First-time traumatic anterior shoulder dislocation: current concepts

Ehab M Nazzal; Zachary J Herman; Ian D Engler; Jonathan F Dalton; Michael T Freehill; Albert Lin

doi:10.1016/j.jisako.2023.01.002

First-time traumatic anterior shoulder dislocation: current concepts

J ISAKOS. 2023 Apr;8(2):101-107. doi: 10.1016/j.jisako.2023.01.002. Epub 2023 Jan 24.

Authors

Ehab M Nazzal¹, Zachary J Herman¹, Ian D Engler¹, Jonathan F Dalton¹, Michael T Freehill², Albert Lin³

Affiliations

¹ UPMC Freddie Fu Center for Sports Medicine, Department of Orthopaedic Surgery, Pittsburgh, PA, 15203, USA.
² Department of Orthopaedic Surgery, Stanford University, Stanford, CA, 15203, USA.
³ UPMC Freddie Fu Center for Sports Medicine, Department of Orthopaedic Surgery, Pittsburgh, PA, 15203, USA. Electronic address: lina2@upmc.edu.

PMID: 36706837
DOI: 10.1016/j.jisako.2023.01.002

Abstract

The management of first-time traumatic anterior shoulder dislocations has been a topic of extensive study yet remains controversial. Development of a treatment plan requires an understanding of patient-specific considerations, including demographics, functional demands, and extent of pathology. Each of these can influence rates of recurrence and return to activity. The purpose of this review is to provide a framework for decision-making following a first-time anterior shoulder dislocation, with particular focus on the high-risk young and athletic population. A summary of surgical treatment options and their outcomes is outlined, along with future biomechanical and clinical perspectives.

Keywords: Bankart repair; Biomechanics; Glenohumeral joint; Latarjet; Remplissage; Shoulder dislocation; Treatment.

Publication types

Review

MeSH terms

Arthroscopy
Humans
Joint Instability* / surgery
Range of Motion, Articular
Shoulder
Shoulder Dislocation* / epidemiology
Shoulder Dislocation* / surgery
Shoulder Joint*