Natural history of glenohumeral dislocation - revisited
Deutscher übersetzter Titel: | Aetiologie der Oberarm-Verrenkung in der Nachuntersuchung |
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Autor: | Henry, Jack H.; Genung, John A. |
Erschienen in: | The American journal of sports medicine |
Veröffentlicht: | 10 (1982), 3, S. 135-137, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 0363-5465, 1552-3365 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU198301017620 |
Quelle: | BISp |
Abstract
The purpose of this study was to evaluate the natural history of glenohumeral dislocation in young athletes. A review of the literature revealed a consensus of opinion that the dislocated shoulder should be immobilized from 3-6 weeks. However, a high recurrence rate could be expected. One hundred twenty-one patients with acute traumatic anterior dislocations were evaluated (average age-19 years). Methods of immobilization were shoulder immobilizers and slings and swaths. Sixty-two patients were immobilized and 56 (90) of these suffered recurrent dislocation. Fifty-nine patients were not immobilized and 50 (85) re-dislocated their shoulders. The length of immobilization had no effect on the reccurence rate. All re-dislocations occurred within 18 months of the initial injury. Seventy-nine patients were operated on for recurrent dislocation. With such a high recurrence rate in the athletic age group, the authors question if immobilization affects the prognosis. Verf.-Referat