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International Orthopaedics
Published in: International Orthopaedics 3/2007

01-06-2007 | Original Paper

Has the management of shoulder dislocation changed over time?

Authors: Byron Chalidis, Nick Sachinis, Christos Dimitriou, Pericles Papadopoulos, Efthimios Samoladas, John Pournaras

Published in: International Orthopaedics | Issue 3/2007

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Abstract

Anterior shoulder dislocation is a disabling injury affecting all ages, young and old alike. Recently, the treatment of traumatic shoulder dislocation has included immobilisation for varying periods of time followed by physiotherapy. This study is the first in this country to address the demographic data and recurrence rates of shoulder dislocation. Three hundred and eight patients (170 men and 138 women) were followed up for an average of 5.9 years. The most frequent mechanism of injury was a fall (65.66% of cases), and in 92.1% of the patients, the shoulder was reduced in the Emergency Department without the need for sedation or general anaesthesia. The overall recurrence rate in all ages was 50%, but rose to 88.9% in the 14–20-year age group. The duration of immobilisation did not affect the rate of re-dislocation of the humeral head. We believe that conventional shoulder immobilisation in a sling offers no benefits, and it would be preferable not to immobilise the shoulder at all.
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Metadata
Title
Has the management of shoulder dislocation changed over time?
Authors
Byron Chalidis
Nick Sachinis
Christos Dimitriou
Pericles Papadopoulos
Efthimios Samoladas
John Pournaras
Publication date
01-06-2007
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 3/2007
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-006-0183-y

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