Immobilization in External Rotation of Acute Shoulder Dislocations

Fowler Kennedy Sport Medicine Clinic

Status and phase

Completed

Phase 3

Conditions

Anterior Shoulder Dislocation

Treatments

Device: Immobilization in External Rotation

Study type

Interventional

Funder types

Other

Identifiers

NCT00196560

FKSMC PSI ERAADS

Details and patient eligibility

About

The purpose of this study is to determine whether immobilizing the affected shoulder of first time anterior shoulder dislocation patients in external rotation (vs immobilization in traditional internal rotation) reduces the rate of recurrent dislocations experienced in 24 months.

Full description

Immobilizing the affected shoulder of first time anterior shoulder dislocation patients in external rotation (vs immobilization in traditional internal rotation)should reduce the rate of recurrent dislocations experienced in 24 months.

Enrollment

50 patients

Sex

All

Ages

15 to 30 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

skeletally mature patients less than 30 years of age
sustained an acute, first-time, traumatic anterior dislocation of the shoulder as defined by; i. Mechanism of abduction, external rotation ii. Sudden pain in the shoulder iii. Manipulative reduction required or iv. Radiograph documenting a dislocated joint
willing to participate in follow-up for at least two years

Exclusion criteria

incompetent or unwilling to consent
inability or unwillingness to comply with rehabilitative protocol or required follow-up assessments
previous instability of the affected shoulder
significant associated fracture (exception Hill Sachs or Bankart lesions)
concomitant ipsilateral upper extremity injuries which may affect the patient's ability to participate in, or benefit from, a rehabilitative program
a history of significant ligamentous laxity or demonstrated multi-directional instability of the contralateral shoulder
neurovascular compromise of the affected limb
a medical condition making the patient unable to wear a brace or sling