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Shoulder dislocation - analysis of cases and neurological complications.

Shoulder dislocation, i.e. loss of connection between the head of humerus and the glenoid cavity, is diagnosed in 15-25 patients per 100,000 people per year. The treatment consists, regardless of the methods, of repositioning as soon as possible i.e. restoring the correct position of the head in relation to the glenoid cavity. Some cases of dislocation, due to anatomical relations, may be complicated by damage to the brachial plexus branches.


AIM
The aim of this study is to present epidemiological data, treatment methods and neurological complications in patients with diagnosed shoulder joint dislocation at the Mazovian Rehabilitation Center STOCER.


MATERIALS AND METHODS
The basis for the analysis was a sample of 53795 patients, out of whom 424 patients were identified as having shoulder dislocation in the period 01.01.2015 - 31.12.2019. The examined group of patients was divided to the implemented therapeutic management, including neurological complications.


RESULTS
424 patients with diagnosed shoulder dislocation were analyzed. 217 patients required admission to the Trauma and Orthopedic Surgery Department. There was a statistically significant correlation between the occurrence of the dislocation and the gender and age of the patient. The reason for hospitalization was inability to reposition in Emergency Department (ED) conditions. Neurological complications presented 4.24% of patients with shoulder dislocation before reduction. The median time of hospitalization in the Trauma and Orthopedic Surgery Department was 1 day.


CONCLUSIONS
None of the cases of successful repositioning in the ED required hospitalization due to neurological complications related to the dislocation repositioning. None of nerve impingement nor increasing of neurological complication related to shoulder repositioning apeared.