Acute first-time shoulder dislocation

Interest of emergency arthroscopic stabilization in primary shoulder dislocation in young athletes

“…Passing lesions appear with a first dislocation [49][50][51], as confirmed by the present CT and arthroscopic findings. There were always lesions in need of repair, but they were small and always accessible to arthroscopy (no labral damage; small bone lesions).…”

Delays to initial reduction attempt are associated with higher failure rates in anterior shoulder dislocation: a retrospective analysis of factors affecting reduction failure

“…The literature on anterior shoulder reductions identifies muscle relaxation as a key factor in the success of closed reduction attempts 6 9. As there are numerous factors that could affect muscle relaxation such as patient discomfort, pharmacological interventions, and muscle stretch, it is unlikely that the interval between injury and medical intervention has a direct effect on reduction success, unmediated by other factors.…”

“…In a randomised control trial comparing the Milch and the Stimson technique, Amar et al 5 found that a shorter interval from the time of injury to the time of the first reduction attempt is associated with a higher reduction success rate (OR=7.16; CIs were not reported). As Rumian et al 6 note, delays to joint reduction increase the risk of adverse effects resulting from the compression of neurovascular structures, muscle spasm and tightness associated with tissue stretch. Little is understood about either the possible complications that may arise as a result of delays to treatment or the relationship between delay and shoulder reduction success.…”

Six-week physical rehabilitation protocol for anterior shoulder dislocation in athletes

“…The shoulder is the most frequently dislocated joint in the human body, anterior dislocation is the most common injury in our daily life, especially for young people ( Liu et al, 2014 ; Rumian et al, 2011 ). It was estimated that the incidence rate of shoulder dislocation is 23.9 per 100,000 persons a year ( Owens et al, 2009 ).…”