Abstract
Young patients with shoulder dislocation are at high risk of recurrence. Traditionally,
management has been conservative, but rehabilitative programmes are successful in
fewer than 20% of patients. Recent studies suggest that early surgical intervention
(arthroscopic lavage or stabilisation) can significantly reduce recurrence in young
patients with primary traumatic anterior dislocation. This study demonstrated that
in our region, 21% of all patients presenting with shoulder dislocation had already
suffered recurrence at 1 year; in the 15–22 years age group this figure was 43%. We
propose to offer young patients presenting with primary traumatic anterior dislocations
arthroscopic lavage within 10 days of injury. The extra surgical workload is manageable
within our current trauma service arrangements, and we believe that this form of treatment
would be acceptable to patients.
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© 2002 Elsevier Science Ltd. Published by Elsevier Inc. All rights reserved.