First time Anterior Shoulder Dislocation: Rationale for Treatment

Journal of Clinical Orthopaedics | Vol 6 | Issue 1 |  Jan-Jun 2021 | page: 60-64 | Shirish S Pathak , Gaurav Waghmare

Author: Shirish S Pathak [1], Gaurav Waghmare [1]

[1] Department of Shoulder and Sports Injury, Deenanath Mangeshkar Hospital, Pune, India

Address of Correspondence
Dr. Gaurav Waghmare,
Department of Shoulder and Sports Injury, Deenanath Mangeshkar Hospital, Pune, India


Anterior traumatic glenohumeral joint dislocation is the most common dislocation in the human body. The definitive management of first-time anterior shoulder dislocation remains controversial. The traditional conservative treatment of closed reduction and immobilisation has shown high recurrence rates in the young athletic male population involved in contact sports. This has led to an increased interest and trend amongst shoulder surgeons to offer early operative stabilisation after first dislocation itself. This article reviews current literature about recurrence rates after conservative versus operative treatment of first time shoulder dislocation. It also highlights key issues of defining the high risk group for recurrence after conservative treatment, compares the outcomes of surgery for first versus recurrent shoulder dislocations and also mentions complications of early surgery. Article also discusses an evidenced based treatment algorithm for the treatment of a first time anterior shoulder dislocation.
Keywords: dislocation, rationale, anterior


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How to Cite this article: Pathak SS, Waghmare G. First time anterior shoulder dislocation: rationale for treatment. Journal of Clinical Orthopaedics Jan-Jun 2021;6(1):60-64.

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