This paper is only available as a PDF. To read, Please Download here.
Abstract
We evaluated the natural history of anterior shoulder dislocations in a young athletic
population (cadets at the United States Military Academy) and compared conventional
means of nonoperative treatment with early arthroscopic treatment (staple capsulorraphy
or anterior glenoid abrasion). The rate of recurrent instability after a shoulder
dislocation was 92% (35 of 38) in cadets treated nonoperatively. Strict adherence
to a supervised nonoperative treatment program had no effect on the recurrence rate.
All recurrences of instability occurred within 14 months of the initial injury. In
comparison, arthroscopic treatment of acute shoulder dislocations has been successful
thus far in 78% (7 of 9) of cadets followed for at least 14 months. With the high
rate of recurrence of shoulder instability in young athletes, we believe that arthroscopic
surgical intervention after the initial shoulder dislocation can dramatically lower
the recurrence rate and should be considered as a treatment option in young athletes.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to ArthroscopyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
Reference
- Acute and recurrent anterior dislocations of the shoulder.Ortho Clin North Am. 1980; 11: 253-270
- Recurrent anterior dislocation of the shoulder.J Trauma. 1967; 7: 191-201
- Prognosis in anterior shoulder dislocation.Am J Sports Med. 1984; 12: 19-24
- Natural history of glenohumeral dislocation revisited.Am J Sports Med. 1982; 10: 135-137
- Recurrent dislocation of the shoulder.J Bone Joint Surg [Br]. 1948; 30: 6-8
- Immobilization after primary dislocation of the shoulder.Acta Orthop Scand. 1980; 51: 915-919
- Factors related to recurrences of anterior dislocations of the shoulder.Clin Orthop. 1961; 20: 40-48
- Shoulder dislocation in Swedish ice hockey players.Am J Sports Med. 1978; 6: 373-377
- Recurrences after initial dislocation of the shoulder.J Bone Joint Surg [Am]. 1983; 65: 343-349
- Anterior dislocation of the shoulder in teenagers and young adults.J Bone Joint Surg [Am]. 1987; 69: 393-399
- Conservative treatment of shoulder dislocation in young males.J Bone Joint Surg [Br]. 1982; 64: 254-255
- Decreasing the incidence of recurrence of first time anterior shoulder dislocations with rehabilitation.Am J Sports Med. 1984; 12: 283-291
- Modified axillary roentgenogram: a useful adjunct in the diagnosis of recurrent instability of the shoulder.Clin Orthop. 1972; 82: 84-86
- Diagnosis of acute knee injuries with hemarthrosis.Am J Sports Med. 1980; 8: 9-14
- Arthroscopy in acute traumatic hemarthrosis of the knee.J Bone Joint Surg [Am]. 1980; 62: 687-695
Article Info
Footnotes
The technique described in this article will be demonstrated in a forthcoming Video Supplement to Arthroscopy.
Identification
Copyright
© 1989 Arthroscopy Association of North America. Published by Elsevier Inc.
