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The purpose of this study was to evaluate the natural history of glenohumeral dislocation in young athletes. A review of the literature revealed a consensus of opinion that the dislocated shoulder should be immo bilized from 3-6 weeks. However, a high recurrence rate could be expected.
One hundred twenty-one patients with acute trau matic anterior dislocations were evaluated (average age—19 years). Methods of immobilization were shoulder immobilizers and slings and swaths. Sixty- two patients were immobilized and 56 (90%) of these suffered recurrent dislocation. Fifty-nine patients were not immobilized and 50 (85%) re-dislocated their shoulders. The length of immobilization had no effect on the recurrence rate. All re-dislocations occurred within 18 months of the initial injury. Seventy-nine patients were operated on for recurrent dislocation.
With such a high recurrence rate in the athletic age group, the authors question if immobilization affects the prognosis.
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