Do I Need Surgery after a Shoulder Dislocation?

Dr. Logan for Shoulder Pain

Primary Arthroscopic Stabilization for a First-Time Anterior Dislocation of the Shoulder: Long-Term Follow-up of a Randomized, Double-Blinded Trial (JBJS 2020 

What was the purpose of this study?  

The aim of this study was to evaluate the long-term efficacy of arthroscopic Bankart repair (ABR). Basically, should we fix it or not? 

How did the authors study their question?  

What did the authors find? 

How does this impact my clinical practice? 

This study demonstrates a long-term benefit in overall shoulder stability and functional outcome in high-risk patients who have undergone ABR for first-time anterior dislocation. In brief, there is utility in fixing the first time dislocator.


Further Evidence: @AJSM.2021.Apr;49(5)

In patients with first-time shoulder dislocations, arthroscopic labral repair (Bankart procedure) reduced the risk of secondary shoulder dislocation and improved functional outcome versus nonoperative treatment after a 2-year follow-up.

The risk of recurrence after the first episode of anterior shoulder dislocation is high with nonoperative treatment in younger patients.

Dr. Catherine Logan Headshot Dr. Catherine Logan, MD, MBA Catherine Logan, MD, MBA, MSPT, is a sports medicine orthopaedic surgeon specializing in complex knee and shoulder surgery at Colorado Sports Medicine and Orthopaedics (COSMO) in Denver, Colorado. As a former physical therapist & trainer, Dr. Logan provides a distinct expertise in sports injury, prevention, and surgical management.

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