Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Apr;13(2):223-232.
doi: 10.1177/1758573220921484. Epub 2020 May 21.

The immediate and subsequent impact of a first-time traumatic anterior shoulder dislocation in people aged 16-40: Results from a national cohort study

M Olds  1 , R Ellis  2 , P Parmar  3 , P Kersten  4
Affiliations

The immediate and subsequent impact of a first-time traumatic anterior shoulder dislocation in people aged 16-40: Results from a national cohort study

M Olds et al. Shoulder Elbow. 2021 Apr.

Abstract

Background: Limited evidence exists which details changes in quality of life, shoulder activity level, kinesiophobia, shoulder pain and disability following a first-time traumatic anterior shoulder dislocation (FTASD) in people treated non-operatively. This study had three objectives: (1) to examine quality of life, pain, disability and kinesiophobia after an FTASD within 12 weeks, (2) to examine whether these variables were different in people with and without recurrent shoulder instability and (3) to assess how these variables changed over 12 months.

Methods: A prospective cohort study was undertaken in people with an FTASD aged between 16 and 40 years. Measures of quality of life, kinesiophobia, shoulder activity, shoulder pain and disability were recorded within 12 weeks of an FTASD and at 3, 6, 9 and 12 months.

Results: An FTASD negatively impacted quality of life, shoulder pain and function and these variables improved over time. People with recurrent shoulder instability had poorer quality of life 12 months after an FTASD. Across the entire cohort, kinesiophobia did not significantly change across time in people following an FTASD.

Conclusions: Quality of life was significantly affected by an FTASD in people with recurrent shoulder instability. Across the entire cohort of people with an FTASD, kinesiophobia remained elevated in people following an FTASD.

Level of evidence: Level 1 prognostic study.

Keywords: dislocation; fear; quality of life; shoulder.

PubMed Disclaimer

Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Flow of people through the study.
Figure 2.
Figure 2.
Percentage of recurrent and non-recurrent shoulder instability over 12 months after an FTASD. *Those who were non-contactable at 3, 6, 9 and 12 months were coded as missing.
See this image and copyright information in PMC

References

    1. te Slaa RL, Wijffels MPJM, Brand R, et al. A prospective arthroscopic study of acute first-time anterior shoulder dislocation in the young: a five-year follow-up study. J Shoulder Elbow Surg 2003; 12: 529–534. - PubMed
    1. Marans HJJ, Angel KRR, Schemitsch EHH, et al. The fate of traumatic anterior dislocation of the shoulder in children. J Bone Joint Surg Am 1992; 74: 1242–1244. - PubMed
    1. Wasserstein DN, Sheth U, Colbenson K, et al. The true recurrence rate and factors predicting recurrent instability after nonsurgical management of traumatic primary anterior shoulder dislocation: a systematic review. Arthroscopy 2016; 32: 2616–2625. - PubMed
    1. Olds M, Ellis R, Donaldson K, et al. Risk factors which predispose first-time traumatic anterior shoulder dislocations to recurrent instability in adults: a systematic review and meta-analysis. Br J Sports Med 2015; 49: 913–922. - PMC - PubMed
    1. Lenters TR, Franta AK, Wolf FM, et al. Arthroscopic compared with open repairs for recurrent anterior shoulder instability. A systematic review and meta-analysis of the literature. J Bone Joint Surg Am 2007; 89: 244–254. - PubMed