Immobilization in External Rotation After First-Time Traumatic Anterior Shoulder Instability Reduces Recurrent Instability - A Meta-Analysis

Description

In this presentation, Bogdan Matache discusses a meta-analysis on the efficacy of shoulder immobilization techniques in young athletes suffering from first-time traumatic anterior shoulder dislocation. The topic, "Immobilization in External Rotation after First-time Traumatic Anterior Shoulder Instability Reduces Recurrent Instability," addresses the common clinical challenge of recurrent shoulder instability. Matache outlines traditional management strategies involving short-term immobilization in a sling followed by rehabilitation, before introducing the novel concept of external rotation for immobilization, originally supported by cadaveric and MRI studies. He reviews previously conducted randomized controlled trials, ultimately revealing that immobilization in external rotation leads to significantly lower rates of recurrent dislocation and higher compliance and return-to-play rates compared to internal rotation. The findings advocate for a revised approach to treating shoulder dislocations in young athletes, stressing the benefits of external rotation immobilization as determined by the collected data and analysis.

DOI: 10.1302/3114-220847

Specialties