The rate of recurrence of traumatic anterior dislocation of the shoulder. A study of 154 cases and a review of the literature

Int Orthop. 1993 Dec;17(6):337-41. doi: 10.1007/BF00180449.

Abstract

We have reviewed the history of 154 primary, traumatic dislocations of the shoulder in order to determine the risk of recurrence. We found a recurrence rate of 68% in patients under the age of 20, after a follow-up period of 1-9 years (average 4.5 years). There was a highly significant difference (p < 0.0001) in the recurrence rate of patients under, and above, 30 years of age. Twenty per cent of the patients had a concurrent minor fracture at the shoulder with 2 out of 39 of the recurrent cases (5%) and 29 of the 115 non-recurrent cases (25%); this is also a significant difference (p < 0.01). Neither the need for general anaesthesia at primary injury nor the occupation of the patient was a relevant factor in the final outcome of the dislocation. Four nerve injuries were encountered (3%), with no severe sequelae at follow-up. The young patient with no concurrent fracture at the time of the primary shoulder dislocation has a high risk of recurrence.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Female
  • Humans
  • Immobilization
  • Male
  • Middle Aged
  • Peripheral Nerve Injuries
  • Physical Therapy Modalities
  • Recurrence
  • Retrospective Studies
  • Shoulder Dislocation / complications
  • Shoulder Dislocation / physiopathology*
  • Shoulder Dislocation / therapy
  • Shoulder Fractures / complications