SynthesisBritish journal of sports medicine2018
Treatment after traumatic shoulder dislocation: a systematic review with a network meta-analysis.
Synthesis in British journal of sports medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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, 3 syntheses or guidelines pooled it, 72 citations in OpenAlex.
- Systematic Review of Arthroscopic Bankart Repair Outcomes for Anterior Shoulder Instability.Medical science monitor : international medical journal of experimental and clinical research · 2024Pooled it
- Arthroscopic Bankart repair versus conservative treatment for first-time traumatic anterior shoulder dislocation: a systematic review and meta-analysis.European journal of medical research · 2023Pooled it
- Conservative management following closed reduction of traumatic anterior dislocation of the shoulder.The Cochrane database of systematic reviews · 2019Pooled it
- Management of first-time shoulder dislocations: A survey of sport medicine physician perceptions.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Review
- Global Disease Burden of Traumatic Joint Dislocation from 1990 to 2021 and its prediction to 2045.Communications medicine · 2026Article
- 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
- Psychological factors influencing return to sport after shoulder stabilization: assessment tools and intervention strategies-a narrative review.Annals of joint · 2026Review
- Irreducible Anterior Shoulder Dislocation Caused by Soft Tissue Interposition: A Comprehensive Review.Cureus · 2025Review
- In Vivo (In)Stability Shoulder Assessment in Healthy Active Adults Using Force Plates and a Motion Capture System: A Cross-Sectional Study.Sensors (Basel, Switzerland) · 2025Article
- Cost utility analysis of acute rehabilitation approaches in the management of traumatic anterior shoulder dislocation.Bone & joint open · 2025Article
- Management of First-Time Anterior Shoulder Dislocation-A Systematic Review and Meta-analysis: Arthroscopy Association of Canada Position Statement.Orthopaedic journal of sports medicine · 2025Review
- Effect of a multicomponent exercise program focused on multivariable fatigue improvement versus standard care for glenohumeral instability: MoveUS study protocol.BMC musculoskeletal disorders · 2024Article
- The Top-20 Studies About Anterior Shoulder Instability From an Altmetric Analysis Had Higher Levels of Evidence Than Those From a Traditional Bibliometric Analysis.Arthroscopy, sports medicine, and rehabilitation · 2024Article
- Sutures, Screws, Buttons, and Anchors: A Review of Current Bone Graft Fixation Devices for Glenoid Bone Loss in the Unstable Shoulder.Current reviews in musculoskeletal medicine · 2024Review
- Current Clinical Concepts: Nonoperative Management of Shoulder Instability.Journal of athletic training · 2024Article
- Exploring temporal trends and burden of traumatic shoulder dislocation: a global perspective.Frontiers in public health · 2024Article
- Post-operative rehabilitation following traumatic anterior shoulder dislocation: A systematic scoping review.Shoulder & elbow · 2023Article
- The Effect of Blood Flow Restriction Therapy on Shoulder Function Following Shoulder Stabilization Surgery: A Case Series.International journal of sports physical therapy · 2022Article
- Off-track Hill-Sachs lesions predispose to recurrence after nonoperative management of first-time anterior shoulder dislocations.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Maximal Medical Improvement Following Shoulder Stabilization Surgery May Require up to 1 Year: A Systematic Review.HSS journal : the musculoskeletal journal of Hospital for Special Surgery · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo review and compare treatments (1) after primary traumatic shoulder dislocation aimed at minimising the risk of chronic shoulder instability and (2) for chronic post-traumatic shoulder instability.
designIntervention systematic review with random effects network meta-analysis and direct comparison meta-analyses. DATA SOURCES: Electronic databases (Ovid MEDLINE, Cochrane Clinical Trials Register, Cochrane Database of Systematic Reviews, Embase, Scopus, CINAHL, Ovid MEDLINE Epub Ahead of Print, In-Process & Other Non-Indexed Citations, Ovid MEDLINE Daily, DARE, HTA, NHSEED, Web of Science) and reference lists were searched from inception to 15 January 2018. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Randomised trials comparing any interventions either after a first-time, traumatic shoulder dislocation or chronic post-traumatic shoulder instability, with a shoulder instability, function or quality of life outcome.
resultsTwenty-two randomised controlled trials were included. There was moderate quality evidence suggesting that labrum repair reduced the risk of future shoulder dislocation (relative risk 0.15; 95% CI 0.03 to 0.8, p=0.026), and that with non-surgical management 47% of patients did not experience shoulder redislocation. Very low to low-quality evidence suggested no benefit of immobilisation in external rotation versus internal rotation. There was low-quality evidence that an open procedure was superior to arthroscopic surgery for preventing shoulder redislocations.
conclusionsThere was moderate-quality evidence that half of the patients managed with physiotherapy after a first-time traumatic shoulder dislocation did not experience recurrent shoulder dislocations. If chronic instability develops, surgery could be considered. There was no evidence regarding the effectiveness of surgical management for post-traumatic chronic shoulder instability.
Indexed as
Identifiers
What 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.