Orthopaedic Surgery

Answer 3 Rotator cuff tear. Patients older than 40 years have a higher risk for rotator cuff tears associated with anterior shoulder dislocation. Awareness of this risk is critical, because patients with anterior dislocation and rotator cuff tear will not do well without rotator cuff repair. Delay in diagnosis may result in retraction and atrophy of the rotator cuff tendon(s). Bankart and Hill-Sachs lesions are more common in young patients. Greater tuberosity—not lesser tuberosity—fractures are more common in patients with anterior instability. Musculocutaneous nerve injuries are very rare in anterior shoulder dislocations. Click here to return to the questions

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