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Bogdan Koczy - One of the best experts on this subject based on the ideXlab platform.
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Five-year prevalence of Recurrent Shoulder Dislocation in the entire Polish population
International Orthopaedics, 2018Co-Authors: Karol Szyluk, Andrzej Jasiński, Michał Mielnik, Pawel Niemiec, Bogdan KoczyAbstract:Purpose The aim of this study was to evaluate five-year prevalence of Recurrent Shoulder Dislocation in the entire Polish population. Methods The study involved the entire Polish population between 01 January 2010 and 31 December 2014. Demographic data were retrieved from the Central Statistical Office of Poland. Data on the number of Shoulder joint Dislocations were retrieved from the database of the National Health Fund. Results We identified 32,253 Polish residents with Shoulder instability. About 0.1% of Polish residents suffered from Recurrent Shoulder Dislocation. Males suffered almost two times more often than females (66% and 34%, respectively), and male gender was recognized as a risk factor of instability (OR = 2.07, p
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Five-year prevalence of Recurrent Shoulder Dislocation in the entire Polish population
International orthopaedics, 2017Co-Authors: Karol Szyluk, Andrzej Jasiński, Paweł Niemiec, Michał Mielnik, Bogdan KoczyAbstract:Purpose The aim of this study was to evaluate five-year prevalence of Recurrent Shoulder Dislocation in the entire Polish population.
Michael Robinson Christopher - One of the best experts on this subject based on the ideXlab platform.
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HYPERMOBILITY- A RISK FACTOR FOR Recurrent Shoulder DislocationS
British Journal of Sports Medicine, 2013Co-Authors: Adeel Akhtar Muhammad, Fiona Ashton, Paul Jenkins, Michael Robinson ChristopherAbstract:Background Hypermobility is associated with increased risk of sporting injuries. This study was performed to assess the risk of Recurrent Shoulder Dislocations in patients with hypermobility. Methods Prospective data was collected for 38 patients with primary Shoulder Dislocations between October 2008 and July 2009 including demographic details, contact sport played, hypermobility, family history of laxity and Benign Joint Hypermobility Syndrome (BJHS). Electronic records from emergency and orthopaedic departments were checked in January 2013 to confirm Recurrent Shoulder Dislocation. Beighton score of 6 or above was used for hypermobility. Brighton criteria were used to diagnose BJHS. Results The mean age was 25 years (range 15–55). There were 35 males and 3 females. twenty-two patients (58%) were involved in contact sports and most common sport played was rugby in twelve patients (55%). The mean Beighton score for these patients was 3.6 (range 0–9). Ten patients (26%) in this group had a Beighton score of 6 or more indicating hypermobility (Group A). twenty-eight patients (74%) had Beighton score less than 6 (Group B). The mean age for Group A (10 patients) was 26 years (range 15–55). There were 9 males and 1 female. Five patients were involved in contact sports. Six patients (60%) in this group had a Recurrent Shoulder Dislocation. The mean Beighton score for these patients was 7.4 (range 6–9). Three patients (30%) had BJHS and six patients (60%) had a family history of laxity. The mean age for Group B (28 patients) was 25 years (range 15–44). There were 26 males and 2 females. Eleven patients (39%) were involved in contact sports. The mean Beighton score for these patients was 2 (range 0–5). One patient (3%) had BJHS and three patients (11%) had a family history of laxity. Eleven patients (39%) in this group had a Recurrent Shoulder Dislocation. Discussion/Conclusion Hypermobile patients had a higher incidence of Recurrent Shoulder Dislocations (60% vs 39%). 30% patients fulfilled the Brighton criteria for BJHS and 60% had a family history of laxity. These factors should be assessed in patients after primary Shoulder Dislocation to decide appropriate rehabilitation and treatment plan to prevent recurrence.
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ROLE OF CT SCAN IN PREDICTING RECURRENCE FOLLOWING PRIMARY TRAUMATIC Shoulder Dislocation
British Journal of Sports Medicine, 2013Co-Authors: Adeel Akhtar Muhammad, Fiona Ashton, Paul Jenkins, Ian Beggs, Michael Robinson ChristopherAbstract:Background Shoulder Dislocation is a common sporting injury. Glenoid deficiency is thought to be a risk factor for Recurrent Shoulder Dislocations. This study was performed to assess the role of CT scan in predicting recurrence following primary traumatic anterior Shoulder Dislocation. Methods Prospective data was collected for 39 patients following first time traumatic anterior Shoulder Dislocation between April 2008 and June 2009 under the care of a specialist Shoulder surgeon, including demographic details and CT scan findings to identify structural defects of the glenoid and humeral head in the form of bony bankart lesion, glenoid flattening and Hill sach9s lesion. Electronic records from emergency and orthopaedic departments were checked in January 2013 to confirm Recurrent Shoulder Dislocations. Results The mean age was 26 years (range 15–56). There were 36 males and 3 females. CT scan showed bony bankart lesion in ten patients (26%), glenoid flattening in seven patients (18%) and Hill sach9s lesion in thirtythree patients (85%). Patients were divided into groups according to the number of bone defects on CT scan (No bone defect-0, bony bankart lesion-1, glenoid flattening-1 and Hill sach9s lesion-1). Group A (no bone defect) had six patients (15%), Group B (Bone defect) had thirtythree patients (85%); twenty-two patients (56%) had 1 bone defect (Group C), five patients (13%) had 2 bone defects (Group D) and six patients (15%) had 3 bone defects ( Group E). Group A (no bone defect) had 1 Recurrent Shoulder Dislocation (16%) and Group B (Bone defect) had 16 Recurrent Shoulder Dislocations (48%). Group C (1 bone defect) had 11 Recurrent Shoulder Dislocations (50%), Group D (2 bone defects) had 2 Recurrent Shoulder Dislocations (40%) and Group E (3 bone defects) had 3 Recurrent Shoulder Dislocations (50%). Discussion/Conclusion We studied the structural defects of glenoid and humeral head on the CT scan following primary Shoulder Dislocations and risk of recurrence in the presence of bone defects. Hill sach9s lesion was the most common finding on the CT scan (85%). Patients with bone defects had a higher rate of Recurrent Shoulder Dislocations (48% vs 16%). We recommend the use of CT scan following primary Shoulder Dislocations to identify structural defects of humeral head and glenoid before deciding the appropriate treatment to prevent recurrence.
Karol Szyluk - One of the best experts on this subject based on the ideXlab platform.
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Five-year prevalence of Recurrent Shoulder Dislocation in the entire Polish population
International Orthopaedics, 2018Co-Authors: Karol Szyluk, Andrzej Jasiński, Michał Mielnik, Pawel Niemiec, Bogdan KoczyAbstract:Purpose The aim of this study was to evaluate five-year prevalence of Recurrent Shoulder Dislocation in the entire Polish population. Methods The study involved the entire Polish population between 01 January 2010 and 31 December 2014. Demographic data were retrieved from the Central Statistical Office of Poland. Data on the number of Shoulder joint Dislocations were retrieved from the database of the National Health Fund. Results We identified 32,253 Polish residents with Shoulder instability. About 0.1% of Polish residents suffered from Recurrent Shoulder Dislocation. Males suffered almost two times more often than females (66% and 34%, respectively), and male gender was recognized as a risk factor of instability (OR = 2.07, p
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Five-year prevalence of Recurrent Shoulder Dislocation in the entire Polish population
International orthopaedics, 2017Co-Authors: Karol Szyluk, Andrzej Jasiński, Paweł Niemiec, Michał Mielnik, Bogdan KoczyAbstract:Purpose The aim of this study was to evaluate five-year prevalence of Recurrent Shoulder Dislocation in the entire Polish population.
Adeel Akhtar Muhammad - One of the best experts on this subject based on the ideXlab platform.
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HYPERMOBILITY- A RISK FACTOR FOR Recurrent Shoulder DislocationS
British Journal of Sports Medicine, 2013Co-Authors: Adeel Akhtar Muhammad, Fiona Ashton, Paul Jenkins, Michael Robinson ChristopherAbstract:Background Hypermobility is associated with increased risk of sporting injuries. This study was performed to assess the risk of Recurrent Shoulder Dislocations in patients with hypermobility. Methods Prospective data was collected for 38 patients with primary Shoulder Dislocations between October 2008 and July 2009 including demographic details, contact sport played, hypermobility, family history of laxity and Benign Joint Hypermobility Syndrome (BJHS). Electronic records from emergency and orthopaedic departments were checked in January 2013 to confirm Recurrent Shoulder Dislocation. Beighton score of 6 or above was used for hypermobility. Brighton criteria were used to diagnose BJHS. Results The mean age was 25 years (range 15–55). There were 35 males and 3 females. twenty-two patients (58%) were involved in contact sports and most common sport played was rugby in twelve patients (55%). The mean Beighton score for these patients was 3.6 (range 0–9). Ten patients (26%) in this group had a Beighton score of 6 or more indicating hypermobility (Group A). twenty-eight patients (74%) had Beighton score less than 6 (Group B). The mean age for Group A (10 patients) was 26 years (range 15–55). There were 9 males and 1 female. Five patients were involved in contact sports. Six patients (60%) in this group had a Recurrent Shoulder Dislocation. The mean Beighton score for these patients was 7.4 (range 6–9). Three patients (30%) had BJHS and six patients (60%) had a family history of laxity. The mean age for Group B (28 patients) was 25 years (range 15–44). There were 26 males and 2 females. Eleven patients (39%) were involved in contact sports. The mean Beighton score for these patients was 2 (range 0–5). One patient (3%) had BJHS and three patients (11%) had a family history of laxity. Eleven patients (39%) in this group had a Recurrent Shoulder Dislocation. Discussion/Conclusion Hypermobile patients had a higher incidence of Recurrent Shoulder Dislocations (60% vs 39%). 30% patients fulfilled the Brighton criteria for BJHS and 60% had a family history of laxity. These factors should be assessed in patients after primary Shoulder Dislocation to decide appropriate rehabilitation and treatment plan to prevent recurrence.
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ROLE OF CT SCAN IN PREDICTING RECURRENCE FOLLOWING PRIMARY TRAUMATIC Shoulder Dislocation
British Journal of Sports Medicine, 2013Co-Authors: Adeel Akhtar Muhammad, Fiona Ashton, Paul Jenkins, Ian Beggs, Michael Robinson ChristopherAbstract:Background Shoulder Dislocation is a common sporting injury. Glenoid deficiency is thought to be a risk factor for Recurrent Shoulder Dislocations. This study was performed to assess the role of CT scan in predicting recurrence following primary traumatic anterior Shoulder Dislocation. Methods Prospective data was collected for 39 patients following first time traumatic anterior Shoulder Dislocation between April 2008 and June 2009 under the care of a specialist Shoulder surgeon, including demographic details and CT scan findings to identify structural defects of the glenoid and humeral head in the form of bony bankart lesion, glenoid flattening and Hill sach9s lesion. Electronic records from emergency and orthopaedic departments were checked in January 2013 to confirm Recurrent Shoulder Dislocations. Results The mean age was 26 years (range 15–56). There were 36 males and 3 females. CT scan showed bony bankart lesion in ten patients (26%), glenoid flattening in seven patients (18%) and Hill sach9s lesion in thirtythree patients (85%). Patients were divided into groups according to the number of bone defects on CT scan (No bone defect-0, bony bankart lesion-1, glenoid flattening-1 and Hill sach9s lesion-1). Group A (no bone defect) had six patients (15%), Group B (Bone defect) had thirtythree patients (85%); twenty-two patients (56%) had 1 bone defect (Group C), five patients (13%) had 2 bone defects (Group D) and six patients (15%) had 3 bone defects ( Group E). Group A (no bone defect) had 1 Recurrent Shoulder Dislocation (16%) and Group B (Bone defect) had 16 Recurrent Shoulder Dislocations (48%). Group C (1 bone defect) had 11 Recurrent Shoulder Dislocations (50%), Group D (2 bone defects) had 2 Recurrent Shoulder Dislocations (40%) and Group E (3 bone defects) had 3 Recurrent Shoulder Dislocations (50%). Discussion/Conclusion We studied the structural defects of glenoid and humeral head on the CT scan following primary Shoulder Dislocations and risk of recurrence in the presence of bone defects. Hill sach9s lesion was the most common finding on the CT scan (85%). Patients with bone defects had a higher rate of Recurrent Shoulder Dislocations (48% vs 16%). We recommend the use of CT scan following primary Shoulder Dislocations to identify structural defects of humeral head and glenoid before deciding the appropriate treatment to prevent recurrence.
Fiona Ashton - One of the best experts on this subject based on the ideXlab platform.
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ROLE OF CT SCAN IN PREDICTING RECURRENCE FOLLOWING PRIMARY TRAUMATIC Shoulder Dislocation
British Journal of Sports Medicine, 2013Co-Authors: Adeel Akhtar Muhammad, Fiona Ashton, Paul Jenkins, Ian Beggs, Michael Robinson ChristopherAbstract:Background Shoulder Dislocation is a common sporting injury. Glenoid deficiency is thought to be a risk factor for Recurrent Shoulder Dislocations. This study was performed to assess the role of CT scan in predicting recurrence following primary traumatic anterior Shoulder Dislocation. Methods Prospective data was collected for 39 patients following first time traumatic anterior Shoulder Dislocation between April 2008 and June 2009 under the care of a specialist Shoulder surgeon, including demographic details and CT scan findings to identify structural defects of the glenoid and humeral head in the form of bony bankart lesion, glenoid flattening and Hill sach9s lesion. Electronic records from emergency and orthopaedic departments were checked in January 2013 to confirm Recurrent Shoulder Dislocations. Results The mean age was 26 years (range 15–56). There were 36 males and 3 females. CT scan showed bony bankart lesion in ten patients (26%), glenoid flattening in seven patients (18%) and Hill sach9s lesion in thirtythree patients (85%). Patients were divided into groups according to the number of bone defects on CT scan (No bone defect-0, bony bankart lesion-1, glenoid flattening-1 and Hill sach9s lesion-1). Group A (no bone defect) had six patients (15%), Group B (Bone defect) had thirtythree patients (85%); twenty-two patients (56%) had 1 bone defect (Group C), five patients (13%) had 2 bone defects (Group D) and six patients (15%) had 3 bone defects ( Group E). Group A (no bone defect) had 1 Recurrent Shoulder Dislocation (16%) and Group B (Bone defect) had 16 Recurrent Shoulder Dislocations (48%). Group C (1 bone defect) had 11 Recurrent Shoulder Dislocations (50%), Group D (2 bone defects) had 2 Recurrent Shoulder Dislocations (40%) and Group E (3 bone defects) had 3 Recurrent Shoulder Dislocations (50%). Discussion/Conclusion We studied the structural defects of glenoid and humeral head on the CT scan following primary Shoulder Dislocations and risk of recurrence in the presence of bone defects. Hill sach9s lesion was the most common finding on the CT scan (85%). Patients with bone defects had a higher rate of Recurrent Shoulder Dislocations (48% vs 16%). We recommend the use of CT scan following primary Shoulder Dislocations to identify structural defects of humeral head and glenoid before deciding the appropriate treatment to prevent recurrence.
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HYPERMOBILITY- A RISK FACTOR FOR Recurrent Shoulder DislocationS
British Journal of Sports Medicine, 2013Co-Authors: Adeel Akhtar Muhammad, Fiona Ashton, Paul Jenkins, Michael Robinson ChristopherAbstract:Background Hypermobility is associated with increased risk of sporting injuries. This study was performed to assess the risk of Recurrent Shoulder Dislocations in patients with hypermobility. Methods Prospective data was collected for 38 patients with primary Shoulder Dislocations between October 2008 and July 2009 including demographic details, contact sport played, hypermobility, family history of laxity and Benign Joint Hypermobility Syndrome (BJHS). Electronic records from emergency and orthopaedic departments were checked in January 2013 to confirm Recurrent Shoulder Dislocation. Beighton score of 6 or above was used for hypermobility. Brighton criteria were used to diagnose BJHS. Results The mean age was 25 years (range 15–55). There were 35 males and 3 females. twenty-two patients (58%) were involved in contact sports and most common sport played was rugby in twelve patients (55%). The mean Beighton score for these patients was 3.6 (range 0–9). Ten patients (26%) in this group had a Beighton score of 6 or more indicating hypermobility (Group A). twenty-eight patients (74%) had Beighton score less than 6 (Group B). The mean age for Group A (10 patients) was 26 years (range 15–55). There were 9 males and 1 female. Five patients were involved in contact sports. Six patients (60%) in this group had a Recurrent Shoulder Dislocation. The mean Beighton score for these patients was 7.4 (range 6–9). Three patients (30%) had BJHS and six patients (60%) had a family history of laxity. The mean age for Group B (28 patients) was 25 years (range 15–44). There were 26 males and 2 females. Eleven patients (39%) were involved in contact sports. The mean Beighton score for these patients was 2 (range 0–5). One patient (3%) had BJHS and three patients (11%) had a family history of laxity. Eleven patients (39%) in this group had a Recurrent Shoulder Dislocation. Discussion/Conclusion Hypermobile patients had a higher incidence of Recurrent Shoulder Dislocations (60% vs 39%). 30% patients fulfilled the Brighton criteria for BJHS and 60% had a family history of laxity. These factors should be assessed in patients after primary Shoulder Dislocation to decide appropriate rehabilitation and treatment plan to prevent recurrence.
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ARTHROSCOPIC STABILISATION FOR Recurrent Shoulder Dislocation: LONGTERM OUTCOME & RISK STRATIFICATION
2012Co-Authors: Issaq Ahmed, Fiona Ashton, Robert Elton, C. M. RobinsonAbstract:Background The functional outcome and risk of recurrence following arthroscopic stabilisation for Recurrent anterior Shoulder instability is poorly defined in large prospective outcome studies. This is the first study to prospectively evaluate these outcomes in patients who have been treated using this technique. Methods We performed a prospective study of a consecutive series of 302 patients (265 men and 37 women, mean age 26.4 years) who underwent 311 (9 bilateral) arthroscopic Bankart repairs for Recurrent anterior instability. Patients were evaluated preoperatively and postoperatively at 6 months, and annually thereafter. The chief outcome measures were risk of recurrence and the two-year functional outcomes (assessed using the WOSI and DASH scores). Results On survival analysis, the overall re-Dislocation rate after surgery was 13.5% (42/311 Shoulders). The median time to recurrence was 12 months (range 3 to 110 months) and 55% of these developed Recurrent instability within 1 year of their surgery. The median follow-up in those patients who did not re-dislocate was 70 months. There was a significant improvement in the WOSI and DASH scores at 2 years postoperatively of 21.4 and 9.9 points respectively (both p Conclusions The majority of patients have successful functional outcomes and relatively low risk of recurrence following arthroscopic stabilisation. The identification of preoperative factors which increase the risk of instability has enabled us to better counsel patients of their risk of failure following arthroscopic repair.