To the question of the immobilization after the reduction of primary traumatic shoulder dislocation (review)

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Abstract

The article presented the evolution of views on the conservative treatment of primary traumatic shoulder dislocation. The shortcomings of common method of conservative treatment for shoulder dislocation are listed, as well as the ways to eliminate them. The trends for further investigations for this problem are marked.The authors conclude that the standard treatment for primary traumatic shoulder dislocation is the immobilization of the damaged shoulder joint immediately after atraumatic traction reposition in the position of external rotation for a period of 3 to 7 weeks.

About the authors

V. A. Aslanov

Severodvinsk city hospital №1

Author for correspondence.
Email: valery-aslanov@yandex.ru
Россия

R. P. Matveev

Northern State Medical University

Email: noemail@neicon.ru
Россия

References

  1. Краснов А.Ф., Ахмедзянов Р.Б. Вывихи плеча. М.: Медицина; 1982. 160 с.
  2. Литвин Ю.П., Чабаненко И.П., Пивень Ю.М. Современные принципы диагностики и лечения травматического вывиха плеча. Вестник ортопедии, травматологии и протезирования. 2006;(1):25-28.
  3. Матвеев Р.П., Асланов В.А. Анализ результатов лечения первичного травматического вывиха плеча. Травматология и ортопедия России. 2011;(1(59)):96-100.
  4. Матвеев Р.П., Асланов В.А. Новый взгляд на лечение первичного травматического вывиха плеча. Врач-аспирант. 2010;(6.2(43)):248-254.
  5. Матвеев Р.П., Асланов В.А. Новые шаги в консервативном лечении первичного травматического вывиха плеча. Врачаспирант. 2012;(6.2(43)):213-217.
  6. Неверов В.А. Современный взгляд на лечение больных с травматическим вывихом плеча. Вестник хирургии имени И.И. Грекова. 2007;(2):51-54.
  7. Arciero R.A., Mazzocca A.D., Wang R.Y. The recognition and treatment of first-time shoulder dislocation in active individuals. J Orthop Sports Phys Ther. 2009;39(2):118-123.
  8. Arliani G.G., Astur D.D., Cohen C., Ejnisman B., Andreoli C.V., Pochini A.C., Cohen M. Surgical versus nonsurgical treatment in first traumatic anterior dislocation of the shoulder in athletes. Open Access J Sports Med. 2011;2:19-24.
  9. Bedi A., Ryu R.K. The treatment of primary anterior shoulder dislocations. Instr Course Lect. 2009;58:293-304.
  10. Bontempo N.A., Mazzocca A.D. Biomechanics and treatment of acromioclavicular and sternoclavicular joint injuries. Br J Sports Med. 2010;44(5):361-369.
  11. Boone J.L., Arciero R.A. First-time anterior shoulder dislocations: has the standard changed? Br J Sports Med. 2010;44(5):355-360.
  12. Chong M., Karataglis D., Learmonth D. Ann R. Has the management of shoulder dislocation changed over time? J Int Orthop. 2007;31(3):385-389.
  13. Cox C.L., Kuhn J.E. Operative versus nonoperative treatment of acute shoulder dislocation in the athlete. Curr Sports Med Rep. 2008;7(5):263-268.
  14. Cutts S., Prempeh M., Drew S. Ann R Anterior shoulder dislocation. Coll Surg Engl. 2009;91(1):2-7.
  15. De Baere T., Delloye C. First-time traumatic anterior dislocation of the shoulder in young adults: the position of the arm during immobilisation revisited. Acta Orthop Belg. 2005;71(5):516-520.
  16. Deyle G.D., Nagel K.L. Prolonged immobilization in abduction and neutral rotation for a first-episode anterior shoulder dislocation. J Orthop Sports Phys Ther. 2007;37(4):192-198.
  17. Dodson C.C., Cordasco F.A. Anterior glenohumeral joint dislocations. Orthop Clin North Am. 2008;39(4):507-518.
  18. Finestone A., Milgrom C., Radeva-Petrova D.R., Rath E., Barchilon V., Beyth S., Jaber S., Safran O. Bracing in external rotation for traumatic anterior dislocation of the shoulder. J Bone Joint Surg Br. 2009;91(7):918-921.
  19. Funk L., Smith M. Best evidence topic report. How to immobilise after shoulder dislocation? Emerg Med J. 2005;22(11):814-815.
  20. Gigis I., Heikenfeld R., Kapinas A., Listringhaus R., Godolias G. Arthroscopic versus conservative treatment of first anterior dislocation of the shoulder in adolescents. J Pediatr Orthop. 2014;34(4):421-425.
  21. Good C.R., MacGillivray J.D. Traumatic shoulder dislocation in the adolescent athlete: advances in surgical treatment. Curr. Opin. Pediatr. 2005;17(1):25-29.
  22. Handoll H.H., Hanchard N.C., Goodchild L., Feary J. Conservative management following closed reduction of traumatic anterior dislocation of the shoulder. Cochrane Database Syst Rev. 2006; 25(1):CD004962.
  23. Heidari K., Asadollahi S., Vafaee R., Barfehei A., Kamalifar H., Chaboksavar Z.A., Sabbaghi M. Immobilization in external rotation combined with abduction reduces the risk of recurrence after primary anterior shoulder dislocation. J Shoulder Elbow Surg. 2014;23(6):759-766.
  24. Hoppes C.W. Immobilization in neutral rotation for a glenohumeral dislocation using a sling and splint. N Am J Sports Phys Ther. 2008;3(1):22-24.
  25. Hovelius L. Anterior dislocation of the shoulder in teeh-agers and young adults. Five-year prognosis. J Bone Joint Surg Am. 1987;69(3):393-399.
  26. Hovelius L., Olofsson A., Sandström B., Augustini B.G., Krantz L., Fredin H., Tillander B., Skoglund U., Salomonsson B., Nowak J., Sennerby U. Nonoperative treatment of primary anterior shoulder dislocation in patients forty years of age and younger. a prospective twenty-five-year follow-up. J Bone Joint Surg Am. 2008;90(5):945-952.
  27. Hovelius L., Nilsson J.A., Nordqvist A. Increased mortality after anterior shoulder dislocation: 255 patients aged 12-40 years followed for 25 years. Acta Orthop. 2007;78(6):822-826.
  28. Huxel Bliven K., Hamstra-Wright K.L. Effectiveness of externalrotation immobilization after initial shoulder dislocation in reducing recurrence rates. J Sport Rehabil. 2012;21(2):199-203.
  29. Itoi E., Lee S.B., Berglund L.J., Berge L.L., An K.N. The effect of a glenoid defect on anterioinferior stability of the shoulder after Bankart repair: a cadaveric study. J Bone Joint Surg Am. 2000; 82(1): 35-46.
  30. Itoi E., Hatakeyama Y., Sato T., Kido T., Minagawa H., Yamamoto N., Wakabayashi I., Nozaka K. Immobilization in external rotation after shoulder dislocation reduces the risk of recurrence. A randomized controlled trial. J Bone Joint Surg Am. 2007;89(10):2124-2131.
  31. Kirkley A., Werstine R., Ratjek A., Griffin S. 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. Arthroscopy. 2005;21(1):55-63.
  32. Kiviluoto O., Pasila M., Jaroma H., Sundholm A. Immobilizaton after primary dislocation of the shoulder. Acta Orthop Scand. 1980;51(6):915-919.
  33. Kralinger F.S., Golser K., Wischatta R., Wambacher M., Sperner G. Predicting recurrence after primary anterior shoulder dislocation. Am J Sports Med. 2002;30(1):116-120.
  34. Kuhn J.E. Treating the initial anterior shoulder dislocation-an evidence-based medicine approach. Sports Med Arthrosc. 2006;14(4):192-198.
  35. Liavaag S., Brox J.I., Pripp A.H., Enger M., Soldal L.A., Svenningsen S. Immobilization in external rotation after primary shoulder dislocation did not reduce the risk of recurrence: a randomized controlled trial. J Bone Joint Surg Am. 2011;93(10):897-904.
  36. Lichtenberg S., Magosch P., Habermeyer P. Traumatic anterior shoulder dislocation. Unfallchirurg. 2005;108(4):299-313.
  37. Lill H., Verheyden P., Korner J., Hepp P., Josten C. Conservative treatment after first traumatic shoulder dislocation. Chirurg. 1998;69(11):1230-1237.
  38. Limpisvasti O., Yang B., Hosseinzadeh P., Leba T., Tibone J., Lee T. The effect of glenohumeral position on the shoulder after traumatic anterior dislocation. Am J Sports Med. 2008;36(4):775-780.
  39. Liu Y.L., Ao Y.F., Cui G.Q., Zhu J.X. Changes of histology and capsular collagen in a rat shoulder immobilization model. Chin Med J. 2011;124(23):3939-3944.
  40. Longo U.G., Loppini M., Rizzello G., Ciuffreda M., Maffulli N., Denaro V. Management of primary acute anterior shoulder dislocation: systematic review and quantitative synthesis of the literature. Arthroscopy. 2014;30(4):506-522.
  41. Macdonald P.B., Lapointe P. Acromioclavicular and sternoclavicular joint injuries. Orthop Clin North Am. 2008;39(4):535-545.
  42. Maeda A., Yoneda M., Horibe S., Hirooka A., Wakitani S., Narita Y. Longer immobilization extends the «symptom-free» period following primary shoulder dislocation in young rugby players. J Orthop Sci. 2002;7(10):43-47.
  43. Marans H.J., Jacson R.W., Piccinin J., Silver R.L., Kennedy D.K. Functional testing of braces for anterior cruciate ligamentdeficient knees. Can J Surg. 1991;34(2):167-172.
  44. Meena S., Saini P., Singh V., Kumar R., Trikha V. Bilateral anterior shoulder dislocation. J Nat Sci Biol Med. 2013;4(2):499-501.
  45. Michael J.W., Springorum H.P., Berzdorf A., Eysel P., König D.P. Upright MRI of the shoulder demonstrates labrum dynamics. Int J Sports Med. 2008;29(12):999-1002.
  46. Micic I.D., Mitkovic M.B., Mladenovic D.S. Unreduced chronic dislocation of the humeral head with ipsilateral humeral shaft fracture: a case report. J Orthop Trauma. 2005;19(8):578-581.
  47. Miller B.S., Sonnabend D.H., Hatrick C., O’leary S., Goldberg J., Harper W., Walsh W.R. Should acute anterior dislocations of the shoulder be immobilized in external rotation? A cadaveric study. J Shoulder Elbow Surg. 2004;13(6):589-592.
  48. Murray I.R., Ahmed I., White N.J., Robinson C.M. Traumatic anterior shoulder instability in the athlete. Scand J Med Sci Sports. 2013;23(4):387-405.
  49. Norte G.E., West A., Gnacinski M., van der Meijden O.A., Millett P. On-field management of the acute anterior glenohumeral dislocation. J Phys Sportsmed. 2011;39(3):151-62.
  50. Nourredine H., El Sayad M., Gull S., Davies A.P. Bilateral anterior shoulder dislocation. BMJ Case Rep. 2013 Apr 29;2013.
  51. O’Connor D.R., Schwarze D., Fragomen A.T., Perdomo M. Painless reduction of acute anterior shoulder dislocations without anesthesia. Orthopedics. 2006;29(6):528-532.
  52. Ozer H., Baltaci G., Selek H., Turanli S. Opposite-direction bilateral fracture dislocation of the shoulders after an electric shock. Arch Orthop Trauma Surg. 2005;125(7): 499-502.
  53. Paterson W.H., Throckmorton T.W., Koester M., Azar F.M., Kuhn J.E. Position and duration of immobilization after primary anterior shoulder dislocation: a systematic review and meta-analysis of the literature. J Bone Joint Surg Am. 2010;92(18):2924-2933.
  54. Pennekamp W., Gekle C., Nicolas V., Seybold D. Initial results of shoulder MRI in external rotation after primary shoulder dislocation and after immobilization in external rotation. Rofo. 2006;178(4):410-415.
  55. Robinson C.M., Seah M., Akhtar M.A. The epidemiology, risk of recurrence, and functional outcome after an acute traumatic posterior dislocation of the shoulder. J Bone Joint Surg Am. 2011;93(17):1605-1613.
  56. Rowe C.R., Sakellarides H.T. Factors related to recurrences of anterior dislocations of the shoulder. Clin Orthop. 1961;(20):40-48.
  57. Schofer M.D., Diehl A., Theisen C., Timmesfeld N., Heyse T.J., Fuchs-Winkelmann S., Efe T.Z. Anterior shoulder instability-the current situation. Orthop Unfall. 2010;148(1):83-89.
  58. Simonet W.T., Cofield R.H. Prognosis in anterior shoulder dislocation. Am J Sports Med. 1984;12(1):19-24.
  59. Sims K., Spina A. Traumatic anterior shoulder dislocation: a case study of nonoperative management in a mixed martial arts athlete. J Can Chiropr Assoc. 2009;53(4):261-271.
  60. Van der Heiden R., Bruinsma W.E., Kerkhoffs G.M., Goslings J.C., Schep N.W. Treatment of primary anterior shoulder dislocation; do not always treat conservatively. Ned Tijdschr Geneeskd. 2013;157(37):A5526.

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