TY - JOUR
T1 - At long-term follow-up many first-time male traumatic shoulder dislocators remain symptomatic
AU - Safran, Ori
AU - Beyth, Shaul
AU - Milgrom, Charles
AU - Milgrom, Yael
AU - Nir, Dana
AU - Finestone, Aharon S.
N1 - Publisher Copyright:
© 2023 Sports Medicine Australia
PY - 2023/6
Y1 - 2023/6
N2 - Objectives: To assess the status at 13 to 17 years follow-up of a cohort of young male traumatic shoulder dislocators. Study design: Prospective cohort study. Methods: A prospective study of first-time young male traumatic shoulder dislocators, began in 2004. Subjects were evaluated by the apprehension test after completing rehabilitation 6 to 9 weeks post dislocation. Between March 2021 and July 2022, a telephone questionnaire was administered to ascertain their current shoulder status. Subjects were questioned about avoidance of activities of daily living and sport, participation in sports, current instability, and self-assessed shoulder function by the SANE score. Results: 50/53 (94.3%) of the study subjects, mean age 20.4 years, completed a mean follow-up of 181.8 ± 12 months. The non-redislocation survival was 13% for those with a positive apprehension test and 49% for those with a negative test (p = 0.007). SANE scores were 64.3 ± 23.7 for those with a positive apprehension test and 83.7 ± 19.7 for those with a negative test (p = 0.001). In the year before the follow-up, 33.3% of those treated conservatively and 42.9% treated surgically experienced subluxation (p = 0.5). Fifty-seven percent of those who were treated conservatively and 56% of those who underwent surgery avoided some ADL or sports because of their shoulder. Conclusions: For young male first time traumatic shoulder dislocators a positive apprehension test after rehabilitation is associated with a high risk for reoccurrence and poorer long-term results. Most subjects were still dealing with shoulder symptoms at long-term follow-up.
AB - Objectives: To assess the status at 13 to 17 years follow-up of a cohort of young male traumatic shoulder dislocators. Study design: Prospective cohort study. Methods: A prospective study of first-time young male traumatic shoulder dislocators, began in 2004. Subjects were evaluated by the apprehension test after completing rehabilitation 6 to 9 weeks post dislocation. Between March 2021 and July 2022, a telephone questionnaire was administered to ascertain their current shoulder status. Subjects were questioned about avoidance of activities of daily living and sport, participation in sports, current instability, and self-assessed shoulder function by the SANE score. Results: 50/53 (94.3%) of the study subjects, mean age 20.4 years, completed a mean follow-up of 181.8 ± 12 months. The non-redislocation survival was 13% for those with a positive apprehension test and 49% for those with a negative test (p = 0.007). SANE scores were 64.3 ± 23.7 for those with a positive apprehension test and 83.7 ± 19.7 for those with a negative test (p = 0.001). In the year before the follow-up, 33.3% of those treated conservatively and 42.9% treated surgically experienced subluxation (p = 0.5). Fifty-seven percent of those who were treated conservatively and 56% of those who underwent surgery avoided some ADL or sports because of their shoulder. Conclusions: For young male first time traumatic shoulder dislocators a positive apprehension test after rehabilitation is associated with a high risk for reoccurrence and poorer long-term results. Most subjects were still dealing with shoulder symptoms at long-term follow-up.
KW - Apprehension test
KW - First episode
KW - Long-term
KW - SANE score
KW - Shoulder bracing
KW - Traumatic shoulder dislocation
UR - http://www.scopus.com/inward/record.url?scp=85151442990&partnerID=8YFLogxK
U2 - 10.1016/j.jsams.2023.03.008
DO - 10.1016/j.jsams.2023.03.008
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C2 - 36997416
AN - SCOPUS:85151442990
SN - 1440-2440
VL - 26
SP - 291
EP - 295
JO - Journal of Science and Medicine in Sport
JF - Journal of Science and Medicine in Sport
IS - 6
ER -