Document Detail


Bracing in external rotation for traumatic anterior dislocation of the shoulder.
MedLine Citation:
PMID:  19567857     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We undertook a prospective study in 51 male patients aged between 17 and 27 years to ascertain whether immobilisation after primary traumatic anterior dislocation of the shoulder in external rotation was more effective than immobilisation in internal rotation in preventing recurrent dislocation in a physically active population. Of the 51 patients, 24 were randomised to be treated by a traditional brace in internal rotation and 27 were immobilised in external rotation of 15 degrees to 20 degrees. After immobilisation, the patients undertook a standard regime of physiotherapy and were then assessed clinically for evidence of instability. When reviewed at a mean of 33.4 months (24 to 48) ten from the external rotation group (37%) and ten from the internal rotation group (41.7%) had sustained a further dislocation. There was no statistically significant difference (p = 0.74) between the groups. Our findings show that external rotation bracing may not be as effective as previously reported in preventing recurrent anterior dislocation of the shoulder.
Authors:
A Finestone; C Milgrom; D R Radeva-Petrova; E Rath; V Barchilon; S Beyth; S Jaber; O Safran
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  91     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-07-01     Completed Date:  2009-08-13     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  918-21     Citation Subset:  AIM; IM    
Affiliation:
Assaf HaRofeh Medical Centre, Zerrifin, Beer Yaakov 70300, Israel.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Braces*
Humans
Immobilization / methods*
Joint Instability / physiopathology,  therapy*
Male
Prospective Studies
Range of Motion, Articular / physiology
Recurrence / prevention & control
Rotation
Shoulder Dislocation / physiopathology,  prevention & control,  therapy*
Time Factors
Treatment Outcome
Young Adult
Comments/Corrections
Comment In:
J Bone Joint Surg Am. 2010 May;92(5):1262   [PMID:  20439676 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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