Surgical versus nonsurgical treatment in first traumatic anterior dislocation of the shoulder in athletes

rgical versus nonsurgical treatment in first traumatic anterior dislocation of the shoulder in athletes Review (4101) Total Article Views Authors: Gustavo Gon alves Arliani, Diego da Costa Astur, Carina Cohen, et al Published Date March 2011 Volume 2011:2 Pages 19 - 24 DOI: http://dx.doi.org/10.2147/OAJSM.S17378 Gustavo Gon alves Arliani, Diego da Costa Astur, Carina Cohen, Benno Ejnisman, Carlos Vicente Andreoli, Alberto Castro Pochini, Moises Cohen Centro de Traumatologia do Esporte (CETE), Departamento de Ortopedia e Traumatologia da Universidade Federal de S o Paulo, S o Paulo, Brazil Abstract: Anterior traumatic dislocation is a common problem faced by orthopedic surgeons. After the first episode of shoulder dislocation, a combination of lesions can lead to chronic instability. The management in treatment of young athletes after the first acute anterior shoulder dislocation is controversial. The available literature supports early surgical treatment for young male athletes engaged in highly demanding physical activities after the first episode of traumatic dislocation of the shoulder. This is because of the best functional results and lower recurrence rates obtained with this treatment in this population. However, further clinical trials of good quality comparing surgical versus nonsurgical treatment for well-defined lesions are needed, especially for categories of patients who have a lower risk of recurrence.