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Immobilization After an Anterior Glenohumeral Joint Dislocation With a Bankart Lesion

Not Applicable
Conditions
Glenohumeral Joint Dislocation
Interventions
Device: Donjoy ER brace
Device: Thoraco brachial brace
Registration Number
NCT01111500
Lead Sponsor
Hopital de l'Enfant-Jesus
Brief Summary

Glenohumeral joint dislocation is the most frequent joint dislocation with a prevalence of 1.7/100000 citizens/year. It is treated by reduction, under sedation or anaesthesia, followed by an immobilization of the arm.

The purpose of the study is to evaluate the healing of the labrum in first time anterior glenohumeral joint dislocation with a Bankart lesion in young patients by comparing an external rotation brace to an internal rotation brace to immobilize the injured arm.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
50
Inclusion Criteria
  • > 18 years old
  • < 40 years old
  • anterior glenohumeral joint dislocation proved by radiography
  • dislocation needing a reduction manoeuvre
  • home close to evaluation site for 24 months follow-up visits
  • signed consent form
Exclusion Criteria
  • associated fracture
  • Hill-Sachs lesion = or > than 30%
  • neurovascular deficit
  • hypermobility
  • pre-existing instability of the injured shoulder
  • systemic neurological disease
  • allergy to gadolinium
  • functional sequel to the shoulder due to previous injury
  • incapacitated adult patient
  • minor patient
  • home far from evaluation site
  • refusal to sign the consent form

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
external rotation immobilizationDonjoy ER bracePatient will wear an external rotation brace to immobilize the injured arm.
internal rotation immobilizationThoraco brachial bracePatient will wear an internal rotation brace to immobilize the injured arm.
Primary Outcome Measures
NameTimeMethod
Anatomical healing of the labrum3 months after dislocation

An MRI with usual cuts in ABER and ADIR positions are performed to demonstrate the anatomical healing of the labrum.

Secondary Outcome Measures
NameTimeMethod
Decrease in relapse rate24 months after dislocation

Evidence of a significant decrease in the relapse rate when the arm is immobilized in an external rotation position

Trial Locations

Locations (1)

CHA-Pavillon Enfant-Jésus

🇨🇦

Québec, Quebec, Canada

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