First-Time Dislocation Over 20 Years Without Bony Lesion
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.