Nonoperative Treatment of Primary Anterior Shoulder Dislocation in Patients Forty Years of Age and Younger

Hovelius, Lennart; Olofsson, Anders; Sandström, Björn; Augustini, Bengt-Göran; Krantz, Lars; Fredin, Hans; Tillander, Bo; Skoglund, Ulf; Salomonsson, Björn; Nowak, Jan; Sennerby, Ulf

doi:10.2106/jbjs.g.00070

Cited by 368 publications

(231 citation statements)

References 20 publications

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“…Patients were placed in a shoulder immobilizer with the shoulder in internal rotation for 1 week, [24][25][26][27] during which they were allowed to remove the immobilizer for bathing and elbow and wrist mobility. After this first week, they started a 12-week rehabilitation program, consisting of four 3-week phases.…”

Section: Rehabilitation Programmentioning

confidence: 99%

Cross-cultural Adaptation and Measurement Properties of an Italian Version of the Western Ontario Shoulder Instability Index (WOSI)

Cacchio¹,

Paoloni²,

Griffin³

et al. 2012

J Orthop Sports Phys Ther

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Shoulder instability can be defined as the inability to maintain the normal position of the humeral head on the glenoid during upperlimb movements, which causes apprehension and/or pain.11 Acute traumatic anterior dislocation is the most common cause of shoulder instability. Shoulder instability may not manifest during clinical examination. The symptoms are typically intermittent and variable, thus an accurate assessment of symptoms over time and life circumstances is required to accurately portray the functional impact.Several instruments have been developed to determine the effects of shoulder instability. However, the majority of instability outcome measures consist of physician-rated questionnaires based on clinical information that does not convey T T STUDY DESIGN: Clinical measurement study. T T OBJECTIVES:To translate and cross-culturally adapt the Western Ontario Shoulder Instability Index (WOSI) into Italian, and to evaluate its measurement properties in patients with shoulder instability secondary to a first-time traumatic anterior dislocation. T T BACKGROUND:The WOSI was developed for English-speaking patients. To date, no Italian version of the WOSI exists. T T METHODS:The WOSI was cross-culturally adapted to Italian according to established guidelines. Sixty-four (16 women, 48 men) patients with unilateral shoulder anterior instability were prospectively recruited for the purposes of this study. Internal consistency, test-retest reliability, construct validity, and responsiveness of the WOSI were evaluated. T T CONCLUSION:The Italian version of the WOSI is a valid, reliable, and responsive tool that can be used to measure function in Italian-speaking patients with shoulder instability due to a first-time traumatic anterior dislocation.

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Section: Rehabilitation Programmentioning

confidence: 99%

Cross-cultural Adaptation and Measurement Properties of an Italian Version of the Western Ontario Shoulder Instability Index (WOSI)

Cacchio¹,

Paoloni²,

Griffin³

et al. 2012

J Orthop Sports Phys Ther

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“…1 Nonoperative management of glenohumeral instability has been associated with high rates of recurrence in multiples studies, with recurrence rates ranging from 37% to 85%. [2][3][4][5][6][7][8][9] Arthroscopic stabilization procedures have been similarly associated with recurrent instability, with recurrence rates ranging from 10.8% to 21.1%. [10][11][12][13] As a result, it has become essential for physicians to recognize clinical factors that place patients at increased risk of failed nonoperative or arthroscopic treatment.…”

mentioning

confidence: 99%

Latarjet Technique for Treatment of Anterior Shoulder Instability With Glenoid Bone Loss

McHale

Sánchez

Lavery³

et al. 2017

Arthroscopy Techniques

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Anterior glenohumeral instability is a common clinical entity, particularly among young athletic patient populations. Nonoperative management and arthroscopic treatment of glenohumeral instability have been associated with high rates of recurrence, particularly in the setting of glenohumeral osseous defects. Coracoid transfer, particularly the Latarjet procedure, has become the treatment of choice for recurrent anterior glenohumeral instability in the setting of osseous deficiencies greater than 20% to 30% of the glenoid surface area and may also be considered for the primary treatment of recurrent instability in the high-risk contact athlete, even in the setting of limited osseous deficiency. The following Technical Note provides a diagnostic approach for suspected glenohumeral instability, as well as a detailed description of the congruent-arc Latarjet procedure, performed with a deltoid split, with its postoperative management.

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“…It should be noted that 40% of patients over the age of 40 years suffering from a traumatic anterior glenohumeral dislocation will have a rotator cuff tear. 13,14 Although not all of these will be clinically relevant, a careful examination of the rotator cuff strength should be performed and urgent referral sought if doubt remains regarding cuff integrity. The presence of infraspinatus weakness may indicate a large acute tear.…”

Section: Pre-hospital Carementioning

confidence: 99%

BESS/BOA Patient Care Pathways

Brownson¹,

Donaldson²,

Fox³

et al. 2015

Shoulder & Elbow

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Nonoperative Treatment of Primary Anterior Shoulder Dislocation in Patients Forty Years of Age and Younger

Abstract: After twenty-five years, half of the primary anterior shoulder dislocations that had been treated nonoperatively in patients with an age of twelve to twenty-five years had not recurred or had become stable over time.

Cited by 368 publications

References 20 publications

Cross-cultural Adaptation and Measurement Properties of an Italian Version of the Western Ontario Shoulder Instability Index (WOSI)

Cross-cultural Adaptation and Measurement Properties of an Italian Version of the Western Ontario Shoulder Instability Index (WOSI)

Latarjet Technique for Treatment of Anterior Shoulder Instability With Glenoid Bone Loss

BESS/BOA Patient Care Pathways

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