Does the position of shoulder immobilization after reduced anterior glenohumeral dislocation affect coaptation of a Bankart lesion? An arthrographic comparison

Momenzadeh, Omid Reza; Pourmokhtari, Masoome; Sefidbakht, Sepideh; Vosoughi, Amir Reza

doi:10.1007/s10195-015-0348-9

Cited by 15 publications

(4 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The immobilization position is usually the so called standard (IR, neutral F and ABD with elbow 90º F), however in 2003 a new method of immobilization in external rotation was described by Japanese authors which revealed that this position can reduce significantly the rate of recurrence [ 30 ]. These findings were recently confirmed by two other studies [ 31 , 32 ] On the other hand it seems that the length of the immobilization period does not affect the rate of recurrence [ 23 ].…”

Section: How Does the Disease Evolve Without Surgical Treatment?supporting

confidence: 73%

Natural History of Anterior Shoulder Instability

Carpinteiro

Barros

2017

TOORTHJ

View full text Add to dashboard Cite

Background:The shoulder is the most complex joint in the body. The large freedom of motion in this joint is the main cause of instability. Instability varies in its degree, direction, etiology and volition and there is a large spectrum of conditions. Methods:Based on literature research and also in our own experience, we propose to elucidate the reader about the natural history of instability and its importance for the appropriate management of this pathology, by answering the following questions:What happens in the shoulder after the first dislocation? Which structures suffer damage? Who are the patients at higher risk of recurrence? How does the disease evolve without treatment? Will surgical treatment avoid future negative outcomes and prevent degenerative joint disease? Who should we treat and when?Results:80% of anterior-inferior dislocations occur in young patients. Recurrent instability is common and multiple dislocations are the rule. Instability is influenced by a large number of variables, including age of onset, activity profile, number of episodes,delay between first episode and surgical treatment.Conclusion:Understanding the disease and its natural evolution is determinant to decide the treatment in order to obtain the best outcome. It is crucial to identify the risk factors for recurrence. Delay in surgical treatment, when indicated, leads to worse results. Surgical technique should address the type and severity of both soft tissue and bone lesions, when present.

show abstract

Section: How Does the Disease Evolve Without Surgical Treatment?supporting

confidence: 73%

Natural History of Anterior Shoulder Instability

Carpinteiro

Barros

2017

TOORTHJ

View full text Add to dashboard Cite

show abstract

“…Copyrights @ Arrisna Artha, et al Orthop & Spo Med Op Acc J 504 capsule detachment and labral lesions [1,2,17,32]. Regarding to its superiority, some studies also reported the conflicting results on patients' acceptance to use external rotation brace [23]. In 2010, Paterson, et al made an analysis for preference duration of immobilization in primary anterior shoulder dislocation.…”

Section: Volume 5 -Issuementioning

confidence: 99%

Best Position and Duration for Immobilization in Primary Anterior Shoulder Dislocation: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Artha

2021

OSMOAJ

View full text Add to dashboard Cite

Background: Anterior shoulder dislocation is the most common injury of the glenohumeral joint and primarily caused by traumatic event and shoulder instability. Recurrent dislocation of anterior shoulder dislocation is a common occasion following the primary anterior shoulder dislocation. Generally, anterior shoulder dislocations are treated with closed reduction, stages of immobilization, and series of physical exercise treatment. This systematic and meta-analysis study were conducted to consider the best duration and position of immobilization after primary anterior shoulder dislocation reduction to reduce the risk of anterior shoulder dislocation recurrence.Methods: PubMed, Cochrane, NCBI, Elsevier were used to searched randomized controlled trials. Two reviewers selected studies for inclusion, assessed methodological quality, and extracted data. The studies were peer-reviewed by two consultant, then selected based on inclusion criteria.

show abstract

“…In this study, the positive influence on reduction of anterior hematoma in ER was also confirmed for 75% of the patients [ 32 ]. In a recent study, Momenzadeh et al confirmed in MR arthrography decreased separation in patients immobilized for 3 weeks in ER when compared to a group immobilized in IR, a difference that reached statistical significance [ 33 ]. Chetouani et al achieved migration of hematoma towards the posterior pouch in all 15 shoulders immobilized in ER.…”

Section: Imaging Studiesmentioning

confidence: 99%

Position of Immobilization After First-Time Traumatic Anterior Glenohumeral Dislocation: A Literature Review

2017

View full text Add to dashboard Cite

Anterior glenohumeral dislocation affects about 2% of the general population during the lifetime. The incidence of traumatic glenohumeral dislocation ranges from 8.2 to 26.69 per 100 000 population per year. The most common complication is recurrent dislocation occurring in 17–96% of the patients. The majority of patients are treated conservatively by closed reduction and immobilization in internal rotation for 2–3 weeks. However, no clear conservative treatment protocol exists. Immobilization in external rotation can be considered an alternative. A range of external rotation braces are commercially available.The purpose of this work was to review the current literature on conservative management of glenohumeral dislocation and to compare the results of immobilization in internal and external rotation.A comprehensive literature search and review was performed using the keywords “glenohumeral dislocation”, “shoulder dislocation”, “immobilization”, “external rotation”, and “recurrent dislocation” in PubMed, MEDLINE, Cochrane Library, Scopus, and Google Scholar databases from their inceptions to May 2016.Three cadaveric studies, 6 imaging studies, 10 clinical studies, and 4 meta-analyses were identified. The total number of 734 patients were included in the clinical studies.Literature analysis revealed better coaptation of the labrum on the glenoid rim in external rotation in cadaveric and imaging studies. However, this tendency was not confirmed by lower redislocation rates or better quality of life in clinical studies.On the basis of the available literature, we cannot confirm the superiority of immobilization in external rotation after glenohumeral dislocation when compared to internal rotation. A yet-to-be-determined group of patients with specific labroligamentous injury pattern may benefit from immobilization in external rotation. Further studies are needed to identify these patients.

show abstract

Does the position of shoulder immobilization after reduced anterior glenohumeral dislocation affect coaptation of a Bankart lesion? An arthrographic comparison

Cited by 15 publications

References 26 publications

Natural History of Anterior Shoulder Instability

Natural History of Anterior Shoulder Instability

Best Position and Duration for Immobilization in Primary Anterior Shoulder Dislocation: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Position of Immobilization After First-Time Traumatic Anterior Glenohumeral Dislocation: A Literature Review

Contact Info

Product

Resources

About