[Traumatic shoulder dislocation. Late functional results with reference to the frequency of redislocation]

Area of Science:

• Orthopedics
• Traumatology
• Sports Medicine

Context:

• Primary shoulder dislocation is a common injury.
• Understanding factors influencing recurrence and functional outcomes is crucial for effective treatment.
• Optimal immobilization duration remains a debated topic in clinical practice.

Purpose:

• To investigate the relationship between immobilization duration, patient age, associated fractures, and the functional outcomes and recurrence rates of primary shoulder dislocations.
• To determine the ideal immobilization period for primary shoulder dislocations to minimize recurrence and maximize shoulder function.

Summary:

• This study analyzed 86 patients with primary shoulder dislocations, finding subcoracoid dislocation most common (62%). Recurrence rates were 15%, with functional impairment linked to higher age (>41 years) and fractures.
• Associated fractures (44%) and older age significantly worsened shoulder function. Immobilization duration (≤1 week, 1-2 weeks, >2 weeks) did not significantly impact recurrence or post-traumatic function.
• Uncomplicated dislocations benefit from short immobilization; however, fractures require extended immobilization for improved outcomes.

Impact:

• Provides evidence-based recommendations for managing primary shoulder dislocations.
• Informs clinical decision-making regarding immobilization duration based on injury complexity.
• Aims to improve patient outcomes by optimizing treatment strategies for shoulder dislocations.