July 2013 Vol. 1 No. 1

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Review

Current clinical trends in first time traumatic anterior shoulder dislocation

Yaron Berkovitch, Jacob Shapira, Maruan Haddad, Yaniv Keren, Nahum Rosenberg*

Department of Orthopaedic Surgery and Laboratory for Musculoskeletal Research, Rambam – Health Care Campus, Haifa, Israel

*Corresponding Author E-mail: nahumrosenberg@hotmail.com; Fax: +972 4 8542022, Tel: +972 4 8542527

Accepted July 13, 2013

Abstract

Anterior shoulder dislocation is a common traumatic event. Younger patients have increased risk for recurrent dislocations. Reduction of shoulder dislocation should be performed in a safe, convenient and patient tailored method. In young athletes with labral tear or with large engaging Hill-Sachs lesion, surgical stabilization should be considered to prevent additional dislocations. In other patients non-operative treatment with proper rehabilitation program might be considered. There is still a challenge to define the best timing and type of treatment which is most suitable for the individual patient. The method of treatment should be defined according to the patients’ age, occupation and physical activity. 

Keywords: Shoulder, dislocation, Bankart lesion, Hill-Sachs lesion, instability