Arthroscopic lavage reduced the recurrence rate following primary anterior shoulder dislocation A randomised multicentre study with 1-year follow-up

A randomised multicentre study with 1-year follow-up
  • G. Wintzell
  • Y. Haglund-Åkerlind
  • A. Ekelund
  • B. Sandström
  • L. Hovelius
  • S. Larsson
Shoulder

DOI: 10.1007/s001670050146

Cite this article as:
Wintzell, G., Haglund-Åkerlind, Y., Ekelund, A. et al. Knee Surgery (1999) 7: 192. doi:10.1007/s001670050146

Abstract

Young individuals have a high recurrence rate following non-operative treatment of traumatic primary anterior shoulder dislocation. The present multicentre study was undertaken to find out whether the results could be improved by using arthroscopic lavage as treatment. Sixty patients aged 16–30 years, with traumatic primary anterior shoulder dislocation were randomised into two groups. One group was treated with arthroscopic lavage within 10 days, while the other group was treated non-operatively. Rehabilitation was otherwise identical. At 1-year follow-up, 4 of 30 patients (13%) in the lavage group had had redislocation compared with 13 of 30 (43%) in the group treated non-operatively (P = 0.01).The difference in recurrence rate was more pronounced in younger patients. The functional outcome according to the Rowe shoulder score was better in the lavage group (P = 0.003), as was the anterior stability according to the apprehension test (P = 0.008). We conclude that arthroscopic lavage reduced the recurrence rate and produced a better functional outcome at 1-year follow-up than the non-operative treatment in young individuals.

Key words Shoulder Traumatic primary anterior dislocation Arthroscopic lavage Non-operative regime 

Copyright information

© Springer-Verlag Berlin Heidelberg 1999

Authors and Affiliations

  • G. Wintzell
    • 1
  • Y. Haglund-Åkerlind
    • 2
  • A. Ekelund
    • 3
  • B. Sandström
    • 4
  • L. Hovelius
    • 4
  • S. Larsson
    • 1
  1. 1.Department of Orthopaedics, Uppsala University Hospital, S-75185 Uppsala, Sweden Tel.: +46-1866-3000 Fax: +46-1850-9427SE
  2. 2.Department of Orthopaedics, Karolinska Hospital, Stockholm, SwedenSE
  3. 3.Department of Orthopaedics, St. Göran Hospital, Stockholm, SwedenSE
  4. 4.Department of Orthopaedics, Gävle Hospital, Gävle, SwedenSE

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