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Comparative Study
. 2019 Feb 8;20(1):59.
doi: 10.1186/s12891-019-2444-0.

Patients with non-operated traumatic primary or recurrent anterior shoulder dislocation have equally poor self-reported and measured shoulder function: a cross-sectional study

Henrik Eshoj  1   2 , Sten Rasmussen  3   4 , Lars Henrik Frich  5   6 , Steen Lund Jensen  4   7 , Karen Søgaard  6   8 , Birgit Juul-Kristensen  8
Affiliations
Comparative Study

Patients with non-operated traumatic primary or recurrent anterior shoulder dislocation have equally poor self-reported and measured shoulder function: a cross-sectional study

Henrik Eshoj et al. BMC Musculoskelet Disord. .

Abstract

Background: Patients with non-operated traumatic primary anterior shoulder dislocation (PASD) are assumed to have less shoulder impairment than patients with recurrent anterior shoulder dislocations (RASD). This may impact treatment decision strategy. The aim was to study whether patients with non-operated traumatic PASD have less shoulder impairment than those with RASD.

Methods: In a cross-sectional study baseline data from patients with PASD and RASD in a randomised controlled trial of non-operative shoulder exercise treatment were used. Shoulder function was self-reported (Western Ontario Shoulder Instability (WOSI), Tampa Scale of Kinesiophobia (TSK), General Health (EQ-5D-VAS), Numeric Pain Rating Scale (NPRS)), and measured (Constant-Murley shoulder Score (CMS total), CMS - Range of Motion (CMS-ROM, CMS - strength, proprioception, clinical tests).

Results: In total, 56 patients (34 (28 men) with PASD and 22 (21 men) with RASD) (mean age 26 years) participated. WOSI total was 1064 and 1048, and TSK above 37 (indicating high re-injury fear) was present in 33 (97%) and 21 (96%) of the groups with PASD and RASD, with no group difference. CMS total (66.4 and 70.4), CMS-ROM (28.7 and 31.5), CMS-strength (injured shoulder: 7.6 kg and 9.1 kg), proprioception and clinical tests were the same. Furthermore, 26 (76%) with PASD and 13 (59%) with RASD reported not to have received non-operative shoulder treatment.

Conclusions: Non-operated patients with PASD and self-reported shoulder trouble three-six weeks after initial injury do not have less shoulder impairment (self-reportedly or objectively measured) than non-operated patients RASD and self-reported shoulder trouble three-six weeks after their latest shoulder dislocation event.

Keywords: Kinesiophobia; Males; Proprioception; Quality of life; Range of movement; Re-injury; Shoulder dislocation, shoulder instability; Strength.

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Conflict of interest statement

Ethics approval and consent to participate

The trial is registered at the National Institutes of Health Clinical Trials Protocol Registration System: ClinicalTrials.gov identifier (NCT02371928). The Regional Scientific Ethics Committee of Southern Denmark approved the study (S-20140093). All participants gave written informed consent and the study fulfilled the recommendations of the Helsinki Declaration 2008 [52].

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

References

    1. Appaneal RN, Levine BR, Perna FM, Roh JL. Measuring postinjury depression among male and female competitive athletes. J Sport Exerc Psychol. 2009;31(1):60–76. doi: 10.1123/jsep.31.1.60. - DOI - PubMed
    1. Podlog L, Eklund RC. Assisting injured athletes with the return to sport transition. Clin J Sport Med. 2004;14(5):257–259. doi: 10.1097/00042752-200409000-00001. - DOI - PubMed
    1. Podlog L, Eklund RC. Returning to competition after a serious injury: the role of self determination. J Sports Sci. 2010;28(8):819–831. doi: 10.1080/02640411003792729. - DOI - PubMed
    1. Olds M, Ellis R, Donaldson K, Parmar P, Kersten P. Risk factors which predispose first-time traumatic anterior shoulder dislocations to recurrent instability in adults: a systematicreview and meta-analysis. Br J Sports Med. 2015;49(14):913–922. doi: 10.1136/bjsports-2014-094342. - DOI - PMC - PubMed
    1. Dodson CC, Cordasco FA. Anterior glenohumeral joint dislocations. Orthop Clin North Am. 2008;39(4):507–518. doi: 10.1016/j.ocl.2008.06.001. - DOI - PubMed

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