Evidence-Based Orthopaedics   |    
Open Repair Reduced Recurrent Dislocation More Than Conservative Treatment After Traumatic Anterior Shoulder Dislocation

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Source of funding: No external funding.
For correspondence: Dr. B.W. Jakobsen, Division of Sports Trauma, Orthopaedic Center, Aarhus Sygehus, Tage Hansens Gade 2, DK 8000 Aarhus C, Denmark. E-mail address: b-wulff@dadlnet.dk
Jakobsen BW, Johannsen HV, Suder P, Sojbjerg JO. Primary Repair Versus Conservative Treatment of First-Time Traumatic Anterior Dislocation of the Shoulder: A Randomized Study with 10-Year Follow-up.
. 2007Feb;23: 118-23.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2007 Aug 01;89(8):1871-1871. doi: 10.2106/JBJS.8908.ebo1
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Question: In patients with traumatic anterior shoulder dislocation, how do open repair and conservative treatment compare for long-term recurrence rates?Design: Randomized (allocation concealed, unblinded)*, controlled trial with 10-year follw-up.*Information provided by author.Setting: 13 hospitals in Denmark.Patients: 76 patients who were 15 to 39 years of age (mean age, 22 y; 82% men) with an acute first-time traumatic anterior shoulder dislocation confirmed by radiography, no previous shoulder problems, and no fracture of the greater tuberosity. All patients underwent arthroscopy within the first week of injury. 75 patients were available for 10-year follow-up.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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