Effectiveness of External-Rotation Immobilization After Initial Shoulder Dislocation in Reducing Recurrence Rates

Bliven, Kellie Huxel; Hamstra-Wright, Karrie

doi:10.1123/jsr.21.2.199

Journal of Sport Rehabilitation

2012

DOI: 10.1123/jsr.21.2.199

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Effectiveness of External-Rotation Immobilization After Initial Shoulder Dislocation in Reducing Recurrence Rates

Kellie Huxel Bliven

Karrie Hamstra-Wright²

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Cited by 1 publication

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Low-Cost Alternative External Rotation Shoulder Brace and Review of Treatment in Acute Shoulder Dislocations

Lacy¹,

Cooke²,

Cooke³

et al. 2015

WestJEM

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Traumatic dislocations of the shoulder commonly present to emergency departments (EDs). Immediate closed reduction of both anterior and posterior glenohumeral dislocations is recommended and is frequently performed in the ED. Recurrence of dislocation is common, as anteroinferior labral tears (Bankart lesions) are present in many anterior shoulder dislocations.14,15,18,23 Immobilization of the shoulder following closed reduction is therefore recommended; previous studies support the use of immobilization with the shoulder in a position of external rotation, for both anterior and posterior shoulder dislocations.7–11,19 In this study, we present a technique for assembling a low-cost external rotation shoulder brace using materials found in most hospitals: cotton roll, stockinette, and shoulder immobilizers. This brace is particularly suited for the uninsured patient, who lacks the financial resources to pay for a pre-fabricated brace out of pocket. We also performed a cost analysis for our low-cost external rotation shoulder brace, and a cost comparison with pre-fabricated brand name braces. At our institution, the total materials cost for our brace was $19.15. The cost of a pre-fabricated shoulder brace at our institution is $150 with markup, which is reimbursed on average at $50.40 according to our hospital billing data. The low-cost external rotation shoulder brace is therefore a more affordable option for the uninsured patient presenting with acute shoulder dislocation.

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Low-Cost Alternative External Rotation Shoulder Brace and Review of Treatment in Acute Shoulder Dislocations

Lacy¹,

Cooke²,

Cooke³

et al. 2015

WestJEM

View full text Add to dashboard Cite

show abstract

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Effectiveness of External-Rotation Immobilization After Initial Shoulder Dislocation in Reducing Recurrence Rates

Cited by 1 publication

References 16 publications

Low-Cost Alternative External Rotation Shoulder Brace and Review of Treatment in Acute Shoulder Dislocations

Low-Cost Alternative External Rotation Shoulder Brace and Review of Treatment in Acute Shoulder Dislocations

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