Intervention Review

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Surgical versus non-surgical treatment for acute anterior shoulder dislocation

  1. Helen HG Handoll2,
  2. Mohammed A Al-Maiyah1,*

Editorial Group: Cochrane Bone, Joint and Muscle Trauma Group

Published Online: 26 JAN 2004

Assessed as up-to-date: 13 AUG 2009

DOI: 10.1002/14651858.CD004325.pub2


How to Cite

Handoll HHG, Al-Maiyah MA. Surgical versus non-surgical treatment for acute anterior shoulder dislocation. Cochrane Database of Systematic Reviews 2004, Issue 1. Art. No.: CD004325. DOI: 10.1002/14651858.CD004325.pub2.

Author Information

  1. 1

    Trauma & Orthopaedic Department, c/o Mr Rangan's Secretary, Middlesbrough, Cleveland, UK

  2. 2

    University of Teesside, Centre for Rehabilitation Sciences (CRS), Research Institute for Health Sciences and Social Care, Middlesborough, Tees Valley, UK

*Mohammed A Al-Maiyah, c/o Mr Rangan's Secretary, Trauma & Orthopaedic Department, The James Cook University Hospital, Marton Road, Middlesbrough, Cleveland, TS4 3BW, UK. mamaiyah@yahoo.co.uk. mamaiyah@doctors.net.uk.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 26 JAN 2004

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References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Bottoni 2002 {published data only}
  • Bottoni CR, Wilckens JH, DeBerardino TM, D'Alleyrand JG, Rooney RC, Harpstrite JK, et al. A prospective, randomized evaluation of arthroscopic stabilization versus nonoperative treatment of acute, traumatic, first-time shoulder dislocations. In: Annual Meeting of the American Academy of Orthopaedic Surgeons; 2001 Feb 28-Mar 4; San Francisco (CA). http://www.aaos.org/wordhtml/anmt2001/sciprog/201.htm (accessed 13/03/03).
  • Bottoni CR, Wilckens JH, DeBerardino TM, D'Alleyrand JG, Rooney RC, Harpstrite JK, et al. A prospective, randomized evaluation of arthroscopic stabilization versus nonoperative treatment in patients with acute, traumatic, first-time shoulder dislocations. American Journal of Sports Medicine 2002;30(4):576-80.
Kirkley 1999 {published and unpublished data}
  • Edmonds G, Kirkley A, Birmingham TB, Fowler PJ. The effect of early arthroscopic stabilization compared to nonsurgical treatment on proprioception after primary traumatic anterior dislocation of the shoulder. Knee Surgery, Sports Traumatology, Arthroscopy 2003;11(2):116-21.
  • Griffin S. personal communication February 18 2005.
  • Kirkley A, Edmonds G, Fowler PJ. The effect of early arthroscopic stabilization compared to immobilization and rehabilitation on proprioception of the shoulder after primary traumatic anterior dislocation [abstract]. Journal of Bone and Joint Surgery. British Volume 1998;80 Suppl 1:16.
  • Kirkley A, Griffin S, Miniaci A, Mohtadi N. Prospective randomized clinical trial comparing the effectiveness of immediate arthroscopic stabilization versus immobilization and rehabilitation in first traumatic anterior dislocations of the shoulder [abstract]. Journal of Bone and Joint Surgery. British Volume 2000;82 Suppl 2:157.
  • Kirkley A, Griffin S, Miniaci A, Mohtadi N. Prospective randomized clinical trial comparing the effectiveness of immediate arthroscopic stabilization versus immobilization and rehabilitation in first traumatic anterior dislocations of the shoulder [abstract]. Journal of Shoulder and Elbow Surgery 1999;8(2):181.
  • Kirkley A, Griffin S, Richards C, Miniaci A, Mohtadi N. Prospective randomized clinical trial comparing the effectiveness of immediate arthroscopic stabilization versus immobilization and rehabilitation in first traumatic anterior dislocations of the shoulder. Arthroscopy 1999;15(5):507-14.
  • Kirkley A, Griffin S, Richards C, Miniaci A, Mohtadi N. Prospective randomized clinical trial comparing the effectiveness of immediate arthroscopic stabilization versus immobilization and rehabilitation in first traumatic anterior dislocations of the shoulder [abstract]. Orthopaedic Transactions 1998;22(2):427.
  • Kirkley A, Griffin S, Richards C, Mohtadi N, Miniaci A. Prospective randomised clinical trial comparing the effectiveness of immediate arthroscopic stabilization versus immobilization and rehabilitation in first traumatic anterior dislocations of the shoulder [abstract]. Clinical Journal of Sport Medicine 1997;7:242.
  • Kirkley A, Griffin S, Werstine R, Rajtek A. Prospective RCT comparing the effectiveness of surgical versus non-surgical treatment in first traumatic anterior dislocations of the shoulder: Evaluation of long-term QOL. In: American Orthopaedic Society for Sports Medicine. 2002 Specialty Day; 2002 Feb 16; Dallas (Texas). Available at http://www.sportsmed.org/Meetings/CME/Default.htm (accessed 02/04/03).
  • Kirkley A, Griffin SA, Richards C, Miniaci A, Mohtadi N. Prospective randomized clinical trial comparing the effectiveness of immediate arthroscopic stabilization versus immobilization and rehabilitation in first traumatic anterior dislocations of the shoulder [abstract]. Journal of Bone and Joint Surgery. British Volume 1998;80 Suppl 1:15-6.
  • Kirkley A, Werstine R, Ratjek A, Griffin S. Prospective randomized clinical trial comparing the effectiveness of immediate arthroscopic stabilization versus immobilization and rehabilitation in first traumatic anterior dislocations of the shoulder: Long-term evaluation. Arthroscopy 2005;21(1):55-63.
  • Litchfield R, Kirkley A, Ehrensberger E, Spouge A, Thain L. MRI as a predictor of surgical pathology in primary anterior dislocations of the shoulder [abstract]. Orthopaedic Transactions 1996;20(1):79.
Sandow 1996 {published data only}
  • Sandow M, Liu SH. Acute arthroscopic Bankart repair for initial anterior shoulder dislocation: A prospective clinical trial [abstract]. Journal of Shoulder and Elbow Surgery 1996;5(2 Pt 2):S81.
  • Sandow MJ. Arthroscopic repair for primary shoulder dislocation: A randomized clinical trial [abstract]. Journal of Bone and Joint Surgery. British Volume 1995;77(Suppl 1):67.
Wintzell 1999 {published data only}
  • Wintzell G, Haglund-Akerlind Y, Ekelund A, Sandstrom B, Hovelius L, Larsson S. Arthroscopic lavage reduced the recurrence rate following primary anterior shoulder dislocation. A randomised multicentre study with 1-year follow-up. Knee Surgery Sports Traumatology Arthroscopy 1999;7(3):192-6.
  • Wintzell G, Haglund Akerlind Y, Novak J, Larsson S. Arthroscopic lavage compared with nonoperative treatment for traumatic primary anterior shoulder dislocation: A 2-year follow-up of a prospective randomized study. Journal of Shoulder and Elbow Surgery 1999;8(5):399-402.
  • Wintzell G, Haglund-Akerlind Y, Tengvar M, Johansson L, Eriksson E. MRI examination of the glenohumeral joint after traumatic primary anterior dislocation. A descriptive evaluation of the acute lesion and at 6-month follow-up. Knee Surgery Sports Traumatology Arthroscopy 1996;4(4):232-6.
  • Wintzell G, Haglund Akerlind Y, Tidermark J, Wredmark T, Eriksson E. A prospective controlled randomized study of arthroscopic lavage in acute primary anterior dislocation of the shoulder: one-year follow-up. Knee Surgery Sports Traumatology Arthroscopy 1996;4(1):43-7.
  • Wintzell G, Haglund Y, Tidermark J, Wredmark T, Eriksson E. Arthroscopic lavage in acute traumatic primary anterior dislocation of the shoulder. A prospective randomised study [abstract]. Surgery of the Shoulder: Proceedings of the 6th International Congress on Surgery of the Shoulder; 1995 June 27-July 1 and 2-4 July; Helsinki and Stockholm. Elsevier Science, 1995:225.
  • Wintzell G, Hovelius L, Wikblad L, Saebo M, Larsson S. Arthroscopic lavage speeds reduction in effusion in the glenohumeral joint after primary anterior shoulder dislocation: a controlled randomized ultrasound study. Knee Surgery Sports Traumatology Arthroscopy 2000;8(1):56-60.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Arciero 1994 {published data only}
  • Arciero RA, Wheeler JH, Ryan JB, McBride JT. Arthroscopic Bankart repair versus nonoperative treatment for acute, initial anterior shoulder dislocations. American Journal of Sports Medicine 1994;22(5):589-94.
DeBerardino 2001 {published data only}
  • DeBerardino TM, Arciero RA, Taylor DC, Uhorchak JM. Prospective evaluation of arthroscopic stabilization of acute, initial anterior shoulder dislocations in young athletes. Two- to five-year follow-up. American Journal of Sports Medicine 2001;29(5):586-92.
Jakobsen 1996 {published data only}
  • Jakobsen BW. personal communication June 21 2004.
  • Jakobsen BW, Johannsen HV, Suder P, Sojbjerg JO. Primary repair versus conservative treatment of first-time traumatic anterior dislocation of the shoulder: a randomized study with 10-year follow-up. Arthroscopy 2007;23(2):118-23.
  • Jakobsen BW, Sojberg JO. Primary repair after traumatic anterior dislocation of the shoulder joint [abstract]. Orthopaedic Transactions 1997;21(4):1259-60.
  • Jakobsen BW, Sojbjerg JO. Primary repair after traumatic anterior dislocation of the shoulder joint [abstract]. Acta Orthopaedica Scandinavica. Supplementum 1996;272:13.
  • Suder P, Jakobsen B, Danish Society for Shoulder and Elbow Surgery. Results of conservative treatment of traumatic primary anterior shoulder dislocation correlated to initial arthroscopic findings - a prospective study of 39 young patients [abstract]. Acta Orthopaedica Scandinavica. Supplementum 1997;274:33.
  • Suder P, Jakobsen BW. The prognostic value of the Baker classification of recurrence after traumatic primary anterior shoulder dislocation in conservatively treated patients [abstract]. Acta Orthopaedica Scandinavica. Supplementum 1997;277:22.
Kulkarni 2003 {published data only}
  • Kulkarni R. Welsh acute shoulder dislocation project. National Research Register (NRR) Archive. Available from https://portal.nihr.ac.uk/Profiles/NRR.aspx?Publication_ID=M0054049707. [: NRR ID: M0054049707]
Robinson 2008 {published data only}
  • Helms K. Traumatic first-time anterior dislocation of the shoulder - How should it be treated? [Vordere schulterluxation: Traumatische erstluxation der Schulter - Was soll man tun?]. Zeitschrift fur Orthopadie und Unfallchirurgie 2008;146(3):301. [EMBASE: 2008363257]
  • Robinson CM, Jenkins PJ, White TO, Ker A, Will E. Primary arthroscopic stabilization for a first-time anterior dislocation of the shoulder. A randomized, double-blind trial. Journal of Bone & Joint Surgery. American Volume 2008;90(4):708-21.
  • White T. Acute shoulder stabilisation using endoscopic techniques - ASSET. National Research Register (NRR) Archive. Available from https://portal.nihr.ac.uk/Profiles/NRR.aspx?Publication_ID=N0519110939.
Trimmings 1985 {published data only}
Yanmis 2003 {published and unpublished data}
  • Yanmis I, Tunay S, Komurcu M, Yildiz C, Tunay VB, Gur E. Outcomes of acute arthroscopic repair and conservative treatment following first traumatic dislocation of the shoulder joint in young patients. Annals of the Academy of Medicine, Singapore 2003;32(6):824-7.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Altman 2003
Bankart 1938
  • Bankart AS. The pathology and treatment of recurrent dislocation of the shoulder joint. British Journal of Surgery 1938;26(101):23-9.
Brody 2009
Cox 2008
Davy 2002
De Palma 1983
DeBerardino 2001a
  • DeBerardino TM, Arciero RA, Taylor DC, Uhorchak JM. Prospective evaluation of arthroscopic stabilization of acute, initial anterior shoulder dislocations in young athletes. Two- to five-year follow-up. American Journal of Sports Medicine 2001;29(5):586-92.
Fleega 1991
  • Fleega B. Operation for a recurrent dislocation. In: Watson MS editor(s). Surgical disorders of the shoulder. Edinburgh: Churchill Livingstone, 1991:339-51. [: ISBN: 0443038899]
Freudmann 2004
  • Freudmann M, Hay S. The UK shoulder surgeon's approach to traumatic, anterior shoulder dislocation in young patient [abstract]. Journal of Bone and Joint Surgery. British Volume 2004;86(Suppl 1):98.
Goss 1988
Handoll 2006
Hawkins 1991
Helms 2008
  • Helms K. Traumatic first-time anterior dislocation of the shoulder - How should it be treated? [Vordere schulterluxation: Traumatische erstluxation der Schulter - Was soll man tun?]. Zeitschrift fur Orthopadie und Unfallchirurgie 2008;146(3):301. [EMBASE: 2008363257]
Higgins 2003
Higgins 2006
  • Higgins JPT, Green S, editors. Highly sensitive search strategies for identifying reports of randomized controlled trials in MEDLINE. Cochrane Handbook for Systematic Reviews of Interventions 4.2.6 [updated September 2006]; Appendix 5b. Available from www.cochrane.org/resources/handbook/Handbook4.2.6Sep2006.pdf.
Hill 1940
  • Hill HA, Sachs MD. The grooved defect of the humeral head: A frequently unrecognised complication of dislocations of the shoulder joint. Radiology 1940;35:690-700.
Hovelius 1982
Hovelius 1996
  • Hovelius L, Augustini BG, Fredin H, Johansson O, Norlin R, Thorling J. Primary anterior shoulder dislocation of the shoulder in young patients. Journal of Bone and Joint Surgery. American Volume 1996;78(11):1677-84.
Jakobsen 2007
  • Jakobsen BW, Johannsen HV, Suder P, Sojbjerg JO. Primary repair versus conservative treatment of first-time traumatic anterior dislocation of the shoulder: a randomized study with 10-year follow-up. Arthroscopy 2007;23(2):118-23.
Kazar 1969
Kim 2003
  • Kim SH, Ha KI, Cho YB, Ryu BD, Oh I. Arthroscopic anterior stabilization of the shoulder: two to six-year follow-up. Journal of Bone & Joint Surgery. American Volume 2003;85(8):1511-8.
Kirkley 1997
  • Kirkley A, Griffin S, Richards C, Mohtadi N, Miniaci A. Prospective randomised clinical trial comparing the effectiveness of immediate arthroscopic stabilization versus immobilization and rehabilitation in first traumatic anterior dislocations of the shoulder [abstract]. Clinical Journal of Sport Medicine 1997;7:242.
Kirkley 1998
  • Kirkley A, Griffin S, McLintock H, Ng L. The development and evaluation of a disease-specific quality of life measurement tool for shoulder instability. American Journal of Sports Medicine 1998;26(6):764-72.
L'Insalata 1997
  • L'Insalata JC, Warren RF, Cohen SB, Altchek DW, Peterson MG. A self-administered questionnaire for assessment of symptoms and function of the shoulder. The Western Ontario Shoulder Instability Index (WOSI). Journal of Bone and Joint Surgery. American Volume 1997;79(5):738-48. [MEDLINE: 9160947]
Mohtadi 2007
  • Mohtadi N. Open repair reduced recurrent dislocation more than conservative treatment after traumatic anterior shoulder dislocation [commentary]. Journal of Bone and Joint Surgery. American Volume 2007;89(8):1871.
Morrey 1981
  • Morrey BF, Chao EX. Recurrent anterior dislocation of the shoulder. In: Black J, Dumbleton JH editor(s). Clinical biomechanics: a case history approach. New York: Churchill Livingstone, 1981:24-46. [: ISBN - 0443080224]
O'Brien 1987
Padua 2007
  • Padua R, Bondi R, Bondi L, Campi A. Surgical versus conservative treatment for acute first-time anterior shoulder dislocation: The evidence. Journal of Orthopaedics and Traumatology 2007;8(4):207-13.
Pulavarti 2009
Rowe 1956
Rowe 1978
Simonet 1984
  • Simonet WT, Melton LJ II, Cofield RH, Ilstrup DM. Incidence of anterior shoulder dislocation in Olmsted County, Minnesota. Clinical Orthopaedics and Related Research 1984;(186):186-91.
White 2003
  • White T. Acute shoulder stabilisation using endoscopic techniques - ASSET. National Research Register (NRR) Archive. Available from https://portal.nihr.ac.uk/Profiles/NRR.aspx?Publication_ID=N0519110939.
Williams 1999
  • Williams GN, Gangel TJ, Arciero RA, Uhorchak JM, Taylor DC. Comparison of the Single Assessment Numeric Evaluation method and two shoulder rating scales. Outcomes measures after shoulder surgery. American Journal of Sports Medicine 1999;27(2):214-21.

References to other published versions of this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
  4. References to other published versions of this review
Handoll 2004
  • Handoll HH, Al-Maiyah MA, Rangan A. Surgical versus non-surgical treatment for acute anterior shoulder dislocation. Cochrane Database of Systematic Reviews 2004, Issue 1. [DOI: 10.1002/14651858.CD004325.pub2]