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Open Access 01-12-2019 | Review Article

Management of primary anterior shoulder dislocations: a narrative review

Authors: Andrew W. Hasebroock, Joseph Brinkman, Lukas Foster, Joseph P. Bowens

Published in: Sports Medicine - Open | Issue 1/2019

Abstract

The recurrence rate following acute anterior shoulder dislocations is high, particularly in young, active individuals. The purpose of this paper is to provide a narrative overview of the best available evidence and results with regards to diagnostic considerations, comorbidities, position of immobilization, surgical versus conservative management, and time to return to play for the management of primary anterior shoulder dislocations. Three independent reviewers performed literature searches using PubMed, MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials. Randomized controlled trials and systematic reviews meeting inclusion criteria from 1930 to April 2019 were appraised and discussed with the intent to consolidate the best available evidence with regards to lowering recurrence rates. A majority of studies support early surgical intervention for individuals between 21 and 30 years of age following primary shoulder dislocations, as this group is particularly susceptible to recurrence. Conservative treatment plans favor 1–3 weeks of immobilization in internal rotation, followed by rehabilitation. Surgical methods are associated with longer time to return to play, but lower recurrence rates. Return to play time is best determined on an individualized basis, when subjective and objective function of both shoulders is determined to be symmetric. This paper broadly summarizes the best available evidence for the management of primary anterior shoulder dislocations. There remains a need for randomized studies to determine ideal long-term treatment following conservative or surgical management, as general timelines for returning to play following injury remain vague.

Level of evidence

IV, Narrative Review

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Title: Management of primary anterior shoulder dislocations: a narrative review
Authors: Andrew W. Hasebroock
Joseph Brinkman
Lukas Foster
Joseph P. Bowens
Publication date: 01-12-2019
Publisher: Springer International Publishing
Published in: Sports Medicine - Open / Issue 1/2019
Print ISSN: 2199-1170
Electronic ISSN: 2198-9761
DOI: https://doi.org/10.1186/s40798-019-0203-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Management of primary anterior shoulder dislocations: a narrative review

Abstract

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Level of evidence

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