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.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to InjuryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Shoulder dislocation in Swedish ice hockey players.Am J Sports Med. 1978; 6: 373-377
- Prognosis in dislocations of the shoulder.J Bone Jt Surg Ser A. 1956; 38: 957-977
- Recurrent anterior dislocation of the shoulder. A comparative study.J Trauma. 1967; 7: 191-201
- The natural history of glenohumeral dislocation: revisited.Am J Sports Med. 1982; 10: 135-137
- Prognosis in anterior shoulder dislocation.Am J Sports Med. 1984; 12: 19-23
- Arthroscopic lavage reduced the recurrence rate following primary anterior shoulder dislocation: a randomised multicentre study with 1-year follow-up.Knee Surg Sports Traumatol Arthrosc. 1999; 7: 192-196
- Arthroscopic lavage compared with non-operative treatment for traumatic primary anterior shoulder dislocation; a 2-year follow-up of a prospective randomized study.J Shoulder Elbow Surg. 1999; 8: 399-402
DeBerardino TM, Arciero RA, Taylor DC, Uhorchak JM. Am J Sports Med 2001;29:586–92.
- Prospective randomized clinical trial comparing the effectiveness of immediate arthroscopic stabilization versus immobilization and rehabilitation in first traumatic anterior dislocations of the shoulder.Arthroscopy. 1999; 15: 507-514
- Arthroscopic Bankhart repair versus nonoperative treatment for acute, initial anterior shoulder dislocations.Am J Sports Med. 1994; 22: 589-594
- Decreasing the incidence of recurrence of first time anterior shoulder dislocations with rehabilitation.Am J Sports Med. 1984; 12: 283-291
- Conservative treatment of shoulder dislocations in young males.J Bone Jt Surg Ser B. 1982; 64: 254-255
- Treatment of instability of the shoulder with an exercise program.J Bone Jt Surg Ser A. 1992; 74: 890-896
- Pathologic changes associated with shoulder dislocations.Am J Sports Med. 1997; 25: 306-311
- Primary anterior dislocation of the shoulder in the young patient; a 10-year prospective study.J Bone Jt Surg Ser A. 1996; 78: 1677-1684
- Arthroscopic evaluation of acute initial anterior shoulder dislocations.Am J Sports Med. 1990; 18: 25-28
- Arthroscopic findings after shoulder dislocation.Am J Sports Med. 1995; 23: 545-551
- Primary dislocation of the shoulder: factors affecting the 2-year prognosis.Clin Orthop Relat Res. 1983; 176: 181-185
- Arthroscopic repair of acute traumatic anterior shoulder dislocation in young athletes.Arthroscopy. 2001; 17: 373-377
Article info
Identification
Copyright
© 2002 Elsevier Science Ltd. Published by Elsevier Inc. All rights reserved.
