ArticleThe archives of bone and joint surgery2016
Traumatic First Time Shoulder Dislocation: Surgery vs Non-Operative Treatment.
Article in The archives of bone and joint surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.
- Clinical Outcomes, Union Rates, and Complications of Screw Versus Button Fixation in the Bristow-Latarjet Procedure for Anterior Shoulder Instability: A Systematic Review and Meta-Analysis.Clinics in orthopedic surgery · 2023Pooled it
- EVIDENCE-BASED REVIEW & RECOMMENDATIONS FROM THE BRAZILIAN SOCIETY OF SHOULDER AND ELBOW SURGERY: BANKART REPAIR WITH REMPLISSAGE FOR RECURRENT GLENOHUMERAL INSTABILITY WITH BONE LOSS.Acta ortopedica brasileira · 2026Review
- Up-to-date concepts and procedures in shoulder instability: a comprehensive review.Clinics in shoulder and elbow · 2025Article
- Evaluation and Management Anterior Shoulder Instability Among Football Players.Current reviews in musculoskeletal medicine · 2025Review
- Review
- Glenohumeral capsular injury rate in patients with glenohumeral instability: a systematic review and meta-analysis.JSES reviews, reports, and techniques · 2024Article
- Arthroscopic Bankart repair versus nonoperative management for first-time anterior shoulder instability: A cost-effectiveness analysis.Shoulder & elbow · 2024Article
- Traumatic Anterior Shoulder Instability: A Systematic Review and Proposed Modern Classification System.The archives of bone and joint surgery · 2024Article
- Patient perceptions after the operative and nonoperative treatment of shoulder instability: A qualitative focus group study.Shoulder & elbow · 2023Article
- First-time traumatic anterior shoulder dislocation: Approach for the primary health care physician.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023Article
- Patients Aged >50 Years With Anterior Shoulder Instability Have a Decreased Risk of Recurrent Dislocation After Operative Treatment Compared With Non-Operative Treatment.Arthroscopy, sports medicine, and rehabilitation · 2023Article
- Patient-Preference Diagnostics: Adapting Stated-Preference Methods to Inform Effective Shared Decision Making.Medical decision making : an international journal of the Society for Medical Decision Making · 2023Article
- Bone loss in shoulder instability: putting it all together.Annals of joint · 2023Review
- Short-term Complications of Open Latarjet Procedure for Recurrent Anterior Shoulder Dislocation.Medical journal of the Islamic Republic of Iran · 2023Article
- Risk for recurrent instability and reoperation following arthroscopic and open shoulder stabilization in a large cross-sectional population.JSES international · 2022Article
- Comparison of perioperative complications following surgical treatment of shoulder instability.JSES international · 2022Article
- Imaging of traumatic shoulder injuries - Understanding the surgeon's perspective.European journal of radiology open · 2022Review
- Case report of old anterior dislocation of the shoulder joint and review of the literature.Frontiers in surgery · 2022Article
- Common animal models lack a distinct glenoid labrum: a comparative anatomy study.Journal of experimental orthopaedics · 2021Article
- A rare case of anterior shoulder dislocation in 1-year- and 10-month-old toddler: case report and literature review.Archives of orthopaedic and trauma surgery · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Management of first shoulder dislocation following reduction remains controversial. The two main options are immobilisation and arthroscopic stabilisation. The aim of this article is to highlight some of the issues that influence decision making when discussing management options with these patients, including natural history of the first time dislocation, outcomes of surgery and non-operative management particularly on the risk of future osteoarthritis (OA), the effects of delaying surgery and the optimal method of immobilisation. Extensive literature review was performed looking for previous publication addressing 4 points. i) Natural history of primary shoulder dislocation ii) Effect of surgical intervention on natural history iii) Risk of long term osteoarthritis with and without surgical intervention iv) Immobilisation techniques post reduction. Individuals younger than 25 years old are likely to re-dislocate with non-operative management. Surgery reduces risk of recurrent instability. Patients with recurrent instability appear to be at a higher risk of OA. Those who have surgical stabilisation do not appear to be at a higher risk than those who dislocate just once, but are less likely to develop OA than those with recurrent instability. Delaying surgery makes the stabilisation more demanding due to elongation of capsule, progressive labro-ligamentous injury, prevalence and severity of glenoid bone loss. Recent studies have failed to match the preliminary outcomes associated with external rotation braces. Defining the best timing and type of treatment remains a challenge and should be tailored to each individual's age, occupation and degree of physical activity.
Indexed as
Identifiers
27200385PMC4852033W2325486257What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.