J Korean Shoulder Elbow Soc.  2009 Dec;12(2):215-220.

Arthroscopic Evaluation on Intra-Articular Pathology in Recurrent Shoulder Dislocation Aged Over 40 Years

• Min WK
• Kim JE
• Cho HS
• Kim PT
• Jeon IH

Abstract

PURPOSE
This study is to analyze the prevalence of various intra-articular lesions in patients with traumatic recurrent anterior dislocation of shoulder over 40 years and suggest clinical implications for treatment.
MATERIALS AND METHODS
We retrospectively studied 16 cases that underwent surgical treatment for recurrent anterior dislocation of shoulder from January 2001 to May 2009. There were 9 males and 7 females, and the mean age was 52.7years. We carried out arthroscopic exam for all patients based on standard protocol, which included labrum, capular lesion, cuff, bony lesions.
RESULTS
All 16 cases showed Hill-Sachs lesion, 3 patients (19%) had bony Bankart lesion, 6 patients (38%) had labral tear. Capsular tear were found 15 patients (94%). Twelve (75%) had ruptured supraspinatus and 5 (31%) had subscapularis tear. Only one (6%) had SLAP lesion.
CONCLUSION
There was relatively higher incidence of capsular and rotator cuff tears in patients over age 40 years. Preoperative planning to address these lesions is highly recommended.

Keyword

Capsule; Rotator cuff; Recurrent dislocation; Elderly

MeSH Terms

Aged
Dislocations
Female
Humans
Incidence
Male
Prevalence
Retrospective Studies
Rotator Cuff
Shoulder
Shoulder Dislocation