[Primary anterior shoulder dislocation].

Abstract

Anterior dislocations of the shoulder are common among young males following trauma. Dislocations may be associated with fractures, rotator cuff tears as well as nerve and vascular injuries. However, recurrent instability is the major complication following primary dislocation of the shoulder. After physical examination and radiologic evaluation the humeral head may be reduced using a variety of methods. The methods differ in sedation, analgesia, body and arm position, type of manipulation, number of staff required for manipulation and finally, rates of success and complications. Following successful reduction, the arm should be fixed in an arm sling for at least three weeks. Young and active patients may be advised to undergo primary arthroscopic repair due to high risk of recurrent dislocation and cumulative damage to the shoulder.