Approach to the treatment of primary anterior shoulder dislocation: A review

Glenohumeral joint dislocation is common among younger, active patients. Anterior dislocation is the most common direction of instability following a traumatic event. Due to a high rate of recurrence following primary traumatic anterior shoulder dislocation, an evidence-based approach is necessary t...

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Bibliographic Details
Published in:The Physician and sportsmedicine 2015-02, Vol.43 (1), p.54-64
Main Authors: Kane, Patrick, Bifano, Shawn M., Dodson, Christopher C., Freedman, Kevin B.
Format: Article
Language:English
Subjects:
anterior shoulder instability
evidence-based approach
Glenohumeral joint instability
Humans
Joint Instability - etiology
Joint Instability - surgery
primary shoulder dislocation
Restraint, Physical
Shoulder - surgery
Shoulder Dislocation - complications
Shoulder Dislocation - surgery
Shoulder Dislocation - therapy
Shoulder Injuries
Shoulder Joint - injuries
Shoulder Joint - surgery
Soft Tissue Injuries - etiology
Soft Tissue Injuries - therapy
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Description
Summary:Glenohumeral joint dislocation is common among younger, active patients. Anterior dislocation is the most common direction of instability following a traumatic event. Due to a high rate of recurrence following primary traumatic anterior shoulder dislocation, an evidence-based approach is necessary to determine the best treatment regime for a patient presenting with this problem. A history, physical examination, and radiographic imaging can help guide treatment recommendations by determining the extent of soft tissue damage following dislocation. Controversies in the treatment of the first-time dislocator include the length and position of immobilization following dislocation, and the role of initial surgical stabilization. This article outlines the treatment options for the first-time glenohumeral dislocator, with an emphasis on the available evidence in the literature. Where applicable, the criteria known as the Strength of Recommendation Taxonomy were used to summarize the strength of evidence available for recommendations.
ISSN:0091-3847
2326-3660
DOI:10.1080/00913847.2015.1001713