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2026, Number 1

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Acta Med 2026; 24 (1)

Chronic anterior dislocation of the left shoulder without significant functional impairment

Enríquez MEA, Rebolledo CJA, Jaramillo AF, Martínez OC, González RCN, Gómez PMG
Full text How to cite this article 10.35366/122163

DOI

DOI: 10.35366/122163
URL: https://dx.doi.org/10.35366/122163

Language: Spanish
References: 5
Page: 62-65
PDF size: 1073.42 Kb.


Key words:

anterior glenohumeral dislocation, chronic dislocation, magnetic resonance imaging, closed reduction, surgical reduction.

ABSTRACT

Chronic shoulder dislocation is exceptionally rare. Sectional imaging studies determine the therapeutic approach. We report the case of a 59-year-old male with an anterior dislocation of the left shoulder of more than two years' evolution, who was unaware of his condition. He underwent magnetic resonance imaging (MRI) as a diagnostic approach due to functional limitation, where we observed anterior shoulder dislocation with complete loss of articular cartilage, a Bankart lesion, a Hill-Sachs lesion with a humeral head defect greater than 40%, fibrosis with thickening of the joint capsule, and integrity of the long head of the biceps and the rotator cuff tendons, except for the infraspinatus.


REFERENCES

  1. Becker B, Spadafore S, Oberle L, Spittler J, Khodaee M. Epidemiology of shoulder dislocation treated at emergency departments in the United States between 1997 and 2021. Orthop J Sports Med. 2024; 12 (3): 23259671241234930. doi: 10.1177/23259671241234930.

  2. Wright A, Ness B, Spontelli-Gisselman A, Gosselin D, Cleland J, Wassinger C. Risk factors associated with first time and recurrent shoulder instability: A systematic review. Int J Sports Phys Ther. 2024; 19 (5): 522-534. doi: 10.26603/001c.116278.

  3. Chung H, Yoon YS, Shin JS, Shin JJ, Kim D. Chronic irreducible anterior dislocation of the shoulder without significant functional deficit. Clin Orthop Surg. 2016; 8 (3): 333-338. doi: 10.4055/cios.2016.8.3.333.

  4. Verma NN, Sellards RA, Romeo AA. Arthroscopic reduction and repair of a locked posterior shoulder dislocation. Arthroscopy. 2006; 22 (11): 1252.e1-5. doi: 10.1016/j.arthro.2006.04.086.

  5. Flatow EL, Miller SR, Neer CS 2nd. Chronic anterior dislocation of the shoulder. J Shoulder Elbow Surg. 1993; 2 (1): 2-10. doi: 10.1016/S1058-2746(09)80131-6.




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Acta Med. 2026;24