Recurrence Of Anterior Shoulder Dislocation with Or Without Physiotherapy: Anterior Shoulder Dislocation and Physiotherapy

Maryam  Iqbal; Haider Khan  Pasha; Syed  Asadullah Arslan; Ashfaq  Ahmad; Adnan  Hashim; Hamail  Irfan; Sumia  Ahmed Ali

doi:10.54393/pbmj.v5i7.694

Authors

Maryam Iqbal University Institute of Physical Therapy, Faculty of Allied Health Sciences, University of Lahore
Haider Khan Pasha University Institute of Physical Therapy, Faculty of Allied Health Sciences, University of Lahore
Syed Asadullah Arslan University Institute Of Physical Therapy, Faculty Of Allied Health Sciences, University Of Lahore
Ashfaq Ahmad Faculty Of Allied Health Sciences, University Of Lahore
Adnan Hashim University Institute Of Physical Therapy, Faculty Of Allied Health Sciences, University Of Lahore
Hamail Irfan University Institute Of Physical Therapy, Faculty Of Allied Health Sciences, University Of Lahore
Sumia Ahmed Ali University Institute Of Physical Therapy, Faculty of Allied Health Sciences, University of Lahore

DOI:

https://doi.org/10.54393/pbmj.v5i7.694

Keywords:

Recurrence, Shoulder Dislocation, Physiotherapy

Abstract

Shoulder withdrawals are horrendous and can hinder everyday activities as well as help in sports. The greater part of shoulder separations (>95%) happen in the front course and are from time to time achieved by injury. Discontinuous separations can be avoided and social costs can be diminished with proper treatment. Objective: To evaluate the recurrence of anterior should dislocation with or without physiotherapy. Methods: This cross-sectional study was conducted over 180 participants of recurrence of anterior shoulder dislocation according to inclusion exclusion criteria. Non probability purposive sampling was used to assemble data from Lahore. Data was collected by questionnaire Functional shoulder Instability. Data were collected from the Patients of the University of Lahore Teaching Hospital, Mansoora Hospital, Jinnah Hospital and Mayo Hospital. Results: Out of total 180 participant’s, 140 were males and 40 were females. Mean age was 25.9 with a St. Deviation of 5.3 having maximum age of 35.00 and minimum age of 15.00. Injury mechanism among participants was seizure in 20 (11.1%), falls present in 46 (25.6%), sporting injury in 54 (30.0%), motor vehicle accident in 54 (30.0%) and in other is 6 (3.3%). 98 (54.4%) participants have previous instability of other shoulder and 82 (45.6%) don’t have previous instability of other shoulder. 74 (41.1%) participants have left dislocation side and 106 (58.9%) participants have right dislocation side. 28 (15.6%) participant’s undergoes physiotherapist treatment and 152 (84.4%) participant’s undergoes general physician treatment. Conclusions: Hence it was concluded that, recurrence of shoulder was occurred mostly in that participants’ which were undergoes general physician treatment.

References

DeFroda SF, Donnelly JC, Mulcahey MK, Perez L, Owens BD. Shoulder Instability in Women Compared with Men: Epidemiology, Pathophysiology, and Special Considerations. The Journal of Bone and Joint Surgery Reviews. 2019 Sep; 7(9):e10. doi: 10.2106/JBJS.RVW.19.00007

Zacchilli MA and Owens BD. Epidemiology of shoulder dislocations presenting to emergency departments in the United States. The Journal of Bone and Joint Surgery. 2010 Mar; 92(3):542-9. doi: 10.2106/JBJS.I.00450

Shah A, Judge A, Delmestri A, Edwards K, Arden NK, Prieto-Alhambra D, et al. Incidence of shoulder dislocations in the UK, 1995-2015: a population-based cohort study. BMJ Open. 2017 Nov; 7(11):e016112. doi: 10.1136/bmjopen-2017-016112

Van der Linde JA, Bosmans JE, Ter Meulen DP, van Kampen DA, van Deurzen DF, Haverlag R, et al. Direct and indirect costs associated with nonoperative treatment for shoulder instability: an observational study in 132 patients. Shoulder Elbow. 2019 Aug; 11(4):265-274. doi: 10.1177/1758573218773543

Crall TS, Bishop JA, Guttman D, Kocher M, Bozic K, Lubowitz JH. Cost-effectiveness analysis of primary arthroscopic stabilization versus nonoperative treatment for first-time anterior glenohumeral dislocations. Arthroscopy. 2012 Dec; 28(12):1755-65. doi: 10.1016/j.arthro.2012.05.885

Hurley ET, Manjunath AK, Bloom DA, Pauzenberger L, Mullett H, Alaia MJ, et al. Arthroscopic Bankart Repair Versus Conservative Management for First-Time Traumatic Anterior Shoulder Instability: A Systematic Review and Meta-analysis. Arthroscopy. 2020 Sep; 36(9):2526-2532. doi: 10.1016/j.arthro.2020.04.046

Hutyra CA, Streufert B, Politzer CS, Agaba P, Rubin E, Orlando LA, et al. Assessing the Effectiveness of Evidence-Based Medicine in Practice: A Case Study of First-Time Anterior Shoulder Dislocations. The Journal of Bone and Joint Surgery. 2019 Jan; 101(2):e6. doi: 10.2106/JBJS.17.01588

Robinson CM, Seah M, Akhtar MA. The epidemiology, risk of recurrence, and functional outcome after an acute traumatic posterior dislocation of the shoulder. The Journal of Bone and Joint Surgery. 2011 Sep; 93(17):1605-13. doi: 10.2106/JBJS.J.00973

Robinson CM and Aderinto J. Posterior shoulder dislocations and fracture-dislocations. The Journal of Bone and Joint Surgery. 2005 Mar; 87(3):639-50. doi: 10.2106/JBJS.D.02371

Mclaughlin HL. Posterior dislocation of the shoulder. The Journal of Bone and Joint Surgery. 1952 Jul; 34(3):584-90.

Hawkins RJ, Neer CS, Pianta RM, Mendoza FX. Locked posterior dislocation of the shoulder. The Journal of Bone and Joint surgery. 1987 Jan; 69(1):9-18. doi: 10.2106/00004623-198769010-00003

Walch G, Boileau P, Martin B, Dejour H. Unreduced posterior luxations and fractures-luxations of the shoulder. Apropos of 30 cases. Revue de Chirurgie Orthopedique et Reparatrice de l’Appareil Moteur. 1990; 76(8):546-58.

Wallace WA and Hellier M. Improving radiographs of the injured shoulder. Radiography. 1983 Oct; 49(586):229-33

Bloom MH and Obata WG. Diagnosis of posterior dislocation of the shoulder with use of Velpeau axillary and angle-up roentgenographic views. The Journal of Bone and Joint Surgery. 1967 Jul; 49(5):943-9

Wilson JC and Mckeever FM. Traumatic posterior dislocation of the humerus. The Journal of Bone and Joint Surgery. 1949 Jan; 31A(1):160-72

Hertel R, Ballmer FT, Lombert SM, Gerber C. Lag signs in the diagnosis of rotator cuff rupture. Journal of Shoulder and Elbow Surgery. 1996 Aug; 5(4):307-13. doi: 10.1016/s1058-2746(96)80058-9

Gerber C and Krushell RJ. Isolated rupture of the tendon of the subscapularis muscle. Clinical features in 16 cases. The Journal of Bone and Joint Surgery. 1991 May; 73(3):389-94. doi: 10.1302/0301-620X.73B3.1670434

O'Brien SJ, Pagnani MJ, Fealy S, McGlynn SR, Wilson JB. The active compression test: a new and effective test for diagnosing labral tears and acromioclavicular joint abnormality. American Journal of Sports Medicine. 1998 Oct; 26(5):610-3. doi: 10.1177/03635465980260050201

Beighton P and Horan F. Orthopaedic aspects of the Ehlers-Danlos syndrome. The Journal of Bone and Joint Surgery. 1969 Aug; 51(3):444-53

Davy AR and Drew SJ. Management of shoulder dislocation--are we doing enough to reduce the risk of recurrence? Injury. 2002 Nov; 33(9):775-9. doi: 10.1016/s0020-1383(02)00107-9.

Wheeler JH, Ryan JB, Arciero RA, Molinari RN. Arthroscopic versus nonoperative treatment of acute shoulder dislocations in young athletes. Arthroscopy. 1989; 5(3):213-7. doi: 10.1016/0749-8063(89)90174-6