A prospective controlled randomized study of arthroscopic lavage in acute primary anterior dislocation of the shoulder: One-year follow-up
- Cite this article as:
- Wintzell, G., Haglund-Åkerlind, Y., Tidermark, J. et al. Knee Surg, Sports traumatol, Arthroscopy (1996) 4: 43. doi:10.1007/BF01565997
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Traumatic primary anterior shoulder dislocation has a very high recurrence rate among young people. This has supplied the motivation for studies to find methods of treatment that might become an alternative to traditional therapy. A prospective controlled study was performed to test the hypothesis that acute arthroscopic lavage might have a positive effect on recurrence rate as well as on shoulder stability, range of motion and mobilization, 30 consecutive patients between 18 and 30 years of age were randomized into 2 groups, I control group treated conservatively and 1 group treated with acute arthroscopic lavage within 10 days. Clinical examination was made by an independent observer at 1, 6 and 12 months. Results at 6- and 12-month check-ups showed a statistically significantly lower rate of redislocation and a wider range of motion for the group treated with acute arthroscopic lavage. Functional assessment according to the Lysholm shoulder score also indicated better functioning of the joint. Our 1-year follow-up shows very promising and interesting results.