Modified laterjet procedure for recurrent anterior shoulder dislocation with glenoid bone deficiency

Objective: To assess the results of patients treated for recurrent anterior shoulder dislocation with glenoid bone deficiency by using the Latarjet procedure

Methods: This is a retrospective study done in the period between April 2014 till February 2016 at the Jordanian Royal Medical Services [JRMS]. Thirty patients with recurrent traumatic anterior shoulder dislocation who underwent surgical treatment with modified Latarjet technique were included in the study. Patients were questioned about satisfaction, range of motion and its effect on daily life and were examined for stability and range of motion and complications if present

Results: 27 patients [90%] were satisfied of the surgery with no experience of redislocation. One patient [3.3%] was not satisfied because of axillary nerve injury and two [96.6%] were not so satisfied because of a 15 degree limitation of external rotation. Four patients [13.3%] had ad limitation of external rotation ranging from 5-15 degree. All patients returned to their level of activity at three months except the one with nerve injury

Conclusion: The Modified Latarjet procedure is an effective technique for the treatment of recurrent anterior shoulder dislocation particularly with associated glenoid bone loss

Preoperative skin traction for fractures of the proximal femur

Determine the value of preoperative skin traction in the management of patients with proximal femur fractures. All Patients admitted to Prince Hashim Hospital with proximal femur fractures between Feb. 2002 to Oct. 2004 were assessed. We bad excluded patients who refused to be enrolled in the study and those with contraindications to skin traction such as those with skin ulceration, edema or peripheral arterial disease. Patients with odd admission numbers received skin traction and those with even numbers were nursed in bed without skin traction. Patients were assessed for pain, analgesia, pressure sores and ease of surgery. A total of 74 patients were enrolled in this study, 36 were in the traction group and 38 in the non traction group .The analysis of pain scores were the same between the two groups. No significant difference in the number of patients who developed pressure sores was evident .Difficult reduction was noted in 22 patients, 10 in the traction group and 12 in the non traction group. The amount of analgesia showed no significant difference between the two groups studied. There is no value of using preoperative skin traction to patients awaiting surgery and abounding its use would save time and money