1952511

12715

Objectives: We aimed to compare the functional and stability outcomes of the patients with acute anterior shoulder dislocation, who were stabilized at external versus internal rotation. Methods: A total of 33 patients (31 males and 2 females) with the diagnosis of acute primary traumatic anterior shoulder dislocation were immobilized at internal (n=17) or external rotation (n=16). The mean follow-up period was 20.85 months (range 6-41 months). Patients received rehabilitation program immediately after splinting. We assessed functionality by Constant- Murlay score and stability by Rowe scoring system in 6th month. Control examinations were per¬formed in 12th and 24th months. Results: There were no statistically significant differences between internal rotation and exter¬nal rotation groups in terms of Constant-Murlay and Rowe scores. Recurrent dislocation rate was 6.3% (1/16) in external rotation group and 29.4% (5/17) in internal rotation group (p>0.05). In the subgroup of patients aged between 21-30 years, while no recurrent dislocation was seen in external rotation group, 5 patients developed recurrent dislocation in internal rotation group (p=0.035). Conclusion: Immobilization of the shoulder in external rotation is an effective preferred for pre¬vention of recurrent dislocations in acute anterior shoulder dislocation and should be preferred to traditional splinting in internal rotation in clinical practice.

278

external rotation in shoulder splinting , Conservative treatment , Shoulder dislocation

Studia Iranica

284

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