Shoulder: Anatomy and Instability

Position and Duration of Immobilization After Primary Anterior Shoulder Dislocation: A Systematic Review and Meta-Analysis of the Literature

Paterson WH, Throckmorton TW, Koester M, et al (Campbell Clinic-Univ of Tennessee Dept of Orthopaedics, Memphis; Slocum Ctr for Orthopedics & Sports Medicine, Eugene, OR; et al) J Bone Joint Surg Am 92:2924-2933, 2010^§

Abstract

Background

Immobilization after closed reduction has long been the standard treatment for primary anterior dislocation of the shoulder. To determine the optimum duration and position of immobilization to prevent recurrent dislocation, a systematic review of the relevant literature was conducted.

Methods

Of 2083 published studies that were identified by means of a literature review, nine Level-I and Level-II studies were systematically reviewed. The outcome of interest was recurrent dislocation. Additional calculations were performed by pooling data to identify the ideal length and position (external or internal rotation) of immobilization.

Results

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