Skip to main content
Top
Published in: MUSCULOSKELETAL SURGERY 1/2011

01-07-2011

Long-term result after traumatic anterior shoulder dislocation: what works best?

Authors: Alexander Van Tongel, Francesco Rosa, Greg Heffernan, Ofer Levy, Giuseppe Sforza

Published in: MUSCULOSKELETAL SURGERY | Special Issue 1/2011

Login to get access

Abstract

Traumatic anterior shoulder dislocation is a common pathology. To inform the patient, it is therefore important to know the natural history of anterior dislocation and the long-term result of conservative treatment versus the long-term results of operative treatment. In this review article, we compare the effectiveness of various anatomical and non-anatomical interventions and between open and arthroscopic surgery. Evaluating of the result, we focused on the recurrence of instability, return to sport, and prevalence of articular cartilage degeneration in the several treatments.
Literature
2.
go back to reference Hovelius L, Olofsson A, Sandstrom B, Augustini BG, Krantz L, Fredin H, Tillander B, Skoglund U, Salomonsson B, Nowak J, Sennerby U (2008) Nonoperative treatment of primary anterior shoulder dislocation in patients forty years of age and younger. A prospective twenty-five-year follow-up. J Bone Joint Surg Am 90(5):945–952. doi:10.2106/JBJS.G.00070 PubMedCrossRef Hovelius L, Olofsson A, Sandstrom B, Augustini BG, Krantz L, Fredin H, Tillander B, Skoglund U, Salomonsson B, Nowak J, Sennerby U (2008) Nonoperative treatment of primary anterior shoulder dislocation in patients forty years of age and younger. A prospective twenty-five-year follow-up. J Bone Joint Surg Am 90(5):945–952. doi:10.​2106/​JBJS.​G.​00070 PubMedCrossRef
3.
go back to reference Rowe CR (1956) Prognosis in dislocations of the shoulder. J Bone Joint Surg Am 38-A(5):957–977PubMed Rowe CR (1956) Prognosis in dislocations of the shoulder. J Bone Joint Surg Am 38-A(5):957–977PubMed
4.
go back to reference Robinson CM, Howes J, Murdoch H, Will E, Graham C (2006) Functional outcome and risk of recurrent instability after primary traumatic anterior shoulder dislocation in young patients. J Bone Joint Surg Am 88(11):2326–2336. doi:10.2106/JBJS.E.01327 PubMedCrossRef Robinson CM, Howes J, Murdoch H, Will E, Graham C (2006) Functional outcome and risk of recurrent instability after primary traumatic anterior shoulder dislocation in young patients. J Bone Joint Surg Am 88(11):2326–2336. doi:10.​2106/​JBJS.​E.​01327 PubMedCrossRef
5.
go back to reference Rowe CR, Sakellarides HT (1961) Factors related to recurrences of anterior dislocations of the shoulder. Clin Orthop 20:40–48PubMed Rowe CR, Sakellarides HT (1961) Factors related to recurrences of anterior dislocations of the shoulder. Clin Orthop 20:40–48PubMed
6.
go back to reference DeBerardino TM, Arciero RA, Taylor DC (1996) Arthroscopic stabilization of acute initial anterior shoulder dislocation: the west point experience. J South Orthop Assoc 5(4):263–271PubMed DeBerardino TM, Arciero RA, Taylor DC (1996) Arthroscopic stabilization of acute initial anterior shoulder dislocation: the west point experience. J South Orthop Assoc 5(4):263–271PubMed
7.
go back to reference Safran O, Milgrom C, Radeva-Petrova DR, Jaber S, Finestone A (2010) Accuracy of the anterior apprehension test as a predictor of risk for redislocation after a first traumatic shoulder dislocation. Am J Sports Med 38(5):972–975. doi:10.1177/0363546509357610 PubMedCrossRef Safran O, Milgrom C, Radeva-Petrova DR, Jaber S, Finestone A (2010) Accuracy of the anterior apprehension test as a predictor of risk for redislocation after a first traumatic shoulder dislocation. Am J Sports Med 38(5):972–975. doi:10.​1177/​0363546509357610​ PubMedCrossRef
8.
go back to reference Arciero RA, Wheeler JH, Ryan JB, McBride JT (1994) Arthroscopic bankart repair versus nonoperative treatment for acute, initial anterior shoulder dislocations. Am J Sports Med 22(5):589–594PubMedCrossRef Arciero RA, Wheeler JH, Ryan JB, McBride JT (1994) Arthroscopic bankart repair versus nonoperative treatment for acute, initial anterior shoulder dislocations. Am J Sports Med 22(5):589–594PubMedCrossRef
10.
go back to reference McLaughlin HL, MacLellan DI (1967) Recurrent anterior dislocation of the shoulder. Ii. A comparative study. J Trauma 7(2):191–201PubMedCrossRef McLaughlin HL, MacLellan DI (1967) Recurrent anterior dislocation of the shoulder. Ii. A comparative study. J Trauma 7(2):191–201PubMedCrossRef
11.
go back to reference Wheeler JH, Ryan JB, Arciero RA, Molinari RN (1989) Arthroscopic versus nonoperative treatment of acute shoulder dislocations in young athletes. Arthroscopy 5(3):213–217PubMedCrossRef Wheeler JH, Ryan JB, Arciero RA, Molinari RN (1989) Arthroscopic versus nonoperative treatment of acute shoulder dislocations in young athletes. Arthroscopy 5(3):213–217PubMedCrossRef
12.
go back to reference Kirkley A, Werstine R, Ratjek A, Griffin S (2005) Prospective randomized clinical trial comparing the effectiveness of immediate arthroscopic stabilization versus immobilization and rehabilitation in first traumatic anterior dislocations of the shoulder: long-term evaluation. Arthrosc J Arthrosc Relat Surg 21(1):55–63CrossRef Kirkley A, Werstine R, Ratjek A, Griffin S (2005) Prospective randomized clinical trial comparing the effectiveness of immediate arthroscopic stabilization versus immobilization and rehabilitation in first traumatic anterior dislocations of the shoulder: long-term evaluation. Arthrosc J Arthrosc Relat Surg 21(1):55–63CrossRef
13.
go back to reference Pevny T, Hunter RE, Freeman JR (1998) Primary traumatic anterior shoulder dislocation in patients 40 years of age and older. Arthroscopy 14(3):289–294PubMedCrossRef Pevny T, Hunter RE, Freeman JR (1998) Primary traumatic anterior shoulder dislocation in patients 40 years of age and older. Arthroscopy 14(3):289–294PubMedCrossRef
14.
go back to reference Neviaser RJ, Neviaser TJ (1995) Recurrent instability of the shoulder after age 40. J Shoulder Elbow Surg 4(6):416–418PubMedCrossRef Neviaser RJ, Neviaser TJ (1995) Recurrent instability of the shoulder after age 40. J Shoulder Elbow Surg 4(6):416–418PubMedCrossRef
15.
go back to reference Samilson RL, Prieto V (1983) Dislocation arthropathy of the shoulder. J Bone Joint Surg Am 65(4):456–460PubMed Samilson RL, Prieto V (1983) Dislocation arthropathy of the shoulder. J Bone Joint Surg Am 65(4):456–460PubMed
16.
go back to reference Hovelius LK, Sandstrom BC, Rosmark DL, Saebo M, Sundgren KH, Malmqvist BG (2001) Long-term results with the bankart and bristow-latarjet procedures: recurrent shoulder instability and arthropathy. J Shoulder Elbow Surg 10(5):445–452. doi:10.1067/mse.2001.117128 PubMedCrossRef Hovelius LK, Sandstrom BC, Rosmark DL, Saebo M, Sundgren KH, Malmqvist BG (2001) Long-term results with the bankart and bristow-latarjet procedures: recurrent shoulder instability and arthropathy. J Shoulder Elbow Surg 10(5):445–452. doi:10.​1067/​mse.​2001.​117128 PubMedCrossRef
17.
go back to reference Hovelius L, Augustini BG, Fredin H, Johansson O, Norlin R, Thorling J (1996) Primary anterior dislocation of the shoulder in young patients. A ten-year prospective study. J Bone Joint Surg Am 78(11):1677–1684PubMed Hovelius L, Augustini BG, Fredin H, Johansson O, Norlin R, Thorling J (1996) Primary anterior dislocation of the shoulder in young patients. A ten-year prospective study. J Bone Joint Surg Am 78(11):1677–1684PubMed
19.
20.
go back to reference Itoi E, Hatakeyama Y, Sato T, Kido T, Minagawa H, Yamamoto N, Wakabayashi I, Nozaka K (2007) Immobilization in external rotation after shoulder dislocation reduces the risk of recurrence. A randomized controlled trial. J Bone Joint Surg Am 89(10):2124–2131. doi:10.2106/JBJS.F.00654 PubMedCrossRef Itoi E, Hatakeyama Y, Sato T, Kido T, Minagawa H, Yamamoto N, Wakabayashi I, Nozaka K (2007) Immobilization in external rotation after shoulder dislocation reduces the risk of recurrence. A randomized controlled trial. J Bone Joint Surg Am 89(10):2124–2131. doi:10.​2106/​JBJS.​F.​00654 PubMedCrossRef
22.
go back to reference Handoll HH, Hanchard NC, Goodchild L, Feary J (2006) Conservative management following closed reduction of traumatic anterior dislocation of the shoulder. Cochrane Database Syst Rev (1):CD004962. doi:10.1002/14651858.CD004962.pub2 Handoll HH, Hanchard NC, Goodchild L, Feary J (2006) Conservative management following closed reduction of traumatic anterior dislocation of the shoulder. Cochrane Database Syst Rev (1):CD004962. doi:10.​1002/​14651858.​CD004962.​pub2
25.
go back to reference Burkhart SS, De Beer JF (2000) Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic bankart repairs: significance of the inverted-pear glenoid and the humeral engaging hill-sachs lesion. Arthroscopy 16(7):677–694PubMedCrossRef Burkhart SS, De Beer JF (2000) Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic bankart repairs: significance of the inverted-pear glenoid and the humeral engaging hill-sachs lesion. Arthroscopy 16(7):677–694PubMedCrossRef
28.
go back to reference Scheibel M, Kraus N, Diederichs G, Haas NP (2008) Arthroscopic reconstruction of chronic anteroinferior glenoid defect using an autologous tricortical iliac crest bone grafting technique. Arch Orthop Trauma Surg 128(11):1295–1300. doi:10.1007/s00402-007-0509-2 PubMedCrossRef Scheibel M, Kraus N, Diederichs G, Haas NP (2008) Arthroscopic reconstruction of chronic anteroinferior glenoid defect using an autologous tricortical iliac crest bone grafting technique. Arch Orthop Trauma Surg 128(11):1295–1300. doi:10.​1007/​s00402-007-0509-2 PubMedCrossRef
29.
go back to reference Rowe CR, Patel D, Southmayd WW (1978) The bankart procedure: a long-term end-result study. J Bone Joint Surg Am 60(1):1–16PubMed Rowe CR, Patel D, Southmayd WW (1978) The bankart procedure: a long-term end-result study. J Bone Joint Surg Am 60(1):1–16PubMed
32.
go back to reference Kim SH, Ha KI (2002) Bankart repair in traumatic anterior shoulder instability: open versus arthroscopic technique. Arthroscopy 18(7):755–763PubMedCrossRef Kim SH, Ha KI (2002) Bankart repair in traumatic anterior shoulder instability: open versus arthroscopic technique. Arthroscopy 18(7):755–763PubMedCrossRef
34.
go back to reference Massoud SN, Levy O, Copeland SA (2002) The vertical-apical suture bankart lesion repair for anteroinferior glenohumeral instability. J Shoulder Elbow Surg 11(5):481–485PubMedCrossRef Massoud SN, Levy O, Copeland SA (2002) The vertical-apical suture bankart lesion repair for anteroinferior glenohumeral instability. J Shoulder Elbow Surg 11(5):481–485PubMedCrossRef
35.
go back to reference Hobby J, Griffin D, Dunbar M, Boileau P (2007) Is arthroscopic surgery for stabilisation of chronic shoulder instability as effective as open surgery? A systematic review and meta-analysis of 62 studies including 3044 arthroscopic operations. J Bone Joint Surg Br 89(9):1188–1196. doi:10.1302/0301-620X.89B9.18467 PubMedCrossRef Hobby J, Griffin D, Dunbar M, Boileau P (2007) Is arthroscopic surgery for stabilisation of chronic shoulder instability as effective as open surgery? A systematic review and meta-analysis of 62 studies including 3044 arthroscopic operations. J Bone Joint Surg Br 89(9):1188–1196. doi:10.​1302/​0301-620X.​89B9.​18467 PubMedCrossRef
36.
go back to reference Lusardi DA, Wirth MA, Wurtz D, Rockwood CA Jr (1993) Loss of external rotation following anterior capsulorrhaphy of the shoulder. J Bone Joint Surg Am 75(8):1185–1192PubMed Lusardi DA, Wirth MA, Wurtz D, Rockwood CA Jr (1993) Loss of external rotation following anterior capsulorrhaphy of the shoulder. J Bone Joint Surg Am 75(8):1185–1192PubMed
38.
go back to reference Bottoni CR, Smith EL, Berkowitz MJ, Towle RB, Moore JH (2006) Arthroscopic versus open shoulder stabilization for recurrent anterior instability: a prospective randomized clinical trial. Am J Sports Med 34(11):1730–1737. doi:10.1177/0363546506288239 PubMedCrossRef Bottoni CR, Smith EL, Berkowitz MJ, Towle RB, Moore JH (2006) Arthroscopic versus open shoulder stabilization for recurrent anterior instability: a prospective randomized clinical trial. Am J Sports Med 34(11):1730–1737. doi:10.​1177/​0363546506288239​ PubMedCrossRef
39.
go back to reference van der Zwaag HM, Brand R, Obermann WR, Rozing PM (1999) Glenohumeral osteoarthrosis after putti-platt repair. J Shoulder Elbow Surg 8(3):252–258PubMedCrossRef van der Zwaag HM, Brand R, Obermann WR, Rozing PM (1999) Glenohumeral osteoarthrosis after putti-platt repair. J Shoulder Elbow Surg 8(3):252–258PubMedCrossRef
40.
go back to reference Vittori J, Foray J, Leveque JN, Thepaut L (1968) Results of treatment of recurrent dislocation of the shoulder by latarjet’s procedure (apropos of 42 cases). Lyon Chir 64(6):964–968PubMed Vittori J, Foray J, Leveque JN, Thepaut L (1968) Results of treatment of recurrent dislocation of the shoulder by latarjet’s procedure (apropos of 42 cases). Lyon Chir 64(6):964–968PubMed
41.
42.
go back to reference Warner JJ, Gill TJ, O’Hollerhan JD, Pathare N, Millett PJ (2006) Anatomical glenoid reconstruction for recurrent anterior glenohumeral instability with glenoid deficiency using an autogenous tricortical iliac crest bone graft. Am J Sports Med 34(2):205–212. doi:10.1177/0363546505281798 PubMedCrossRef Warner JJ, Gill TJ, O’Hollerhan JD, Pathare N, Millett PJ (2006) Anatomical glenoid reconstruction for recurrent anterior glenohumeral instability with glenoid deficiency using an autogenous tricortical iliac crest bone graft. Am J Sports Med 34(2):205–212. doi:10.​1177/​0363546505281798​ PubMedCrossRef
43.
go back to reference Scheibel M, Nikulka C, Dick A, Schroeder RJ, Gerber Popp A, Haas NP (2008) Autogenous bone grafting for chronic anteroinferior glenoid defects via a complete subscapularis tenotomy approach. Arch Orthop Trauma Surg 128(11):1317–1325. doi:10.1007/s00402-007-0560-z PubMedCrossRef Scheibel M, Nikulka C, Dick A, Schroeder RJ, Gerber Popp A, Haas NP (2008) Autogenous bone grafting for chronic anteroinferior glenoid defects via a complete subscapularis tenotomy approach. Arch Orthop Trauma Surg 128(11):1317–1325. doi:10.​1007/​s00402-007-0560-z PubMedCrossRef
44.
go back to reference Bodey WN, Denham RA (1983) A free bone block operation for recurrent anterior dislocation of the shoulder joint. Injury 15(3):184–188PubMedCrossRef Bodey WN, Denham RA (1983) A free bone block operation for recurrent anterior dislocation of the shoulder joint. Injury 15(3):184–188PubMedCrossRef
45.
go back to reference Habermeyer P, Gleyze P, Rickert M (1999) Evolution of lesions of the labrum-ligament complex in posttraumatic anterior shoulder instability: a prospective study. J Shoulder Elbow Surg 8(1):66–74PubMedCrossRef Habermeyer P, Gleyze P, Rickert M (1999) Evolution of lesions of the labrum-ligament complex in posttraumatic anterior shoulder instability: a prospective study. J Shoulder Elbow Surg 8(1):66–74PubMedCrossRef
46.
go back to reference Robinson CM, Jenkins PJ, White TO, Ker A, Will E (2008) Primary arthroscopic stabilization for a first-time anterior dislocation of the shoulder. A randomized, double-blind trial. J Bone Joint Surg Am 90(4):708–721. doi:10.2106/JBJS.G.00679 PubMedCrossRef Robinson CM, Jenkins PJ, White TO, Ker A, Will E (2008) Primary arthroscopic stabilization for a first-time anterior dislocation of the shoulder. A randomized, double-blind trial. J Bone Joint Surg Am 90(4):708–721. doi:10.​2106/​JBJS.​G.​00679 PubMedCrossRef
Metadata
Title
Long-term result after traumatic anterior shoulder dislocation: what works best?
Authors
Alexander Van Tongel
Francesco Rosa
Greg Heffernan
Ofer Levy
Giuseppe Sforza
Publication date
01-07-2011
Publisher
Springer Milan
Published in
MUSCULOSKELETAL SURGERY / Issue Special Issue 1/2011
Print ISSN: 2035-5106
Electronic ISSN: 2035-5114
DOI
https://doi.org/10.1007/s12306-011-0125-8

Other articles of this Special Issue 1/2011

MUSCULOSKELETAL SURGERY 1/2011 Go to the issue