Hallazgos radiológicos de lesiones bipolares del hombro en pacientes de 18 a 40 años en el servicio de traumatología del Hospital General del Norte IESS Ceibos de enero 2019 a enero 2022.

Abstract

Introduction: Bipolar shoulder lesions are recurrent anterior instability of the shoulder; it is more frequently associated with major injuries, being one of the pathologies with the greatest cause of long or prolonged work disabilities. Objectives: To determine the specific radiological findings of bipolar shoulder lesions in patients aged 18-40 years treated by the traumatology service of the IESS Ceibos North Hospital during the period January 2019-December 2022. Methodology: observational and retrospective cross-sectional research, based on patients diagnosed with shoulder injury and dislocation with ICD-10 M753 and S430 respectively; treated in the traumatology department of the Hospital del Norte de Guayaquil IESS Ceibos. A population of 769 patients was obtained; period from January 2019 to January 2022 Results: Of the 769 patients in the population, 36 patients were chosen according to the selected variables, of which 33 (91.67%) are men and 3 (8.33%) are women. According to their age range with the highest frequency of dislocation is from 26 to 40 years with 72.22%. The most frequent is shoulder pain with 77.78% compared to the others; one of its predominant comorbidities is osteoarthritis with 16.67%. Its main etiology is traumatological, which occurred in 17 of the 36 patients with 47.22%. The most used diagnostic method is 100% radiography. In addition, 52.77% of the patients had nonsurgical treatment. The type of lesion was determined with the radiological findings, impacting the glenoid rim with 75%. Conclusion: Bipolar lesions in the shoulder have become an occupational pathology, with an incidence of 91.67% in men, which have increased over the years.