{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T03:11:54Z","timestamp":1783480314229,"version":"3.55.0"},"reference-count":0,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"4","license":[{"start":{"date-parts":[[1997,7,1]],"date-time":"1997-07-01T00:00:00Z","timestamp":867715200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[1997,7]]},"abstract":"<jats:p> Of 545 consecutive patients with anterior shoulder dislocations, 108 (20%) were aged 60 years or more at the time of injury. We reviewed and radiographed 95 of these elderly patients after a mean follow-up of 7.1 years. Axillary nerve injuries were seen in 9.3% of the 108 patients, but all recovered completely in 3 to 12 months. There were single or multiple recurrences of dislocation in 21 patients (22.1%), but within this group age had no influence on the tendency to redislocate. <\/jats:p><jats:p> Tears of the rotator-cuff were diagnosed by imaging studies or clinically in 58 patients (61%), including all who had redislocations. Sixteen patients required surgery. Eight with a single dislocation and a cuff tear had only repair of the torn cuff. Of the eight patients with multiple dislocations requiring operation, five also had a torn cuff and needed either a stabilising procedure and a cuff repair or repair of the cuff only. All patients who were operated on had a satisfactory result, with the exception of those with multiple redislocations and a cuff tear who had repair of the cuff only. <\/jats:p><jats:p> Anterior shoulder dislocation in elderly subjects is more common than is generally believed; 20% suffer redislocation and 60% have a cuff tear. Operation may be needed to repair a torn cuff or to stabilise the shoulder. Patients with multiple redislocations will probably require both procedures. <\/jats:p>","DOI":"10.1302\/0301-620x.79b4.0790540","type":"journal-article","created":{"date-parts":[[2018,2,21]],"date-time":"2018-02-21T11:53:07Z","timestamp":1519213987000},"page":"540-543","source":"Crossref","is-referenced-by-count":217,"title":["ANTERIOR DISLOCATION OF THE SHOULDER IN ELDERLY PATIENTS"],"prefix":"10.1302","volume":"79-B","author":[{"given":"S.","family":"Gumina","sequence":"first","affiliation":[{"name":"Clinic of Orthopaedics and Traumatology, University \u2018La Sapienza\u2019, Piazzale Aldo More 5, 00185 Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Postacchini","sequence":"additional","affiliation":[{"name":"Clinic of Orthopaedics and Traumatology, University \u2018La Sapienza\u2019, Piazzale Aldo More 5, 00185 Rome, Italy."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.79B4.0790540","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.79B4.0790540","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T19:06:18Z","timestamp":1629140778000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.79B4.0790540"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1997,7]]},"references-count":0,"aliases":["10.1302\/0301-620x.79b4.7497","10.1302\/0301-620x.79b4.7497"],"journal-issue":{"issue":"4","published-print":{"date-parts":[[1997,7]]}},"alternative-id":["10.1302\/0301-620X.79B4.0790540"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.79b4.0790540","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[1997,7]]}}}