A prospective controlled randomized study of arthroscopic lavage in acute primary anterior dislocation of the shoulder: one-year follow-up.
Traumatic primary anterior shoulder dislocation has a very high recurrence rate among young people. This has supplied the motivation for studies to find methods of treatment that might become an alternative to traditional therapy. A prospective controlled study was performed to test the hypothesis that acute arthroscopic lavage might have a positive effect on recurrence rate as well as on shoulder stability, range of motion and mobilization. 30 consecutive patients between 18 and 30 years of age were randomized into 2 groups, 1 control group treated conservatively and 1 group treated with acute arthroscopic lavage within 10 days. Clinical examination was made by an independent observer at 1, 6 and 12 months. Results at 6- and 12-month check-ups showed a statistically significantly lower rate of redislocation and a wider range of motion for the group treated with acute arthroscopic lavage. Functional assessment according to the Lysholm shoulder score also indicated better functioning of the joint. Our 1-year follow-up shows very promising and interesting results.
Wintzell
G
G
Department of Orthopaedic Surgery, Karolinska Institute, Söder Hospital, Stockholm, Sweden.
Haglund-Akerlind
Y
Y
Tidermark
J
J
Wredmark
T
T
Eriksson
E
E
D000328:Adult; D001182:Arthroscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011446:Prospective Studies; D012783:Shoulder Dislocation / Q000628:therapy*; D007507:Therapeutic Irrigation; D016896:Treatment Outcome