title: Conservative treatment of traumatic shoulder instability: a case series study.
abstract: OBJECTIVE
  The aim of this case series study was to evaluate the efficacy of a rehabilitative approach to restoring stability, range of motion, and function of shoulder joint in non-operated adults presenting a first episode of traumatic anterior shoulder dislocation.
  
  
  METHODS
  In this case series study, we evaluated patients aged from 20 to 44 years, with diagnosis of first episode of traumatic anterior shoulder dislocation. All participants underwent a conservative treatment protocol, lasting 3 months. The primary outcome measure was the Rowe score for instability. Follow-up evaluations were done at 3, 6, 12, and 24 months.
  
  
  RESULTS
  We evaluated 32 participants mean aged 27.94 ± 2.23 years. At the baseline (T 0), the participants had a mean Rowe score of instability of 44.53 ± 7.00 SD, where 81.25% had a poor score and 18.75% had a fair score. At 24 months (T 4), the Rowe score for instability was 79.84 ± 6.66 SD. 21.88% of patients had a fair score, 71.87% had a good score, and 6.25% had an excellent score.
  
  
  CONCLUSIONS
  We showed that our rehabilitative approach seems to be effective in the conservative management of shoulder instability in adults with first episode of traumatic anterior shoulder dislocation, not involved in sport activity, and not overhead workers.
authors.affiliation: Department of Medical and Surgical Specialties and Dentistry, Second University of Naples, Naples, Italy, i.riccio@inwind.it.
authors.forename: I
authors.initials: I
authors.lastname: Riccio
authors.forename: A
authors.initials: A
authors.lastname: de Sire
authors.forename: C
authors.initials: C
authors.lastname: Latte
authors.forename: F
authors.initials: F
authors.lastname: Pascarella
authors.forename: F
authors.initials: F
authors.lastname: Gimigliano
mesh_terms: D000328:Adult; D000072700:Conservative Treatment / Q000379:methods*; D005260:Female; D006801:Humans; D007103:Immobilization; D007593:Joint Instability / Q000534:rehabilitation*; D008297:Male; D016059:Range of Motion, Articular; D012783:Shoulder Dislocation / Q000534:rehabilitation*; D012785:Shoulder Joint; D013997:Time Factors; D055815:Young Adult