Abstract:

Objective: To evaluate the treatment results, recurrence rate and factors affecting the treatment results of patients admitted to the hospital with primary anterior shoulder dislocation. Materials and Methods: Patients who applied to our hospital for the first time (primary) anterior shoulder dislocation between January 2016 - January 2020 and were treated conservatively with temporary immobilization after closed reduction were evaluated. Patients with a previous history of dislocation, rheumatological disease or incomplete data were not included in the study. The history of recurrence and in case of recurrence, duration after the first dislocation was also examined. In addition, evaluations of all patients were made with the Oxford Shoulder Instability Score (OSIS). Results: 43 patients were included in the study. The mean age of the patients was 45.23 ± 17.2, and the patient's age ranged from 20 to 76. Thirty-three (76.7%) of the patients were male and 10 (23.3%) were female. The mean follow-up period of the patients was found to be 48.8 ± 12.4 (minimum 31, maximum 86 months). The mean OSIS value of the patients at the last follow-up was 45 ± 3.45. In the follow-up of the patients, recurrence was observed in 21 patients (48.8%). When patients older than 40 years and younger than 40 years of age were compared, recurrence rate were found to be 9/25 (36%) and 12/18 (66.6%), respectively (p=0.094). No recurrent shoulder dislocation was observed in 6 patients with accompanying proximal humerus fractures. Conclusion: After primary anterior shoulder instability, recurrence rate was found to be high in patients treated conservatively with temporary immobilization. Recurrence is less common in the presence of accompanying fracture at the proximal humerus.

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