MEDICAL REPORT

Concerns: 43 years of age

The patient whose is listed above we consulted dated March 9, 2012 for a painful limitation of movements of the left shoulder.

Indeed, this is a patient who would have dislocated the same shoulder several times
During the meetings of volleyball and / or during seizures (according the héteroanamnèse) and each time a spontaneous reduction occurred.

Six months ago, he felt the same effect without spontaneous improvement, it would minimized the facts and since then the pain never stopped, followed by progressively of the installation of a restricting the movement of the shoulder.

In our review, we noted, an asymmetry of the shoulders, the sign of the shoulder, an emptiness of the glenoid and limitation of movement of the shoulder, especially abduction of the arm. The patient had radiographs made an weeks prior to our consultation that showed the glenoid uninhabited.

We found an old or neglected dislocation of the left shoulder. as attitude, we decided to try in vain for a reduction (after a re-
Another recent x-ray) under general anesthesia despite the time elapsed.

Faced with this therapeutic impasse due to the formation of a néoarthose one hand and the filling of the glenoid by fibrous tissue on the other hand, solutions treatment remaining:

Abstention when the pain is simply tolerated by the patient;
In our environment resected humeral head (shoulder dangling) that will solve the problem of pain but not functional; when pain gene the patient;

Or a total hip replacement (arthroplasty of the shoulder) achievable under other skies likely due to osteopenia of the head and neck already installed (ideal treatment).

, April 6, 2012

surgeon