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Türkiye’nin bir şehrindeki travmatik omuz çıkıklarının demografik ve klinik özellikleri: 208 olgunun geriye dönük analizi

Year 2013, Volume: 47 Issue: 3, 147 - 152, 11.06.2013

Abstract

Amaç: Bu çalışmanın amacı Türkiye’nin bir şehrindeki travmatik omuz çıkıklarının demografik ve klinik özelliklerini araştırmaktı.
Çalışma planı: Diyarbakır ilinde iki hastanenin acil bölümüne Ocak 2008 ila Aralık 2010 tarihleri arasında glenohumeral omuz çıkığı ile başvuran olguların dijital veri tabanları incelenmesinde insidans, demografik ve klinik özellikler, nüks, ilgili yaralanmalar ve yaralanma mekanizmaları değerlendirildi.
Bulgular: Çalışmaya omuz çıkığı geçiren ve ortalama yaşı 37.2±21.3 olan 208 olgu (165 erkek, 45 kadın) alındı. Primer omuz çıkıklarının genel insidans yılda 100.000 kişide 5.3 olarak saptandı. Çıkıkların yaş dağılımının insidansı iki noktada pik yaptı; çoğunluğu (%96.5) erkek olan 21-30 yaş grubu ve çoğunluğu (%66.7) kadın olan 61-70 yaş grubu. Yüz yetmiş iki olguda (%82.7) primer omuz çıkığı, 36 olguda (%17.3) ise tekrarlayan omuz çıkığı vardı. Tekrarlayan omuz çıkığı olan olguların yaş ortalaması primer omuz çıkığı olanlara göre daha düşüktü (ortalama yaş, sırasıyla, 29.7±14.5 ve 38.8±22.2; p=0.020). Çalışmada 195 (%93.4) anterior çıkığa rastlandı. Yaralanma mekanizması 155 olguda (% 74.5) düşme idi. Yüz altmış beş olguda (%79.3) acil serviste başarılı redüksiyon sağlandı. Kırk üç olguya (%20.7) ise genel anestezi altında redüksiyon uygulandı.
Çıkarımlar: Genel insidansı yılda 100,000 kişide 5.3 olarak bulunan travmatik omuz çıkıklarına ait bu veri daha önce yapılmış çalışmalarda bulunanlardan daha düşüktü. Çıkıkların demografik özellikleri popülasyon piramidiyle ilişkili olarak farklılıklar gösterdi.

References

  • Owens BD, Duffey ML, Nelson BJ, DeBerardino TM, Taylor DC, Mountcastle SB. The incidence and characteris- tics of shoulder instability at the United States Military Academy. Am J Sports Med 2007;35:1168-73.
  • Simonet WT, Melton LJ 3rd, Cofield RH, Ilstrup DM. Incidence of anterior shoulder dislocation in Olmsted County, Minnesota. Clin Orthop Relat Res 1984;(186):186-91.
  • Krİner K, Lind T, Jensen J. The epidemiology of shoulder dislocations. Arch Orthop Trauma Surg 1989;108:288-90.
  • Nordqvist A, Petersson CJ. Incidence and causes of shoulder girdle injuries in an urban population. J Shoulder Elbow Surg 1995;4:107-12.
  • Zacchilli MA, Owens BD. Epidemiology of shoulder dislo- cations presenting to emergency departments in the United States. J Bone Joint Surg Am 2010;92:542-9.
  • Liavaag S, Svenningsen S, Reikerås O, Enger M, Fjalestad T, Pripp AH, et al. The epidemiology of shoulder disloca- tions in Oslo. Scand J Med Sci Sports 2011;21:e334-40.
  • http://www.tuikapp.tuik.gov.tr/adnksdagitapp/adnks.zul. Accessed 25 August 2012
  • Sander JW, Shorvon SD. Incidence and prevalence studies in epilepsy and their methodological problems: a review. J Neurol Neurosurg Psychiatry 1987;50:829-39.
  • Owens BD, Dawson L, Burks R, Cameron KL. Incidence of shoulder dislocation in the United States military: demo- graphic considerations from a high-risk population. J Bone Joint Surg Am 2009;91:791-6.
  • Hovelius L. Incidence of shoulder dislocation in Sweden. Clin Orthop Relat Res 1982;(166):127-31.
  • Rowe CR. Prognosis in dislocations of the shoulder. J Bone Joint Surg Am 1956;38-A: 957-77.
  • Hovelius L, Augustini BG, Fredin H, Johansson O, Norlin R, Thorling J. Primary anterior dislocation of the shoulder in young patients. A ten-year prospective study. J Bone Joint Surg Am 1996;78:1677-84.
  • te Slaa RL, Wijffels MP, Brand R, Marti RK. The prognosis following acute primary glenohumeral dislocation. J Bone Joint Surg Br 2004;86:58-64.
  • Tellisi NK, Abusitta GR, Fernandes RJ. Bilateral posterior fracture dislocation of the shoulders following seizure. Saudi Med J 2004;25:1727-9.
  • Kralinger FS, Golser K, Wischatta R, Wambacher M, Sperner G. Predicting recurrence after primary anterior shoulder dislocation. Am J Sports Med 2002;30:116-20.
  • Hoelen MA, Burgers AM, Rozing PM. Prognosis of primary anterior shoulder dislocation in young adults. Arch Orthop Trauma Surg 1990;110:51-4.

Demographic and clinical characteristics of traumatic shoulder dislocations in an urban city of Turkey: a retrospective analysis of 208 cases

Year 2013, Volume: 47 Issue: 3, 147 - 152, 11.06.2013

Abstract

Objective: The aim of this study was to investigate the demographic and clinical characteristics of traumatic shoulder dislocations in an urban city of Turkey.
Methods: The digital patient database was reviewed to identify all patients with glenohumeral dislocation of the shoulder admitted to the emergency departments of the two hospitals in Diyarbak›r between January 2008 and December 2010. Incidence, demographics, clinical characteristics, recurrence, associated injuries, and mechanism of injury were evaluated.
Results: Two hundred and eight patients (163 male, 45 female; mean age: 37.2±21.3) experienced traumatic shoulder dislocation during the study period. The overall incidence of primary shoulder dislocations was 5.3 per 100,000 person-years. Age distribution peaked between 21 and 30 years (96.5% male) and between 61 and 70 years (66.7% female). Primary shoulder dislocation occurred in 172 patients (82.7%) and recurrent dislocations in 36 (17.3%). Patients with recurrent shoulder dislocations were younger than those with primary dislocations (mean age, 29.7±14.5 and 38.8±22.2, respectively; p=0.020). There were 195 (93.4%) anterior dislocations. The mechanism of injury was falls in 155 (74.5%) cases. Reduction was achieved in 165 patients (79.3%) in the emergency department. General anesthesia was used for 43 patients (20.7%).
Conclusion: The 5.3 per 100,000 person-years incidence of traumatic shoulder dislocations in Turkey was much lower than previous studies. Demographic characteristics also showed various differences closely related to the population pyramid.

References

  • Owens BD, Duffey ML, Nelson BJ, DeBerardino TM, Taylor DC, Mountcastle SB. The incidence and characteris- tics of shoulder instability at the United States Military Academy. Am J Sports Med 2007;35:1168-73.
  • Simonet WT, Melton LJ 3rd, Cofield RH, Ilstrup DM. Incidence of anterior shoulder dislocation in Olmsted County, Minnesota. Clin Orthop Relat Res 1984;(186):186-91.
  • Krİner K, Lind T, Jensen J. The epidemiology of shoulder dislocations. Arch Orthop Trauma Surg 1989;108:288-90.
  • Nordqvist A, Petersson CJ. Incidence and causes of shoulder girdle injuries in an urban population. J Shoulder Elbow Surg 1995;4:107-12.
  • Zacchilli MA, Owens BD. Epidemiology of shoulder dislo- cations presenting to emergency departments in the United States. J Bone Joint Surg Am 2010;92:542-9.
  • Liavaag S, Svenningsen S, Reikerås O, Enger M, Fjalestad T, Pripp AH, et al. The epidemiology of shoulder disloca- tions in Oslo. Scand J Med Sci Sports 2011;21:e334-40.
  • http://www.tuikapp.tuik.gov.tr/adnksdagitapp/adnks.zul. Accessed 25 August 2012
  • Sander JW, Shorvon SD. Incidence and prevalence studies in epilepsy and their methodological problems: a review. J Neurol Neurosurg Psychiatry 1987;50:829-39.
  • Owens BD, Dawson L, Burks R, Cameron KL. Incidence of shoulder dislocation in the United States military: demo- graphic considerations from a high-risk population. J Bone Joint Surg Am 2009;91:791-6.
  • Hovelius L. Incidence of shoulder dislocation in Sweden. Clin Orthop Relat Res 1982;(166):127-31.
  • Rowe CR. Prognosis in dislocations of the shoulder. J Bone Joint Surg Am 1956;38-A: 957-77.
  • Hovelius L, Augustini BG, Fredin H, Johansson O, Norlin R, Thorling J. Primary anterior dislocation of the shoulder in young patients. A ten-year prospective study. J Bone Joint Surg Am 1996;78:1677-84.
  • te Slaa RL, Wijffels MP, Brand R, Marti RK. The prognosis following acute primary glenohumeral dislocation. J Bone Joint Surg Br 2004;86:58-64.
  • Tellisi NK, Abusitta GR, Fernandes RJ. Bilateral posterior fracture dislocation of the shoulders following seizure. Saudi Med J 2004;25:1727-9.
  • Kralinger FS, Golser K, Wischatta R, Wambacher M, Sperner G. Predicting recurrence after primary anterior shoulder dislocation. Am J Sports Med 2002;30:116-20.
  • Hoelen MA, Burgers AM, Rozing PM. Prognosis of primary anterior shoulder dislocation in young adults. Arch Orthop Trauma Surg 1990;110:51-4.
There are 16 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

Mehmet Tas This is me

M. Kerem Canbora This is me

Ozkan Kose This is me

Omer Egerci This is me

Mehmet Gem This is me

Publication Date June 11, 2013
Published in Issue Year 2013 Volume: 47 Issue: 3

Cite

APA Tas, M., Canbora, M. K., Kose, O., Egerci, O., et al. (2013). Demographic and clinical characteristics of traumatic shoulder dislocations in an urban city of Turkey: a retrospective analysis of 208 cases. Acta Orthopaedica Et Traumatologica Turcica, 47(3), 147-152.
AMA Tas M, Canbora MK, Kose O, Egerci O, Gem M. Demographic and clinical characteristics of traumatic shoulder dislocations in an urban city of Turkey: a retrospective analysis of 208 cases. Acta Orthopaedica et Traumatologica Turcica. June 2013;47(3):147-152.
Chicago Tas, Mehmet, M. Kerem Canbora, Ozkan Kose, Omer Egerci, and Mehmet Gem. “Demographic and Clinical Characteristics of Traumatic Shoulder Dislocations in an Urban City of Turkey: A Retrospective Analysis of 208 Cases”. Acta Orthopaedica Et Traumatologica Turcica 47, no. 3 (June 2013): 147-52.
EndNote Tas M, Canbora MK, Kose O, Egerci O, Gem M (June 1, 2013) Demographic and clinical characteristics of traumatic shoulder dislocations in an urban city of Turkey: a retrospective analysis of 208 cases. Acta Orthopaedica et Traumatologica Turcica 47 3 147–152.
IEEE M. Tas, M. K. Canbora, O. Kose, O. Egerci, and M. Gem, “Demographic and clinical characteristics of traumatic shoulder dislocations in an urban city of Turkey: a retrospective analysis of 208 cases”, Acta Orthopaedica et Traumatologica Turcica, vol. 47, no. 3, pp. 147–152, 2013.
ISNAD Tas, Mehmet et al. “Demographic and Clinical Characteristics of Traumatic Shoulder Dislocations in an Urban City of Turkey: A Retrospective Analysis of 208 Cases”. Acta Orthopaedica et Traumatologica Turcica 47/3 (June 2013), 147-152.
JAMA Tas M, Canbora MK, Kose O, Egerci O, Gem M. Demographic and clinical characteristics of traumatic shoulder dislocations in an urban city of Turkey: a retrospective analysis of 208 cases. Acta Orthopaedica et Traumatologica Turcica. 2013;47:147–152.
MLA Tas, Mehmet et al. “Demographic and Clinical Characteristics of Traumatic Shoulder Dislocations in an Urban City of Turkey: A Retrospective Analysis of 208 Cases”. Acta Orthopaedica Et Traumatologica Turcica, vol. 47, no. 3, 2013, pp. 147-52.
Vancouver Tas M, Canbora MK, Kose O, Egerci O, Gem M. Demographic and clinical characteristics of traumatic shoulder dislocations in an urban city of Turkey: a retrospective analysis of 208 cases. Acta Orthopaedica et Traumatologica Turcica. 2013;47(3):147-52.