Shoulder Dislocation
Conditions
Brief summary
Comparison of immobilization in internal versus external rotation after first time anterior shoulder dislocation.
Detailed description
The purpose of this study is to compare immobilization in internal versus external rotation after first time anterior shoulder dislocation, and thereby increase our knowledge about the best standard of care.
Interventions
DEVICEExternal rotation shoulder sling
The external rotation sling will be adjusted to position the injured upper extremity in 90 degrees of elbow flexion, 0 degrees of shoulder abduction and flexion, and 10 to 15 degrees of external rotation at the shoulder.
DEVICEInternal rotation shoulder sling
The internal rotation sling will be adjusted to position the injured upper extremity in 90 degrees of elbow flexion, 0 degrees of shoulder abduction and flexion, and 70 to 80 degrees of internal rotation at the shoulder.
Sponsors
University of Colorado, Denver
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
14 Years to 30 Years
Healthy volunteers
No
Inclusion criteria
* 14 to 30 years of age * Willing to participate in follow-up for at least two years * Acute, first-time, traumatic, isolated anterior dislocation of the shoulder
Exclusion criteria
* Previous instability of the affected shoulder * A history of significant ligamentous laxity or demonstrated multi-directional instability of the opposite shoulder * Inability or unwillingness to comply with sling immobilization, rehabilitative protocol, or required follow-up assessments * Incompetent or unwilling to consent * A medical condition making the patient unable to wear a sling * Significant associated fracture (Exception Hill Sachs of \>20% or bony Bankart lesions\>10%) * Neurovascular compromise of the affected limb * Concomitant ipsilateral upper extremity injuries which may affect the patient's ability to participate in, or benefit from, a rehabilitative program.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recurrent instability consisting of a documented episode of anterior shoulder dislocation or multiple episodes of shoulder subluxation. | 24 months |
Secondary
| Measure | Time frame |
|---|---|
| Patient self reported outcome measures | 24 Months |
| Time to return to work or sport | 24 Months |
Countries
United States
Outcome results
None listed