полищук, Д.А. Митюнин. — Симферополь, 2005. — 89 с.

Ли А.Д. Руководство по чрескостному компрессионно-дистракционному остеосинтезу [Текст] / А.Д. Ли, Р.С. Баширов. — Томск, 2002. — 307 с.

Матев И.Б. Реабилитация при повреждениях руки [Текст] / И.Б. Матев, С. Банков. — Медицина и физкультура: София, 1981. — 254 с.

Свердлов Ю.М. Травматические вывихи и их лечение [Текст] / Ю.М. Свердлов. — Медицина, 1978. — 200 с.

Симон Р.Р. Неотложная ортопедия [Текст] / Р.Р. Симон, С.Дж. Кенигскнехт. — Медицина, 1998. — 621 с.

Скляренко Е.Т. Хирургия суставов конечностей [Текст] / Е.Т. Скляренко. — Киев, 1975. — 204 с.

Соломин Л.Н. Основы чрескостного остеосинтеза аппаратом Г.А. Илизарова [Текст] / Л.Н. Соломин. — СПб: Морсар А.В., 2005. — 544 с.

Laurin C.A. Atlas of Orthopaedic Surgery [Text] / C.A. Laurin, Lee H. Riley Jr., R. Roy-Camille. — Masson, 1990. — Vol. 2. — P. 438.

Posterior Instability of the Glenohumeral Joint: Diagnosis and Management [Text] / D.S. Lamar, G.R. Williams, J.P. Iannotti, M.L. Ramsey [Text] // The University of Pennsylvania Orthopaedic Journal — 2001. — № 14. — P. 5–14.

Normal Shoulder: MR Imaging [Text] / G.J. Kieft, J.L. Bloem, W.R. Obermann et al. // Radiology — 1986. — № 159. — P. 741–745.

Puffer J.C. Sports Medicine: 20common problems [Text] / J.C. Puffer. — McGraw-Hill, 2002. — P. 451.

Canale T.S. Campbell’s Operative Orthopaedics [Text] / T.S. Canale. — Ninth Edition, Mosby. — Vol. 3. — P. 2666–2673.

DOI: https://doi.org/10.15674/0030-59872009488-96


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