Does the position of shoulder immobilization after reduced anterior glenohumeral dislocation affect coaptation of a Bankart lesion An arthrographic comparisonReportar como inadecuado




Does the position of shoulder immobilization after reduced anterior glenohumeral dislocation affect coaptation of a Bankart lesion An arthrographic comparison - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Journal of Orthopaedics and Traumatology

, Volume 16, Issue 4, pp 317–321

First Online: 17 April 2015Received: 04 July 2014Accepted: 26 March 2015

Abstract

BackgroundThe position of immobilization after anterior shoulder dislocation has been a controversial topic over the past decade. We compared the effect of post-reduction immobilization, whether external rotation or internal rotation, on coaptation of the torn labrum.

Materials and methodsTwenty patients aged <40 years with primary anterior shoulder dislocation without associated fractures were randomized to post-reduction external rotation immobilization nine patients or internal rotation 11 patients. After 3 weeks, magnetic resonance arthrography was performed. Displacement, separation, and opening angle parameters were assessed and analyzed.

ResultsSeparation 1.16 ± 1.11 vs 2.43 ± 1.17 mm, displacement 1.73 ± 1.64 vs 2.28 ± 1.36 mm, and opening angle 15.00 ± 15.84 vs 27.86 ± 14.74 ° in the externally rotated group were decreased in comparison to the internally rotated group. A statistically significant difference between groups was seen only for separation p = 0.028; p values of displacement and opening angle were 0.354 and 0.099, respectively.

ConclusionExternal rotation immobilization after reduction of primary anterior shoulder dislocation could result in a decrease in anterior capsule detachment and labral reduction.

Level of evidenceLevel 2.

KeywordsShoulder Dislocation Bankart lesion External rotation  Download fulltext PDF



Autor: Omid Reza Momenzadeh - Masoome Pourmokhtari - Sepideh Sefidbakht - Amir Reza Vosoughi

Fuente: https://link.springer.com/







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