Traumatic anterior shoulder dislocation might damage the soft tissues surrounding the shoulder and bony structure of the glenohumeral joint. Patients with recurrent shoulder dislocation show a significantly higher prevalence and degree of Bankart lesion and associated intraarticular lesions compared to patients after a first-time shoulder dislocation. Management strategy for the first-time anterior glenohumeral dislocation remains debated. Age, gender, time since dislocation, physical and sport activity level, greater tuberosity fracture and apprehension-relocation test are the main prognostic factors used in decision-making process while treating patients after a first-time shoulder dislocation with no bony lesions. Primary surgical stabilization might be preferred in patients with a higher risk for recurrent dislocation based on those characteristics.

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First-Time Dislocation Over 20 Years Without Bony Lesion

  • Edoardo Giovannetti de Sanctis,
  • Francesco Franceschi

摘要

Traumatic anterior shoulder dislocation might damage the soft tissues surrounding the shoulder and bony structure of the glenohumeral joint. Patients with recurrent shoulder dislocation show a significantly higher prevalence and degree of Bankart lesion and associated intraarticular lesions compared to patients after a first-time shoulder dislocation. Management strategy for the first-time anterior glenohumeral dislocation remains debated. Age, gender, time since dislocation, physical and sport activity level, greater tuberosity fracture and apprehension-relocation test are the main prognostic factors used in decision-making process while treating patients after a first-time shoulder dislocation with no bony lesions. Primary surgical stabilization might be preferred in patients with a higher risk for recurrent dislocation based on those characteristics.