Immobilization in external rotation vs internal rotation after shoulder dislocation: A systematic review and...

Area of Science:

• Orthopedics
• Sports Medicine
• Rehabilitation

Background:

• Shoulder joint dislocation is a frequent injury, particularly in young individuals, with a high rate of recurrence.
• Conservative management is the primary treatment approach.
• External rotation and internal rotation fixation are common conservative therapies.

Purpose of the Study:

• To systematically review and meta-analyze the efficacy and safety of external rotation versus internal rotation fixation for shoulder dislocation.
• To compare the clinical outcomes of these two conservative treatment methods.

Main Methods:

• A systematic search of nine electronic databases (PubMed, Web of Science, Embase, Cochrane Library, CENTRAL, ClinicalTrials.gov, CNKI, Wanfang, VIP).
• Inclusion of randomized controlled trials.
• Data analysis using RevMan5.3, with subgroup and sensitivity analyses as needed.
• Evidence hierarchy evaluation using GRADE.

Main Results:

• This study will analyze and integrate existing evidence on the clinical efficacy and safety of external rotation and internal rotation immobilization for shoulder dislocation.
• Quantitative synthesis of data from included randomized controlled trials.

Conclusions:

• The study will provide higher-level evidence and recommendations for treating shoulder dislocation.
• Findings will aid in guiding clinical decision-making for optimal patient outcomes.