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. 2023 Oct;15(5):497-504.
doi: 10.1177/17585732221122363. Epub 2022 Aug 24.

Patient perceptions after the operative and nonoperative treatment of shoulder instability: A qualitative focus group study

Theodore P van Iersel  1 , Eric D Tutuhatunewa  1 , Ithri Kaman  1 , Bas A Twigt  2 , Sigrid Nw Vorrink  3 , Michel Pj van den Bekerom  1   4 , Derek Fp van Deurzen  5
Affiliations

Patient perceptions after the operative and nonoperative treatment of shoulder instability: A qualitative focus group study

Theodore P van Iersel et al. Shoulder Elbow. 2023 Oct.

Abstract

Background: Little evidence is available regarding patient perceptions of the treatment of shoulder instability. The aim of this study is to investigate patient perceptions regarding the operative and nonoperative treatment of anterior shoulder instability.

Methods: Patients who presented to the emergency department or outpatient clinic between 2016 and 2020 were retrospectively selected using diagnosis and procedure codes. Online focus groups and semistructured interviews were conducted, systematically recorded and subsequently transcribed to MaxQDA 2007 for qualitative analysis. Coded transcripts of all focus groups were subjected to a grounded theory-based analysis.

Results: Six focus groups and two semistructured interviews were hosted with 35 included patients. The mean age of included patients was 34.1 years (±11.5). Eight patients were female (23%), and 27 patients were male (77%). Fear of (recurrent) dislocation, preoperative counseling, communication between surgeon and physiotherapists and need for a consistent postoperative rehab protocol turned out to be important patient perceptions. The most crucial factor for discontent was a lack of communication from the surgeon.

Discussion: This patient-centered focus group study revealed that fear of (recurrent) dislocation, preoperative counseling, communication between surgeons and physiotherapists and the need for a consistent postoperative rehabilitation protocol was the most frequently discussed themes.

Keywords: Bankart; Latarjet; fear for dislocation; patient perceptions; shoulder instability.

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Conflict of interest statement

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.
Frequently discussed themes.
See this image and copyright information in PMC

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