title: [Treatment of primary anterior shoulder dislocation; do not always treat conservatively].
abstract: According to the current guidelines, primary anterior shoulder dislocations are treated conservatively after repositioning by short-term immobilisation of the shoulder. Shoulder stabilization surgery--either open or arthroscopically--reduces the risk of recurrence and improves the functional outcome over the long term. Active young adults are known to have up to a 90% increased risk of recurrent dislocation after the conservative treatment of a primary shoulder dislocation. Active young men particularly benefit from shoulder stabilization surgery. When comparing operative techniques, there is no difference between an open procedure and an arthroscopic procedure in terms of recurrence. The choice between open treatment and arthroscopic treatment depends on the preference of the patient and the experience of the surgeon.
authors.affiliation: Academisch Medisch Centrum, Amsterdam.
authors.forename: Remy
authors.initials: R
authors.lastname: van der Heiden
authors.forename: Wendy E
authors.initials: WE
authors.lastname: Bruinsma
authors.forename: Gino M M J
authors.initials: GM
authors.lastname: Kerkhoffs
authors.forename: J Carel
authors.initials: JC
authors.lastname: Goslings
authors.forename: Niels W L
authors.initials: NW
authors.lastname: Schep
mesh_terms: D001182:Arthroscopy / Q000379:methods; D006801:Humans; D007103:Immobilization; D012008:Recurrence; D012783:Shoulder Dislocation / Q000601:surgery / Q000628:therapy*; D012785:Shoulder Joint / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome