Evidence map›Paper›PMID 31297678›Full record

ReviewSports medicine - open2019

Management of primary anterior shoulder dislocations: a narrative review.

Andrew W Hasebroock, Joseph Brinkman, Lukas Foster, Joseph P Bowens

Open access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Sports medicine - open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Management of anterior shoulder instability in patients aged 40 and older: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Pooled it
  2. Comparison of Bankart repair with remplissage and Latarjet procedure for anterior shoulder instability: a systematic review and meta-analysis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026
    Pooled it
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  12. The Clinical Utility of the Seated Wall Angel as a Test with Scoring.International journal of sports physical therapy · 2024
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  15. [Treatment strategies for traumatic anterior shoulder dislocation].Unfallchirurgie (Heidelberg, Germany) · 2023
    Review
  16. 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 · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Andrew W HasebroockCreighton University School of Medicine, 2500 California Plaza, Omaha, NE, 68105, USA.
Joseph BrinkmanCreighton University School of Medicine, 2500 California Plaza, Omaha, NE, 68105, USA.
Lukas FosterCreighton University School of Medicine, 2500 California Plaza, Omaha, NE, 68105, USA. lukasfoster@creighton.edu.ORCID http://orcid.org/0000-0001-7462-9379
Joseph P BowensCreighton University School of Medicine, 2500 California Plaza, Omaha, NE, 68105, USA.
Creighton University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The recurrence rate following acute anterior shoulder dislocations is high, particularly in young, active individuals. The purpose of this paper is to provide a narrative overview of the best available evidence and results with regards to diagnostic considerations, comorbidities, position of immobilization, surgical versus conservative management, and time to return to play for the management of primary anterior shoulder dislocations. Three independent reviewers performed literature searches using PubMed, MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials. Randomized controlled trials and systematic reviews meeting inclusion criteria from 1930 to April 2019 were appraised and discussed with the intent to consolidate the best available evidence with regards to lowering recurrence rates. A majority of studies support early surgical intervention for individuals between 21 and 30 years of age following primary shoulder dislocations, as this group is particularly susceptible to recurrence. Conservative treatment plans favor 1-3 weeks of immobilization in internal rotation, followed by rehabilitation. Surgical methods are associated with longer time to return to play, but lower recurrence rates. Return to play time is best determined on an individualized basis, when subjective and objective function of both shoulders is determined to be symmetric. This paper broadly summarizes the best available evidence for the management of primary anterior shoulder dislocations. There remains a need for randomized studies to determine ideal long-term treatment following conservative or surgical management, as general timelines for returning to play following injury remain vague. LEVEL OF EVIDENCE: IV, Narrative Review.

Indexed as

Anterior shoulder dislocationAnterior shoulder dislocation managementAnterior shoulder dislocation recurrenceAnterior shoulder dislocation treatment

Identifiers

PMID31297678
PMCPMC6624218
OpenAlexW2960755755

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.