Page 49 - Petelin, Ana. 2020. Zdravje delovno aktivne populacije / Health of the Working-Age Population. Zbornik povzetkov z recenzijo ▪︎ Book of Abstracts. Koper: Založba Univerze na Primorskem/University of Primorska Press
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ulder traumatic luxation in elderly active population fizioterapevtske in kineziološke priložnosti ... | opportunities in physiotherapy and kinesiology ...
Benjamin Marjanovič, Jakob Merkac, Marko Nabergoj, Samo Novak
Orthopedic Hospital Valdoltra, Jadranska cesta 31, 6280 Ankaran, Slovenia
Background and purpose: Because of prolonged life expectancy the prevalence
of traumatic anterior shoulder dislocations in the elderly population has in-
creased. Shoulder dislocations in the elderly are known to differ from those of
the younger. The accurate diagnosis of associated injuries is crucial to restore
normal shoulder function. Rotator cuff tears have been shown to be the pre-
dominant pathological lesion in the majority of elderly patients. The purpose of
this review is to know how we can early detect those injuries and appropriate
application of treatment modalities.
Presentation of the content: Average life expectancy in Europe of a newborn
according to the current mortality rate is 75 for males and 82 for females.
The 85-and-over population is projected to increase 351 % between 2010 and
2050. The prevalence of traumatic anterior dislocation of the shoulder in the
elderly has increased over the years due to increased participation in sports,
extended life expectancy and lifestyle changes. Tendons and muscles play a
crucial role in shoulder stability. We know that with increasing of age the cuff
loss its tensile strength and number of rotator cuff tears increase too. Low re-
currence rate is another big difference from young patients. With increasing
of the age, we have more nerve injuries and bone fractures as complication to
shoulder instability. Reduction of a dislocated shoulder should be accompanied
with a rapid decrease in pain. If the pain persists after 2 weeks, a rotator cuff
tear should be strongly suspected. In general, after 2 weeks of immobilization
control the patient and if pain persist, send him to shoulder CT arthrography
or MRI to have a better assessment of associated lesions. Shoulder immobili-
zation after reduction should be as short as possible due to decrease shoul-
der stiffness.
Conclusion: Shoulder instability in elderly defer from instability in young. Check
for associated complications. Start always conservatively. In case of pain, ex-
clude rotator cuff lesion. When immobilize think about overstuffing.
Key words: shoulder instability, rotator cuff tears, diagnosis, treatment options
47
Benjamin Marjanovič, Jakob Merkac, Marko Nabergoj, Samo Novak
Orthopedic Hospital Valdoltra, Jadranska cesta 31, 6280 Ankaran, Slovenia
Background and purpose: Because of prolonged life expectancy the prevalence
of traumatic anterior shoulder dislocations in the elderly population has in-
creased. Shoulder dislocations in the elderly are known to differ from those of
the younger. The accurate diagnosis of associated injuries is crucial to restore
normal shoulder function. Rotator cuff tears have been shown to be the pre-
dominant pathological lesion in the majority of elderly patients. The purpose of
this review is to know how we can early detect those injuries and appropriate
application of treatment modalities.
Presentation of the content: Average life expectancy in Europe of a newborn
according to the current mortality rate is 75 for males and 82 for females.
The 85-and-over population is projected to increase 351 % between 2010 and
2050. The prevalence of traumatic anterior dislocation of the shoulder in the
elderly has increased over the years due to increased participation in sports,
extended life expectancy and lifestyle changes. Tendons and muscles play a
crucial role in shoulder stability. We know that with increasing of age the cuff
loss its tensile strength and number of rotator cuff tears increase too. Low re-
currence rate is another big difference from young patients. With increasing
of the age, we have more nerve injuries and bone fractures as complication to
shoulder instability. Reduction of a dislocated shoulder should be accompanied
with a rapid decrease in pain. If the pain persists after 2 weeks, a rotator cuff
tear should be strongly suspected. In general, after 2 weeks of immobilization
control the patient and if pain persist, send him to shoulder CT arthrography
or MRI to have a better assessment of associated lesions. Shoulder immobili-
zation after reduction should be as short as possible due to decrease shoul-
der stiffness.
Conclusion: Shoulder instability in elderly defer from instability in young. Check
for associated complications. Start always conservatively. In case of pain, ex-
clude rotator cuff lesion. When immobilize think about overstuffing.
Key words: shoulder instability, rotator cuff tears, diagnosis, treatment options
47
