Prospective randomized clinical trial comparing the effectiveness of immediate arthroscopic stabilization versus immobilization and rehabilitation in first traumatic anterior dislocations of the shoulder: Long-term evaluation

Kirkley, Alexandra; Werstine, Robert J.; Ratjek, Andrew; Griffin, Sharon

doi:10.1016/j.arthro.2004.09.018

Cited by 358 publications

(270 citation statements)

References 22 publications

Supporting

Mentioning

248

Contrasting

Unclassified

Order By: Relevance

“…Among its consequences we can mention pain, decrease of activity level and general decrease in quality of life 3,4 . Many treatments have been proposed for the many kinds of instability; however, there are few evaluation instruments which prove their efficacy.…”

Section: Introductionmentioning

confidence: 99%

Tradução e adaptação cultural para o português do Brasil do western ontario shoulder instability index (WOSI)

Barbosa

Leme

Saccol

et al. 2012

Rev Bras Med Esporte

Self Cite

View full text Add to dashboard Cite

Introduction: Shoulder instability is a common problem that usually affects patients on their second or third decades of life and athletes who practice throwing or contact sports. Its consequences are pain, decrease of activity level and general decrease in the quality of life. Many treatments have been used to the different types of instability; however, there are few instruments of evaluation that prove their efficacy. In order to apply evaluation measures in health used and developed for another idiom, it is necessary to do the transcultural equivalency, being unnecessary the creation and validation of another instrument that evaluates the condition under interest. The objective of this study was to do the translation and cultural adaptation of the WOSI scale (The Western Ontario Shoulder Instability Index) to Brazilian Portuguese. Materials and methods: The applied protocol consisted of: 1) Preparation, 2) Translation, 3) Back-Translation, 4) Cognitive Interrogatory and 5) Information Report. After the conclusion of the translation and back-translation, the versions were sent to the original WOSI authors who approved the continuation of the study. The Portuguese version was applied in 35 patients with shoulder instability to verify the instrument's level of comprehension. The final Brazilian WOSI version was concluded after reaching less than 15% of "no comprehension" in each item. To analyze the variables, descriptive statistics was applied. Results: To obtain the cultural equivalency, modifications and terms alterations suggested by the patients for the items "no comprehension" were done. Conclusion: After the translation and cultural adaptation of the scale, the WOSI Portuguese version was accomplished.

show abstract

Section: Introductionmentioning

confidence: 99%

Tradução e adaptação cultural para o português do Brasil do western ontario shoulder instability index (WOSI)

Barbosa

Leme

Saccol

et al. 2012

Rev Bras Med Esporte

Self Cite

View full text Add to dashboard Cite

show abstract

“…We chose to pool the results of the shorter follow-up study 16) because several patients could not be included at the longer-term follow-up. 18) We further excluded four studies [19][20][21][22] because patients in those studies underwent arthroscopic lavage 21,22) and debridement. 20) One article was excluded because only an abstract was published.…”

Section: Methods Literature Search and Included Studiesmentioning

confidence: 99%

“…More specifically, these articles included a comparison between different surgical techniques (e.g., open vs. arthroscopic), patients with shoulder dislocations rather than anterior direction (e.g., posterior instability), patients with multiple dislocations (e.g., not first-time), different outcome measures (e.g., cost effectiveness), only recorded outcome measures from the surgical treatment (e.g., absence of the control). Among the remaining 11 relevant studies, [12][13][14][15][16][17][18][19][20][21][22] five articles [18][19][20][21][22] were further excluded. One study, 18) which was a longer-term follow-up to the same patients used in another study, 16) and was included in the pooled data, was excluded.…”

Section: Methods Literature Search and Included Studiesmentioning

confidence: 99%

“…Among the remaining 11 relevant studies, [12][13][14][15][16][17][18][19][20][21][22] five articles [18][19][20][21][22] were further excluded. One study, 18) which was a longer-term follow-up to the same patients used in another study, 16) and was included in the pooled data, was excluded. We chose to pool the results of the shorter follow-up study 16) because several patients could not be included at the longer-term follow-up.…”

Section: Methods Literature Search and Included Studiesmentioning

confidence: 99%

See 1 more Smart Citation

Arthroscopic Repair versus Non-operative Treatment of First-time Traumatic Anterior Shoulder Dislocations: A Numbers-needed-to-treat Analysis for Prevention of Recurrent Dislocations

Park

Cosby²

2016

Clinics in Shoulder and Elbow

View full text Add to dashboard Cite

Background: Arthroscopic surgical repair is a better intervention than non-operative (conservative) treatment for patients with shoulder dislocations. This systematic review determined the numbers-needed-to-treat (NNT) and relative risk reduction (RRR) associated with arthroscopic surgical repair versus non-operative treatment in reducing recurrence rates among patients with first-time traumatic anterior shoulder dislocations. Methods: We searched Google Scholar, MEDLINE, SPORTDiscus, and CINAHL from inception in 2015. All articles had to compare arthroscopic surgical repair and non-operative treatment and be written in English. We used the total number of subjects and the number of recurrent dislocations within each treatment to calculate the NNT and RRR for each study and the pooled data. Results: Six articles were selected and all clearly demonstrated that the arthroscopic surgical repair was more effective than non-operative treatment in reducing the recurrence episodes. The pooled NNT was 1.76 (95% confidence interval [CI]=NNT to benefit 1.50-2.13) and the pooled RRR was 86.0% (95% CI=77.0%-92.0%) among individuals who underwent arthroscopic repair. The average follow-up time was 56 months. Conclusions: A Strength of Recommendation Taxonomy level of evidence of 1 with a grade A recommendation supports the use of arthroscopic surgical repair over non-operative treatment in prevention of first-time traumatic anterior shoulder dislocations. We suggest that sports medicine practitioners consider the patients' age, occupation, and physical activity level when making a clinical decision. (Clin Shoulder Elbow 2016;19(2):110-116)

show abstract

“…2,5,13,14 If we are to treat the young athlete with a first-time dislocation nonoperatively, we still use a sling with the arm held to the side. However, it is our preference to perform arthroscopic instability repair for the first-time dislocation in young athletes because of the improved quality of life and reduced recurrence rate.…”

Section: Etiology and Epidemiologymentioning

confidence: 99%

The Recognition and Treatment of First-Time Shoulder Dislocation in Active Individuals

Wang¹,

Arciero²,

Mazzocca³

2009

J Orthop Sports Phys Ther

View full text Add to dashboard Cite

Prospective randomized clinical trial comparing the effectiveness of immediate arthroscopic stabilization versus immobilization and rehabilitation in first traumatic anterior dislocations of the shoulder: Long-term evaluation

Cited by 358 publications

References 22 publications

Tradução e adaptação cultural para o português do Brasil do western ontario shoulder instability index (WOSI)

Tradução e adaptação cultural para o português do Brasil do western ontario shoulder instability index (WOSI)

Arthroscopic Repair versus Non-operative Treatment of First-time Traumatic Anterior Shoulder Dislocations: A Numbers-needed-to-treat Analysis for Prevention of Recurrent Dislocations

The Recognition and Treatment of First-Time Shoulder Dislocation in Active Individuals

Contact Info

Product

Resources

About