Immobilization in External Rotation After Shoulder Dislocation Reduces the Risk of Recurrence

Itoi, Eiji; Hatakeyama, Yuji; Satô, Takeshi; Kido, Tadato; Minagawa, Hiroshi; Yamamoto, Nobuyuki; Nozaka, Koji; Wakabayashi, Ikuko

doi:10.2106/00004623-200710000-00004

Cited by 156 publications

(45 citation statements)

References 16 publications

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“…Unfortunately, these patients were not randomized and the results may have been confounded by the varying ages of the treatment groups [30]. A repeat randomized study and studies by others have not been able to reproduce such dramatic results [27,[33][34][35].…”

Section: Nonoperative Managementmentioning

confidence: 99%

Anterior shoulder instability: a review of pathoanatomy, diagnosis and treatment

Dumont

Russell

Robertson

2011

Curr Rev Musculoskelet Med

111

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Section: Nonoperative Managementmentioning

confidence: 99%

Anterior shoulder instability: a review of pathoanatomy, diagnosis and treatment

Dumont

Russell

Robertson

2011

Curr Rev Musculoskelet Med

111

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“…We applaud the efforts of this research team, as well as others [3,9] who have attempted to reproduce the results found by Itoi et al [8,10] with randomized clinical trials. However, the results of these three studies still leave questions regarding the ideal method for shoulder immobilization in this population.…”

Section: To the Editormentioning

confidence: 70%

Letter to the Editor

Rhon

Hando²

2014

Clinical Orthopaedics &Amp; Related Research

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“…We observed a close correlation between ROM recovery and patient-reported functional outcomes, suggesting, at least preliminarily, some rationale for further investigation of the ER brace for this application. The current series and others have shown that immobilization in ER is well tolerated by the patient and is associated with high compliance and satisfaction without excessive brace-related complications or complaints [2,5,6]. Future comparative trials should compare the ER brace to other forms of immobilization after arthroscopic shoulder instability repairs and should focus on recurrent instability and on the correlation between restored ROM, functional scores, and patient satisfaction.…”

Section: Discussionmentioning

confidence: 86%

“…Modifications in these parameters may affect the rate of recovery of shoulder ROM and influence the risk of developing postoperative stiffness. In recent years, several clinical studies have assessed the efficacy of external rotation (ER) bracing after traumatic anterior shoulder dislocation, with varying effects on the incidence of recurrent instability [2,5,6,14]. However, there have been no reports in the literature about ER bracing after surgical treatment for anterior shoulder instability.…”

Section: Introductionmentioning

confidence: 99%

How Does External Rotation Bracing Influence Motion and Functional Scores After Arthroscopic Shoulder Stabilization?

Yin

Levy

Meadows

et al. 2014

Clinical Orthopaedics &Amp; Related Research

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Background After arthroscopic shoulder stabilization, the loss of motion or delayed recovery of motion remains a clinical problem and may lead to poor patient satisfaction. There remains no consensus regarding the optimal position for postoperative immobilization and it is not known whether the position for shoulder immobilization has an effect on motion and functional recovery. Questions/purposes We asked: (1) Do patients treated with external rotation (ER) bracing after arthroscopic anterior shoulder stabilization reliably regain ROM and shoulder function? And (2) what is the frequency of recurrent instability and brace-related complications associated with the use of ER bracing? Methods Forty consecutive patients with a primary diagnosis of anterior shoulder instability underwent arthroscopic stabilization and received postoperative ER bracing; 33 patients (83%; mean age, 23 years; range, 13-44 years) were followed for at least 1 year postoperatively and seven patients were lost to followup. Shoulder ROM and functional scores were recorded preoperatively and at 2 weeks, 12 weeks, 6 months, and greater than 1 year (mean, 16 months) after surgery. Results All patients recovered their preoperative ROM and most patients achieved normal ROM by 3 months after surgery. Significant improvements in American Shoulder and Elbow Surgeons (ASES) and Western Ontario Shoulder Instability (WOSI) scores were observed at each postoperative time point. The mean (± SD) final scores were 95 ± 9 for the ASES and 87%

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Immobilization in External Rotation After Shoulder Dislocation Reduces the Risk of Recurrence

Cited by 156 publications

References 16 publications

Anterior shoulder instability: a review of pathoanatomy, diagnosis and treatment

Anterior shoulder instability: a review of pathoanatomy, diagnosis and treatment

Letter to the Editor

How Does External Rotation Bracing Influence Motion and Functional Scores After Arthroscopic Shoulder Stabilization?

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