For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
0
views
27
references
 Top references
cited by
0
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      231
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Demographics and Outcomes of Glenohumeral Dislocations in Individuals With Elevated Body Mass Index

      research-article
      Author(s): , MD , , BS, , MD, , MD, , MD
      Publication date (Electronic):
      Journal: JAAOS Global Research & Reviews
      Publisher: Wolters Kluwer

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Introduction:

          No specific study has investigated the characteristics and outcomes of anterior shoulder dislocations in morbidly obese individuals. The purpose of this study was to describe shoulder dislocations in patients with body mass index (BMI) greater than 40.

          Methods:

          A retrospective review was conducted to identify patients aged 18 years and older with a BMI ≥40 who presented with a shoulder dislocation in a single institution from 2000 to 2020. Dislocation patterns, associated injuries, treatment modalities, and associated complications were recorded.

          Results:

          A significant increase was noted in the number of patients with BMI greater than 40 presenting per year ( r 2 = −0.831, P < 0.01) over the past 20 years. A significant increase was noted in the average BMI per year in this population ( r 2 = 0.504, P = 0.028). Fifteen patients (19.5%) experienced at least one recurrent dislocation episode. Ten patients had a Bankart lesion that was associated with an elevated BMI ( P = 0.04). Nine patients (11.7%) sustained an associated neurologic injury (no association with BMI).

          Conclusions:

          Over time, there has been an increase in shoulder dislocations in morbidly obese individuals in the United States, alongside an overall increase in the average BMI of patients who present with shoulder dislocations.

          Related collections

          Most cited references27

          • Record: found
          • Abstract: not found
          • Article: not found

          Projected U.S. State-Level Prevalence of Adult Obesity and Severe Obesity

          Zachary J. Ward, Sara Bleich, Angie L Cradock … (2019)
          Article 0 comments Cited 507 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Functional outcome and risk of recurrent instability after primary traumatic anterior shoulder dislocation in young patients.

            C Michael Robinson, Jonathan Howes, Helen Murdoch … (2006)
            The prevalence and risk factors for recurrent instability and functional impairment following a primary glenohumeral dislocation remain poorly defined in younger patients. We performed a prospective cohort study to evaluate these outcomes. We also aimed to produce guidelines for the design of future clinical trials, assessing the efficacy of interventions designed to improve the outcome after a primary dislocation. We performed a prospective cohort study of 252 patients ranging from fifteen to thirty-five years old who sustained an anterior glenohumeral dislocation and were treated with sling immobilization, followed by a physical therapy program. Patients received regular clinical follow-up to assess whether recurrent instability had developed. Functional assessments were made and were compared for two subgroups: those who had not had instability develop and those who had received operative stabilization to treat recurrent instability. On survival analysis, instability developed in 55.7% of the shoulders within the first two years after the primary dislocation and increased to 66.8% by the fifth year. The younger male patients were most at risk of instability, and 86.7% of all of the patients known to have recurrent instability had this complication develop within the first two years. A small but measurable degree of functional impairment was present at two years after the initial dislocation in most patients. Sample-size calculations revealed that a relatively small number of patients with a primary dislocation would be required in future clinical trials examining the effects of interventions designed to reduce the prevalence of recurrent instability and improve the functional outcome. Recurrent instability and deficits of shoulder function are common after primary nonoperative treatment of an anterior shoulder dislocation. There is substantial variation in the risk of instability, with younger males having the highest risk and females having a much lower risk. Future clinical trials to evaluate primary interventions should evaluate the prevalence of recurrent instability and functional deficits, with use of an assessment tool specifically for shoulder instability, during the first two years after the initial dislocation.
            Article 0 comments Cited 106 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              The Hill-Sachs lesion: diagnosis, classification, and management.

              Matthew Provencher, Rachel Frank, Lance LeClere … (2012)
              The Hill-Sachs lesion is an osseous defect of the humeral head that is typically associated with anterior shoulder instability. The incidence of these lesions in the setting of glenohumeral instability is relatively high and approaches 100% in persons with recurrent anterior shoulder instability. Reverse Hill-Sachs lesion has been described in patients with posterior shoulder instability. Glenoid bone loss is typically associated with the Hill-Sachs lesion in patients with recurrent anterior shoulder instability. The lesion is a bipolar injury, and identification of concomitant glenoid bone loss is essential to optimize clinical outcome. Other pathology (eg, Bankart tear, labral or capsular injuries) must be identified, as well. Treatment is dictated by subjective and objective findings of shoulder instability and radiographic findings. Nonsurgical management, including focused rehabilitation, is acceptable in cases of small bony defects and nonengaging lesions in which the glenohumeral joint remains stable during desired activities. Surgical options include arthroscopic and open techniques.
              Article 0 comments Cited 72 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Contributors
                Penelope Halkiadakis
                Jason G. Ina
                Blaine T. Bafus
                Adrienne Lee
                Journal
                Journal ID (nlm-ta): J Am Acad Orthop Surg Glob Res Rev
                Journal ID (iso-abbrev): J Am Acad Orthop Surg Glob Res Rev
                Journal ID (coden): JAAOS Glob Res Rev
                Journal ID (publisher-id): JAAOS Glob Res Rev
                Title: JAAOS Global Research & Reviews
                Publisher: Wolters Kluwer (Philadelphia, PA )
                ISSN (Electronic): 2474-7661
                Publication date Collection: April 2024
                Publication date (Electronic): 9 April 2024
                Volume: 8
                Issue: 4
                Electronic Location Identifier: e24.00021
                Affiliations
                From the University Hospitals Cleveland Medical Center (Dr. Maheshwer, and Dr. Ina); the Case Western Reserve University School of Medicine (Ms. Halkiadakis); the Veterans Affairs Medical Center (Dr. Bafus); and the MetroHealth Medical Center, Cleveland, OH (Dr. Bafus, and Dr. Lee).
                Author notes
                Correspondence to Dr. Maheshwer: bmaheshwer79@ 123456gmail.com
                Author information
                https://orcid.org/0000-0002-4685-6563
                Article
                Publisher ID: JAAOSGlobal-D-24-00021 Accession ID: 00013
                DOI: 10.5435/JAAOSGlobal-D-24-00021
                PMC ID: 11003501
                SO-VID: e7beb913-a851-4351-bdf6-a9601322358c
                Copyright © Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons.
                License:

                This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

                History
                Date received : 12 January 2024
                Date accepted : 20 January 2024
                Categories
                Subject: 009
                Subject: Research Article
                Custom metadata
                OPEN-ACCESS TRUE
                Read-along YES

                Data availability:

                Comments

                Comment on this article