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Prospective evaluation of arthroscopic stabilization of acute, initial anterior shoulder dislocations in young athletes. Two- to five-year follow-up.

Publication ,  Journal Article
DeBerardino, TM; Arciero, RA; Taylor, DC; Uhorchak, JM
Published in: Am J Sports Med
2001

From March 1992 to November 1998, 57 patients sustained 58 acute, initial, traumatic anterior shoulder dislocations at the United States Military Academy. Six patients selected nonoperative treatment. Three patients underwent primary open repair after diagnostic arthroscopy revealed no Bankart lesion amenable to repair with the bioabsorbable tissue tack. The remaining 48 patients with 49 anterior dislocations were treated with arthroscopic primary repair. There were 45 men and 3 women with an average age of 20 years (range, 17 to 23) and an average follow-up of 37 months (range, 24 to 60). The average Rowe score was 92 (range, 30 to 100). The average single assessment numeric evaluation patient rating was 95.5% (range, 50% to 100%). The average Short Form-36 score (physical function) for the stable shoulders was 99 (range, 95 to 100). Forty-three shoulders remained stable (88%). There were six failures (12%). Factors associated with failure included a history of bilateral shoulder instability, a 2+ sulcus sign, and poor capsulolabral tissue at the time of repair. All patients with stable shoulders returned to their preinjury levels of athletic activity. With follow-up of 5 years, we have observed significantly better results compared with nonoperative treatment in young, active adults at the United States Military Academy.

Duke Scholars

Published In

Am J Sports Med

DOI

ISSN

0363-5465

Publication Date

2001

Volume

29

Issue

5

Start / End Page

586 / 592

Location

United States

Related Subject Headings

  • Shoulder Dislocation
  • Prospective Studies
  • Orthopedics
  • Military Personnel
  • Male
  • Humans
  • Follow-Up Studies
  • Female
  • Athletic Injuries
  • Arthroscopy
 

Citation

APA
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ICMJE
MLA
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DeBerardino, T. M., Arciero, R. A., Taylor, D. C., & Uhorchak, J. M. (2001). Prospective evaluation of arthroscopic stabilization of acute, initial anterior shoulder dislocations in young athletes. Two- to five-year follow-up. Am J Sports Med, 29(5), 586–592. https://doi.org/10.1177/03635465010290051101
DeBerardino, T. M., R. A. Arciero, D. C. Taylor, and J. M. Uhorchak. “Prospective evaluation of arthroscopic stabilization of acute, initial anterior shoulder dislocations in young athletes. Two- to five-year follow-up.Am J Sports Med 29, no. 5 (2001): 586–92. https://doi.org/10.1177/03635465010290051101.
DeBerardino, T. M., et al. “Prospective evaluation of arthroscopic stabilization of acute, initial anterior shoulder dislocations in young athletes. Two- to five-year follow-up.Am J Sports Med, vol. 29, no. 5, 2001, pp. 586–92. Pubmed, doi:10.1177/03635465010290051101.
Journal cover image

Published In

Am J Sports Med

DOI

ISSN

0363-5465

Publication Date

2001

Volume

29

Issue

5

Start / End Page

586 / 592

Location

United States

Related Subject Headings

  • Shoulder Dislocation
  • Prospective Studies
  • Orthopedics
  • Military Personnel
  • Male
  • Humans
  • Follow-Up Studies
  • Female
  • Athletic Injuries
  • Arthroscopy