Redislocation of the Shoulder During the First Six Weeks After a Primary Anterior Dislocation

Robinson, C. M.; Kelly, McKayla; Wakefield, Alison

doi:10.2106/00004623-200209000-00007

Cited by 101 publications

(47 citation statements)

References 13 publications

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“…However, within the study by Itoi et al [3], an older patient population (internal rotation: 37 years; external rotation: 35 years) was included. It is known that patients\30 years of age are at higher risk of re-dislocations regardless of the form of immobilization [3,7,[19][20][21], which is also proven in the underlying study in relation to the whole study population (25 vs. 15 % see above).…”

Section: Discussionmentioning

confidence: 77%

Evaluation of immobilization in external rotation after primary traumatic anterior shoulder dislocation: 5-year results

et al. 2013

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Background It is still not clear which method is the most efficient for treating primary traumatic anterior shoulder dislocation. Immobilization in external rotation has become increasingly discussed within the last 10 years. The aim of this study was to evaluate the rate of recurrence and clinical outcome of the immobilization in external rotation after primary traumatic anterior dislocation within a midterm period of 5 years. Additionally, a summary of literature is given according to the present knowledge of this issue.Methods From May 2004 to May 2006, 28 patients with primary traumatic anterior shoulder dislocations were included in a prospective MRI-controlled study. After a follow-up of 5 years, the recurrence rate and clinical outcomes of the patients were evaluated using clinical scores (Constant and Murley score, Western Ontario Shoulder Instability Index, Rowe score).Results After 5 years, 26 patients (93 %; males, n = 25; female, n = 1; mean age, 29.3 years) were interviewed concerning re-dislocations. In the meantime, four patients (15 %) experienced a re-dislocation (ø 12.2 months) after the end of the immobilization. Overall, 21 patients (75 %) were included in a clinical follow-up (CM score: ø 92.8 points; Western Ontario Shoulder Instability Index: ø 87 %; Rowe score (in 17 patients): ø 94.2 points). Upon clinical examination, unidirectional anterior instability was found in one patient, which corresponds to an overall instability rate of 19 % within the examined patient population including the re-dislocations.Conclusions Immobilization in external rotation shows satisfactory results after 5 years in regard to recurrence and instability rates and clinical outcomes. The data show that with immobilization in external rotation, re-dislocations occur within the first 2 years.

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Section: Discussionmentioning

confidence: 77%

Evaluation of immobilization in external rotation after primary traumatic anterior shoulder dislocation: 5-year results

et al. 2013

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“…The authors also added that the patients developed a progressive functional deficit relating to the recurrent condition (3) . In another study conducted at the same clinic as above, the following risk factors for recurrence of dislocations were determined: high--energy trauma, regional neurological deficit after the trauma, lesions associated with the rotator cuff and fractures of the glenoid (15) . DeBerardino et al (16) obtained excellent results from indication of early surgical treatment under arthroscopic viewing for young athletes.…”

Section: Discussionmentioning

confidence: 99%

Avaliação dos resultados do tratamento cirúrgico artroscópico da luxação traumática anterior de ombro: primeiro episódio

Miyazaki¹,

Fregoneze²,

Santos³

et al. 2012

Rev. bras. ortop.

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“…6,9,12,15,17,18,22,38,43,44 The extensive lesions required in our model may translate into damage to the ligaments at another level-elongation or midsubstance tears, 10,17,18,43 as well as associated humeral avulsion 6 -or into damage of other stabilizing structures, mainly glenoid osseous defects 10,17,18,43 or rotator cuff tears. 4,10,[17][18][19]26,37,42,43 Conversely, the simple reattachment of a Bankart lesion to the glenoid rim without an associated capsular shift may often not be enough to restabilize the glenohumeral joint. When obvious capsulolabral damage is observed only in the 3 to 6 o'clock glenoid position (for a right shoulder), capsular elongation should be suspected and repaired.…”

Section: Discussionmentioning

confidence: 99%

Consequences of a Perthes-Bankart lesion in twenty cadaver shoulders

Pouliart

Gagey

2008

Journal of Shoulder and Elbow Surgery

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Redislocation of the Shoulder During the First Six Weeks After a Primary Anterior Dislocation

Cited by 101 publications

References 13 publications

Evaluation of immobilization in external rotation after primary traumatic anterior shoulder dislocation: 5-year results

Evaluation of immobilization in external rotation after primary traumatic anterior shoulder dislocation: 5-year results

Avaliação dos resultados do tratamento cirúrgico artroscópico da luxação traumática anterior de ombro: primeiro episódio

Consequences of a Perthes-Bankart lesion in twenty cadaver shoulders

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