Display options
Cite
Boffano M, Mortera S, Piana R. Management of the first episode of traumatic shoulder dislocation. EFORT Open Rev. 2017;2(2):35-40doi: 10.1302/2058-5241.2.160018.
Boffano, M., Mortera, S., & Piana, R. (2017). Management of the first episode of traumatic shoulder dislocation. EFORT open reviews, 2(2), 35-40. https://doi.org/10.1302/2058-5241.2.160018
Boffano, Michele, et al. "Management of the first episode of traumatic shoulder dislocation." EFORT open reviews vol. 2,2 (2017): 35-40. doi: https://doi.org/10.1302/2058-5241.2.160018
Boffano M, Mortera S, Piana R. Management of the first episode of traumatic shoulder dislocation. EFORT Open Rev. 2017 Mar 13;2(2):35-40. doi: 10.1302/2058-5241.2.160018. eCollection 2017 Feb. PMID: 28461966; PMCID: PMC5367571.
Copy Download .nbib Format: NLM
Share it on

EFORT Open Rev. 2017 Mar 13;2(2):35-40. doi: 10.1302/2058-5241.2.160018. eCollection 2017 Feb.

Management of the first episode of traumatic shoulder dislocation.

EFORT open reviews

Michele Boffano, Stefano Mortera, Raimondo Piana

Affiliations

  1. Oncology and Reconstructive Department, CTO Hospital, AOU Citta' della Salute e della Scienza, Turin, Italy.

PMID: 28461966 PMCID: PMC5367571 DOI: 10.1302/2058-5241.2.160018

Abstract

Shoulder joint dislocation is the most common joint dislocation seen in the emergency department.Traumatic dislocation may cause damage to the soft-tissues surrounding the shoulder joint and sometimes to the bone. The treatment, which aims at restoration of a fully functioning, pain-free and stable shoulder, includes either conservative or surgical management preceded by closed reduction of the acute dislocation.Conservative management usually requires a period of rest, generally involving immobilisation of the arm in a sling, even though it is still debated whether to immobilise the shoulder in internal or external rotation.Operative management, with no significant differences in term of re-dislocation rates between open and arthroscopic repair, incorporates soft-tissue reconstructions and/or bony procedures and is recommended in young male adults engaged in highly demanding physical activities.At our institution, non-operative management is favoured particularly for patients with multi-directional instability or soft-tissue laxity. Conservative measures are often preferred in older patients or younger patients that are not actively engaged in overhead activities. Immediate surgery on all first-time dislocations may subject many patients to surgery who would not have had any future subluxation.For these reasons, initially we will always try physical therapy and activity modification for the vast majority of our patients. Cite this article:

Keywords: Bankart; Latarjet; arthroscopy; dislocation; physical therapy; shoulder instability

Conflict of interest statement

ICMJE Conflict of interest statement: None

References

  1. Arthroscopy. 2008 Jun;24(6):697-703 - PubMed
  2. Br J Sports Med. 2015 Mar;49(5):307-11 - PubMed
  3. Arthroscopy. 2003 Sep;19(7):722-31 - PubMed
  4. Arthroscopy. 2009 Dec;25(12):1447-52 - PubMed
  5. Arthroscopy. 2010 Feb;26(2):239-48 - PubMed
  6. Lyon Chir. 1954 Nov-Dec;49(8):994-7 - PubMed
  7. Acta Orthop Scand. 1969;40(2):216-24 - PubMed
  8. Arthroscopy. 2007 Feb;23(2):118-23 - PubMed
  9. Am J Sports Med. 2007 Jul;35(7):1168-73 - PubMed
  10. J Bone Joint Surg Am. 2007 Oct;89(10):2124-31 - PubMed
  11. Acta Orthop. 2009 Oct;80(5):579-84 - PubMed
  12. J Bone Joint Surg Am. 2008 Apr;90(4):708-21 - PubMed
  13. J Bone Joint Surg Am. 1956 Oct;38-A(5):957-77 - PubMed
  14. J Bone Joint Surg Am. 2007 Aug;89(8):1665-74 - PubMed
  15. Arthroscopy. 2014 Oct;30(10):1349-65 - PubMed
  16. Cochrane Database Syst Rev. 2006 Jan 25;(1):CD004962 - PubMed
  17. J Bone Joint Surg Br. 2009 Jul;91(7):918-21 - PubMed
  18. J Bone Joint Surg Am. 2010 Jun;92(6):1545-57 - PubMed
  19. Knee Surg Sports Traumatol Arthrosc. 2010 Dec;18(12):1742-7 - PubMed
  20. Knee Surg Sports Traumatol Arthrosc. 2016 Feb;24(2):330-42 - PubMed
  21. Arthroscopy. 2005 Jun;21(6):652-8 - PubMed
  22. J Shoulder Elbow Surg. 2011 Mar;20(2 Suppl):S61-9 - PubMed
  23. Arthroscopy. 1999 Jul-Aug;15(5):507-14 - PubMed
  24. Arthroscopy. 2009 Mar;25(3):298-304 - PubMed
  25. Arthroscopy. 2014 Oct;30(10):1246-53 - PubMed
  26. Arthroscopy. 2012 Jul;28(7):900-8 - PubMed
  27. Am J Sports Med. 2008 May;36(5):861-7 - PubMed
  28. Cochrane Database Syst Rev. 2004;(1):CD004325 - PubMed
  29. Knee Surg Sports Traumatol Arthrosc. 2010 Dec;18(12 ):1785-91 - PubMed
  30. Cochrane Database Syst Rev. 2009 Oct 07;(4):CD005077 - PubMed
  31. Bull NYU Hosp Jt Dis. 2011;69(1):44-9 - PubMed
  32. J Shoulder Elbow Surg. 2009 May-Jun;18(3):339-47 - PubMed
  33. J Shoulder Elbow Surg. 2010 Mar;19(2 Suppl):2-12 - PubMed
  34. Cochrane Database Syst Rev. 2014 Apr 30;(4):CD004962 - PubMed
  35. Acta Orthop Traumatol Turc. 2010;44(3):180-5 - PubMed
  36. Knee Surg Sports Traumatol Arthrosc. 1999;7(3):192-6 - PubMed

Publication Types