Demographic, epidemiological and clinical characteristics of traumatic shoulder dislocations in Turkey: a retrospective single-center urban-rural study

Year 2022, Volume: 8 Issue: 2, 1 - 13, 15.08.2022

Aybars Kıvrak Cumhur Deniz Davulcu Şafak Sayar

Abstract

Objective: The aim of our study is to investigate the literature data comparing with demographic and clinical characteristics of shoulder dislocations in Mus city of Turkey.
Patients and Methods: The patients who applied to our hospital with shoulder dislocation between January 2017 and December 2018 were examined retrospectively. The data of a total of 306 patients were obtained from the database. 125 patients which have no radiological imaging of shoulder dislocation were excluded from the study. Incidence, demographic characteristics, type of dislocation, presence of additional injuries, etiology of dislocation, recurrent dislocation, length of hospital stay and reduction of dislocation were evaluated.
Results: A total of 181 patients, including 140 (77.34%) male and 41 (22.65%) female, ages ranging from 12 to 93 (mean 39.98 age) were included in the study. During the study year, the incidence of primary shoulder dislocation was 18.9/100,000 per year (14.4/100,000 for men and 4.4/100,000 for women). 153 of the patients (84.5%) had only one and 28 (15.4%) patients had at least two times history of shoulder dislocation. 172 of the patients’ shoulder were closed reduced under sedation in the emergency department and nine of them were closed reduced in the operating room under general anesthesia.
Conclusion: The incidence of the study is 18.9/100.000 and similar to the previous studies in the literature. This result may be explained by the regional demographic diversity of the patient population

Keywords

Shoulder dislocation, incidence, demographic characteristics, traumatic shoulder dislocation, recurrent dislocation

References

• 1. Cutts S., Prempeh M., Drew S. Anterior shoulder dislocation. Ann R CollSurgEngl. 2009;91:2–7. doi: 10.1308/003588409X359123
• 2. Simonet WT, Melton LJ 3rd, Cofield RH, Ilstrup DM. Incidence of anterior shoulder dislocation in OlmstedCounty, Minnesota. ClinOrthopRelatRes 1984;(186):186-91.
• 3. Liavaag S, Svenningsen S, Reikerås O, Enger M, Fjalestad T, Pripp AH, et al. The epidemiology of shoulder dislocations in Oslo. Scand J MedSci Sports 2011;21:e334-40.
• 4. https://biruni.tuik.gov.tr/medas/?kn=95&locale=tr
• 5. Tafi M, Canbora MK, Köse Ö, Erc ÖFE, Gem M. Demographic and clinical characteristics of traumatic shoulder dislocations in an urban city of Turkey: a retrospective analysis of 208 cases. 2013;47(3):147–52.
• 6. Zacchilli MA, Owens BD. Epidemiology of shoulder dislocations presenting to emergency departments in the United States. J Bone JtSurg - Ser A. 2010;92(3):542–9.
• 7. Szyluk KJ, Jasiński A, Mielnik M, Koczy B. Incidence of Posttraumatic Shoulder Dislocation in Poland. MedSciMonit [Internet]. 2016;22:3967–74. Available from: http://www.medscimonit.com/abstract/index/idArt/900902.
• 8. Krøner K, Lind T, Jensen J. The epidemiology of shoulder dislocations. ArchOrthopTraumaSurg. 1989;108(5):288–90.
• 9. teSlaa RL, Wijffels MPJM, Brand R, Marti RK. The prognosis following acute primary glenohumeral dislocation. J Bone JointSurgBr [Internet]. 2004;86–B(1):58–64. Available from: http://online.boneandjoint.org.uk/doi/10.1302/0301-620X.86B1.13695.
• 10. Hovelius L. Shoulder dislocation in Swedish ice hockey players. Am J Sports Med 1978;6:373-7.
• 11. Hovelius L. Incidence of shoulder dislocation in Sweden. Clin Orthop 1982;166:127-31.
• 12. Nordqvist A, Petersson CJ. Incidence and causes of shoulder girdle injuries in an urban population. J ShoulderElbSurg. 1995;4(2):107–12.