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A surge in neglected shoulder dislocations and delayed surgical management due to the coronavirus disease 2019 lockdown in India

  • Received : 2021.04.22
  • Accepted : 2021.09.26
  • Published : 2021.12.01

Abstract

Four patients with shoulder problems that were traumatic in etiology presented to us with delays in seeking care ranging from 6 to 12 weeks due to the coronavirus disease 2019 (COVID-19) lockdown. The care of three cases (a 3-month-old neglected anterior shoulder dislocation with a greater tuberosity fracture in a 30-year old man, a 3-month-old neglected anterior shoulder dislocation in a 17-year old boy, and a 2-month-old neglected greater tuberosity fracture in a 31-year old man) was delayed due to the lockdown and the ensuing travel restrictions, while that of one case (a 6-week-old fracture-dislocation of the proximal humerus in a 55-year-old woman) was delayed because the patient was undergoing treatment for COVID-19 at the time of injury. This report intends to present the exceptional circumstances around these cases. The unique treatment challenges and their outcomes are also described to advise the surgeons of the nuances and difficulties in treating these injuries.

Keywords

References

  1. Sahu D, Agrawal T, Rathod V, Bagaria V. Impact of COVID 19 lockdown on orthopaedic surgeons in India: a survey. J Clin Orthop Trauma 2020;11(Suppl 3):S283-90. https://doi.org/10.1016/j.jcot.2020.05.007
  2. DePhillipo NN, Larson CM, O'Neill OR, LaPrade RF. Guidelines for ambulatory surgery centers for the care of surgically necessary/time-sensitive orthopaedic cases during the COVID-19 pandemic. J Bone Joint Surg Am 2020;102:933-6. https://doi.org/10.2106/JBJS.20.00489
  3. Gumina S, Proietti R, Polizzotti G, Carbone S, Candela V. The impact of COVID-19 on shoulder and elbow trauma: an Italian survey. J Shoulder Elbow Surg 2020;29:1737-42. https://doi.org/10.1016/j.jse.2020.05.003
  4. Li Y, Jiang C. The effectiveness of the latarjet procedure in patients with chronic locked anterior shoulder dislocation: a retrospective study. J Bone Joint Surg Am 2016;98:813-23. https://doi.org/10.2106/JBJS.15.00832
  5. Statz JM, Schoch BS, Sanchez-Sotelo J, Sperling JW, Cofield RH. Shoulder arthroplasty for locked anterior shoulder dislocation: a role for the reversed design. Int Orthop 2017;41:1227-34. https://doi.org/10.1007/s00264-017-3450-1
  6. Hernigou J, Valcarenghi J, Safar A, et al. Post-COVID-19 return to elective orthopaedic surgery-is rescheduling just a reboot process? Which timing for tests? Is chest CT scan still useful? Safety of the first hundred elective cases? How to explain the "new normality health organization" to patients. Int Orthop 2020;44:1905-13. https://doi.org/10.1007/s00264-020-04728-1
  7. Sahu D, Rathod V, Phadnis A, Shyam A. Results and complications of head-preserving techniques in chronic neglected shoulder dislocation: a systematic review. J Shoulder Elbow Surg 2021;30:685-94. https://doi.org/10.1016/j.jse.2020.10.010
  8. Siebenburger G, Van Delden D, Helfen T, Haasters F, Bocker W, Ockert B. Timing of surgery for open reduction and internal fixation of displaced proximal humeral fractures. Injury 2015;46 Suppl 4:S58-62. https://doi.org/10.1016/S0020-1383(15)30019-X
  9. Trikha V, Singh V, Choudhury B, Das S. Retrospective analysis of proximal humeral fracture-dislocations managed with locked plates. J Shoulder Elbow Surg 2017;26:e293-9. https://doi.org/10.1016/j.jse.2017.03.035
  10. He X, Lau EH, Wu P, et al. Temporal dynamics in viral shedding and transmissibility of COVID-19. Nat Med 2020;26:672-5. https://doi.org/10.1038/s41591-020-0869-5