Treatment of the traumatic anterior shoulder dislocation by immobilization in external rotation – a review of the current literature
نویسنده
چکیده
Traumatic anterior shoulder dislocation is a frequent and painful injury which equally affects young and older persons. The incidence is approx. 15 cases per 100,000 persons and year (6). The standard treatment that had been common for a long time was immobilization, in which the affected shoulder was fixed in front of the body in internal rotation. However doubts of this treatment method grew since 1990, since it was linked to high recurrence rates. Therefore various alternative forms of treatment have been developed (5). The aim of this literature review is to assess the current knowledge on conservative treatment of traumatic anterior shoulder dislocation. For this purpose, a literature search was performed in suitable databases (PubMed, Embase). The results of clinical trials which might contribute to answering the inquiry were considered herein. After reviewing all suitable publications on conservative therapy, it can be concluded that the shoulder joint should be immobilized in external rotation for approx. 3-7 weeks after traumatic anterior dislocation.
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