A new method of immobilization after traumatic anterior dislocation of the shoulder: a preliminary study

This preliminary prospective study was conducted to determine whether immobilization with the arm in external rotation would decrease the rate of recurrence after initial traumatic anterior dislocation of the shoulder. Forty patients with initial shoulder dislocations were assigned to (1) convention...

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Bibliographic Details
Published in:Journal of shoulder and elbow surgery 2003-09, Vol.12 (5), p.413-415, Article 413
Main Authors: Itoi, Eiji, Hatakeyama, Yuji, Kido, Tadato, Sato, Takeshi, Minagawa, Hiroshi, Wakabayashi, Ikuko, Kobayashi, Moto
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Diseases of the osteoarticular system. Orthopedic treatment
Female
Humans
Immobilization
Male
Medical sciences
Middle Aged
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Recurrence
Shoulder Dislocation - prevention & control
Shoulder Dislocation - therapy
Splints
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Summary:This preliminary prospective study was conducted to determine whether immobilization with the arm in external rotation would decrease the rate of recurrence after initial traumatic anterior dislocation of the shoulder. Forty patients with initial shoulder dislocations were assigned to (1) conventional immobilization in internal rotation (IR group, n = 20) or (2) a new method of immobilization in external rotation (ER group, n = 20). The recurrence rate was 30% in the IR group and 0% in the ER group at a mean 15.5 months. The difference in recurrence rate was even greater among those who were aged less than 30 years (45% in the IR group and 0% in the ER group). Immobilization with the arm in external rotation is effective in reducing the rate of recurrence after initial dislocation of the shoulder.
ISSN:1058-2746
1532-6500
DOI:10.1016/S1058-2746(03)00171-X