title: Approach to the treatment of primary anterior shoulder dislocation: A review.
abstract: Glenohumeral joint dislocation is common among younger, active patients. Anterior dislocation is the most common direction of instability following a traumatic event. Due to a high rate of recurrence following primary traumatic anterior shoulder dislocation, an evidence-based approach is necessary to determine the best treatment regime for a patient presenting with this problem. A history, physical examination, and radiographic imaging can help guide treatment recommendations by determining the extent of soft tissue damage following dislocation. Controversies in the treatment of the first-time dislocator include the length and position of immobilization following dislocation, and the role of initial surgical stabilization. This article outlines the treatment options for the first-time glenohumeral dislocator, with an emphasis on the available evidence in the literature. Where applicable, the criteria known as the Strength of Recommendation Taxonomy were used to summarize the strength of evidence available for recommendations.
authors.affiliation: Rothman Institute , Philadelphia, PA , USA.
authors.forename: Patrick
authors.initials: P
authors.lastname: Kane
authors.forename: Shawn M
authors.initials: SM
authors.lastname: Bifano
authors.forename: Christopher C
authors.initials: CC
authors.lastname: Dodson
authors.forename: Kevin B
authors.initials: KB
authors.lastname: Freedman
mesh_terms: D006801:Humans; D007593:Joint Instability / Q000209:etiology / Q000601:surgery; D012149:Restraint, Physical; D012782:Shoulder / Q000601:surgery; D012783:Shoulder Dislocation / Q000150:complications / Q000601:surgery / Q000628:therapy*; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000601:surgery; D017695:Soft Tissue Injuries / Q000209:etiology / Q000628:therapy
keywords: Glenohumeral joint instability; anterior shoulder instability; evidence-based approach; primary shoulder dislocation