title: Surgical versus nonsurgical treatment in first traumatic anterior dislocation of the shoulder in athletes.
abstract: Anterior traumatic dislocation is a common problem faced by orthopedic surgeons. After the first episode of shoulder dislocation, a combination of lesions can lead to chronic instability. The management in treatment of young athletes after the first acute anterior shoulder dislocation is controversial. The available literature supports early surgical treatment for young male athletes engaged in highly demanding physical activities after the first episode of traumatic dislocation of the shoulder. This is because of the best functional results and lower recurrence rates obtained with this treatment in this population. However, further clinical trials of good quality comparing surgical versus nonsurgical treatment for well-defined lesions are needed, especially for categories of patients who have a lower risk of recurrence.
authors.affiliation: Centro de Traumatologia do Esporte (CETE), Departamento de Ortopedia e Traumatologia da Universidade Federal de São Paulo, São Paulo, Brazil.
authors.forename: Gustavo Gonçalves
authors.initials: GG
authors.lastname: Arliani
authors.forename: Diego da Costa
authors.initials: Dda C
authors.lastname: Astur
authors.forename: Carina
authors.initials: C
authors.lastname: Cohen
authors.forename: Benno
authors.initials: B
authors.lastname: Ejnisman
authors.forename: Carlos Vicente
authors.initials: CV
authors.lastname: Andreoli
authors.forename: Alberto Castro
authors.initials: AC
authors.lastname: Pochini
authors.forename: Moises
authors.initials: M
authors.lastname: Cohen
keywords: athlete; conservative treatment; immobilization; primary treatment; shoulder dislocation; stabilization; surgical treatment