Clinical forms of shoulder instability in pediatric patients

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Abstract

Background. The recurrence rate of adolescent chronic shoulder instability is approximately 56%–68%. However, this pathology is often missed in childhood and adolescence.

Aim. To identify the clinical forms of shoulder joint instability in pediatric patients.

Materials and methods. The authors present the data from 57 pediatric patients aged 3−17 years with a total of 61 unstable shoulder joints. All patients were divided into groups according to the form of instability. Traumatic chronic shoulder instability was identified in 40 patients (Bankart and Hill–Sachs injuries). Of these, non-traumatic shoulder instability was diagnose in 17, including five with recurrent dislocation, and spontaneous shoulder dislocation due to dysplasia of glenoid and labrum was diagnosed in 12. Of the 57 patients in the study cohort, 53 underwent surgery. Postoperatively, two patients developed recurrent shoulder dislocation (Andreev–Boichev technique) due type III shoulder dysplasia in the first patient and multidirectional injury in the second.

Conclusions. Shoulder joint instability should be considered as the traumatic or non-traumatic form. Treatment decisions should be based on anatomical characteristics that predispose to recurrent dislocation.

About the authors

Yaroslav N. Proshchenko

The Turner Scientific and Research Institute for Children’s Orthopedics

Author for correspondence.
Email: Yar2011@list.ru
MD, PhD, research associate of the department of trauma effects and rheumatoid arthritis Russian Federation

Alexei G. Baindurashvili

The Turner Scientific and Research Institute for Children’s Orthopedics

Email: turner01@mail.ru
MD, PhD, professor, member of RAS, honored doctor of the Russian Federation, Director of The Turner Scientific and Research Institute for Children’s Orthopedics Russian Federation

Ananstasiya I. Brianskaia

The Turner Scientific and Research Institute for Children’s Orthopedics

Email: a_bryanskaya@mail.ru
MD, PhD, research associate of the department of trauma effects and rheumatoid arthritis Russian Federation

Evgeny V. Prokopovich

The Turner Scientific and Research Institute for Children’s Orthopedics

Email: fake@eco-vector.ru
MD, PhD, orthopedic surgeon of the department of trauma sequelae and rheumatoid arthritis Russian Federation

Maksim S. Nikitin

The Turner Scientific and Research Institute for Children’s Orthopedics

Email: fake@eco-vector.ru
MD, orthopedic and trauma surgeon of the department of trauma effects and rheumatoid arthritis Russian Federation

Konstantin A. Afonichev

The Turner Scientific and Research Institute for Children’s Orthopedics

Email: afonichev@list.ru
MD, PhD, professor, head of the department of trauma effects and rheumatoid arthritis Russian Federation

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Copyright (c) 2016 Proshchenko Y.N., Baindurashvili A.G., Brianskaia A.I., Prokopovich E.V., Nikitin M.S., Afonichev K.A.

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