Arthroscopic Versus Conservative Treatment of First Anterior Dislocation of the Shoulder in Adolescents

Gigis, Ioannis; Heikenfeld, Roderich; Kapinas, Arion; Listringhaus, Rico; Godolias, Georgios

doi:10.1097/bpo.0000000000000108

Cited by 77 publications

(101 citation statements)

References 17 publications

(16 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…26 There also may be inconsistent application of the current literature by orthopaedic providers, which favors more aggressive treatment in certain populations. 12,13,16,24 Finally, despite our attempts to describe dislocation in detail, participants may have reported dislocation despite having other shoulder injuries such as subluxation.…”

Section: Discussionmentioning

confidence: 96%

“…6,13,16,19,30 Other analyses, however, have shown no significant difference in rates of recurrent dislocation among active and nonactive cohorts treated nonoperatively. 12,29 Furthermore, decision modeling suggests that operative treatment after FTASD may confer higher probabilities of future shoulder stability irrespective of pre- or postdislocation activity levels. 24 …”

mentioning

confidence: 99%

See 1 more Smart Citation

Understanding Preferences for Treatment After Hypothetical First-Time Anterior Shoulder Dislocation: Surveying an Online Panel Utilizing a Novel Shared Decision-Making Tool

Streufert

Reed

Orlando

et al. 2017

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background:Although surgical management of a first-time anterior shoulder dislocation (FTASD) can reduce the risk of recurrent dislocation, other treatment characteristics, costs, and outcomes are important to patients considering treatment options. While patient preferences, such as those elicited by conjoint analysis, have been shown to be important in medical decision-making, the magnitudes or effects of patient preferences in treating an FTASD are unknown.Purpose:To test a novel shared decision-making tool after sustained FTASD. Specifically measured were the following: (1) importance of aspects of operative versus nonoperative treatment, (2) respondents’ agreement with results generated by the tool, (3) willingness to share these results with physicians, and (4) association of results with choice of treatment after FTASD.Study Design:Cross-sectional study; Level of evidence, 3.Methods:A tool was designed and tested using members of Amazon Mechanical Turk, an online panel. The tool included an adaptive conjoint analysis exercise, a method to understand individuals’ perceived importance of the following attributes of treatment: (1) chance of recurrent dislocation, (2) cost, (3) short-term limits on shoulder motion, (4) limits on participation in high-risk activities, and (5) duration of physical therapy. Respondents then chose between operative and nonoperative treatment for hypothetical shoulder dislocation.Results:Overall, 374 of 501 (75%) respondents met the inclusion criteria, of which most were young, active males; one-third reported prior dislocation. From the conjoint analysis, the importance of recurrent dislocation and cost of treatment were the most important attributes. A substantial majority agreed with the tool’s ability to generate representative preferences and indicated that they would share these preferences with their physician. Importance of recurrence proved significantly predictive of respondents’ treatment choices, independent of sex or age; however, activity level was important to previous dislocators. A total of 125 (55%) males and 33 (23%) females chose surgery after FTASD, as did 37% of previous dislocators compared with 45% of nondislocators.Conclusion:When given thorough information about the risks and benefits, respondents had strong preferences for operative treatment after an FTASD. Respondents agreed with the survey results and wanted to share the information with providers. Recurrence was the most important attribute and played a role in decisions about treatment.

show abstract

Section: Discussionmentioning

confidence: 96%

mentioning

confidence: 99%

Understanding Preferences for Treatment After Hypothetical First-Time Anterior Shoulder Dislocation: Surveying an Online Panel Utilizing a Novel Shared Decision-Making Tool

Streufert

Reed

Orlando

et al. 2017

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

show abstract

“…In patients who were twenty to twenty-five years old at the time of primary dislocation, 50% either never had a recurrence or stabilized over time without surgery. Adolescent athletes tend to have the greatest risk for recurrence, with redislocation rates of 70% to 80% for nonoperative treatment versus 13% to 14% for arthroscopic stabilization 17,19 .…”

Section: Natural History Of Primary Dislocationmentioning

confidence: 98%

Open and Arthroscopic Anterior Shoulder Stabilization

et al. 2015

View full text Add to dashboard Cite

“…Es hat sich gezeigt, dass die umgehende endoskopische Versorgung nach einer erstmaligen traumatischen Schulterluxation bei jungen, aktiven Patienten eine effektive und sichere Technik darstellt und zu einer schnelleren Rehabilitation führt [56] Die arthroskopische Intervention nach initialer Schulterluxation kann die Reluxationsrate im Gegensatz zur primär konservativen erapie mit häu g persistierenden Instabilitäten dramatisch reduzieren sowie die ursprüngliche Schulterfunktion wiederherstellen; sie sollte daher bei jungen, aktiven Patienten als Behandlungsoption der ersten Wahl gelten [57,58].…”

Section: Endoskopische Versorgung Nach Schulterluxationenunclassified

Endoskopische Schultereingriffe: sicher und effizient

Roßbach

Jansson²,

Pietschmann³

et al. 2014

Orthop. Rheuma

View full text Add to dashboard Cite

Endoskopische Schultereingri e haben über die letzten zwei bis drei Jahrzehnte einen enorm hohen diagnostischen und therapeutischen Stellenwert in der Schulterchirurgie erlangt und zählen zu den häu gsten Operationen bei den orthopädischen Gelenkversorgungen [1,2]. Generell sind endoskopische Schultereingri e eine sichere und e ektive Methode zur Therapie zahlreicher unterschiedlicher Schulterpathologien [3]. Sie ermöglichen eine umfassende diagnostische Beurteilung der glenohumeralen Strukturen und des Subakromialraums [4]. Nicht nur Erwachsene, sondern auch Kinder und Jugendliche können sehr gut mit endoskopischen Eingri en versorgt werden [5].

show abstract

Arthroscopic Versus Conservative Treatment of First Anterior Dislocation of the Shoulder in Adolescents

Abstract: Level II-prospective comparative study.

Cited by 77 publications

References 17 publications

Understanding Preferences for Treatment After Hypothetical First-Time Anterior Shoulder Dislocation: Surveying an Online Panel Utilizing a Novel Shared Decision-Making Tool

Understanding Preferences for Treatment After Hypothetical First-Time Anterior Shoulder Dislocation: Surveying an Online Panel Utilizing a Novel Shared Decision-Making Tool

Open and Arthroscopic Anterior Shoulder Stabilization

Endoskopische Schultereingriffe: sicher und effizient

Contact Info

Product

Resources

About