Traumatology and Orthopedics of RussiaTraumatology and Orthopedics of RussiaТравматология и ортопедия России2311-29052542-0933Vreden National Medical Research Center of Traumatology and Orthopedics10610.21823/2311-2905-106ReviewsОбзорыReviewsUnknownPrimary traumatic anterior shoulder dislocation:conservative or early arthroscopic treatment (review)Первичный травматический передний вывих плеча: выбор между консервативным и ранним артроскопическим лечением (обзор литературы)KuzminaV. I.КузьминаВ. И.
Russian Federation
vladislava.kuzmina@gmail.comDokolinS. Y.ДоколинС. Ю.
Russian Federation
Vreden Russian Research Institute for Traumotology and OrthopedicsФГБУ «Российский научно-исследовательский институт травматологии и ортопедии им. Р.Р. Вредена» Минздрава России1212201420411011412092016Copyright ©; 2014,Copyright ©; 2014,2014https://journal.rniito.org/jour/article/view/106

Primary traumatic shoulder dislocation occurs in 1.7% of the general population. There are conflicting opinions about the treatment methods this pathology in the literature. This review analyzed the current literature, which show a lower percentage of recurrent dislocation after early arthroscopic shoulder stabilization in younger patients (15 to 25 years.) The older patients with primary shoulder dislocation may be treated with closed reduction followed by immobilization by retaining bandage.

Первичный травматический вывих плеча встречается у 1,7% общей популяции населения. О способах лечения данной патологии в литературе существуют противоречивые мнения. В представленном обзоре проанализированы данные современной литературы, которые показывают меньший процент рецидива вывиха после ранней артроскопической стабилизации плеча у пациентов молодого возраста(от 15 до 25 лет) У пациентов старшей возрастной группы с первичным травматическим вывихом плеча после закрытого вправления методом выбора может быть лечение в иммобилизующей повязке.

первичный травматический вывих плечанестабильность плечевого суставаартроскопическое лечениеконсервативное лечениеprimary traumatic shoulder dislocationshoulder instabilityarthroscopiyconservative treatmentАрхипов С.В. Посттравматическая нестабильность, заболевание ротаторной манжеты плечевого сустава у спортсменов и лиц физического труда: Патогенез. Современные методы диагностики и лечения Автореф. дис. … д-ра мед. наук. М., 1998. 48 с.Доколин С.Ю. Хирургическое лечение больных с передними вывихами плеча с использованием артроскопии. Автореф. дис. … д-ра мед. наук. СПб., 2002.Хасаншин М.М. Лечение пациентов с передней посттравматической нестабильностью плечевого сустава с применением артроскопических технологий. Автореф. дис. … д-ра мед. наук. М., 2014.Arciero R.A., Mazzocca A.D., The recogniting and treatment of first-time shoulder dislocation in active individuals. J Orthop Sports Phys Ther.2009; 39(2):118-123.Arciero R.A., Wheeler J.H., Ryan J.B., McBride J.T. Arthroscopic Bankart repair versus nonoperative treatment for acute, initial anterior shoulder dislocations. Am J Sports Med. 1994; 22:589-594.Bottoni C.R., Wilckens J.H., DeBerardino T.M., et al. A prospecive, randomized evaluation of arthroscopic stabilization ver- sus nonoperative treatment in patients with acute, traumatic, first-time shoulder dislocations. Am J Sports Med. 2002;30: 576-580.Brophy R.H., Marx R.G. The treatment of traumatic anterior instability of the shoulder: nonoperative and surgical treatment. Arthroscopy. 2009; 25(3):298-304.DeBerardino T.M., Arciero R.A., Taylor D.C., Uhorchak J.M. Prospective evaluation of arthroscopic stabilization of acute, initial anterior shoulder dislocations in young ath- letes. Two- to five-year follow-up. Am J Sports Med 2001;29:586-592.Edmonds G., Kirkley A., Birmingham T.B. et al. The effect of early arthroscopic stabilization compared to nonsurgical treatment on proprioception after primary traumatic anterior dislocation of the shoulder. Knee Surg Sports Traumatol Arthrosc 2003;11:116-121.Hovelius L., Augustini B.G., Fredin H., Johansson O., Norlin R., Thorling J. Primary anterior dislocation of the shoulder in young patients. A ten-year prospective study J Bone Joint Surg Am. 1996; 78:1677-1684.Itoi E., Hatakeyama Y., Sato T., Kido T.,Yamamota N. Immobilization in external rotation after shoulder dislocation reduce the risk of recurrence. A randomized controlled trail. J Bone Joint Surg Am. 2007; 89(10): 2124-2131.Jakobsen B.W., Johannsen H.V., Suder P., Sojbjerg J.O. Primary repair versus conservative treatment of first-time traumatic anterior dislocation of the shoulder: A randomized study with 10-year follow-up. Arthroscopy. 2007; 23:118-123.Kirkley A., Griffin S., Richards C., Miniaci A., Mohtadi N. Prospective randomized clinical trial comparing the effectiveness of immediate arthroscopic stabilization versus immobilization and rehabilitation in first traumatic anterior dislocations of the shoulder. Arthroscopy. 1999; 15:507-514.Kirkley A., Werstine R., Ratjek A., Griffin S. Prospective randomized clinical trial comparing the effectiveness of immediate arthroscopic stabilization versus immobilization and reha- bilitation in first traumatic anterior dislocations of the shoulder: Long-term evaluation. Arthroscopy. 2005; 21:55-63.Larrain M.V., Botto G.J., Montenegro H.J., Mauas D.M. Arthroscopic repair of acute traumatic anterior shoulder dislocation in young athletes. Arthroscopy. 2001; 17:373-377.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.Paterson W.H., Throckmorton T.W., Koester M., Azat F.M., Kuhn J.E., Position and duration of immobilization after primary anterior shoulder dislocation:a systematic revive and meta-analysis of the literature. J Bone Joint Surg Am. 2010; 92(18): 2924-2933.Robinson C.M., Howes J., Murdoch H., Will E., Graham C. Functional outcome and risk of recurrent instability after primary traumatic anterior shoulder dislocation in young patients. J Bone Joint Surg Am. 2006;88:2326-2336.Schliemann B.,Seybolt D., Muhr G.,Gekle C.,Immobilisation of the shoulderin external rotation after traumatic first-time dislocation-what is reasonable?A reprospective survey. Sportverletz Sportschaden. 2009; 23(2):100-105.Tischer T., Vogt S., Kreuz P.C., Imhoff A.B. Arthroscopic anatomy, variants, and pathologic findings in shoulder instability. Arthroscopy. 2011; 27(10):1434-1443.Wintzell G., Haglund-Akerlind Y., Ekelund A., Sandström B., Hovelius L, Larsson S. Arthroscopic lavage reduced the recurrence rate following primary anterior shoulder dislocation. A randomized multicentre study with 1-year follow- up. Knee Surgery Sports Traumatol.Arthroscop. 1999; 7:192-196.Yanmis I., Tunay S., Komurcu M., Yildiz C., Tunay V.B., Gur E. Outcomes of acute arthroscopic repair and conservative treat- ment following first traumatic dislocation of the shoulder joint in young patients. Ann Acad Med Singapore. 2003;32:824-827.