Open surgery versus arthroscopy for treating traumatic instability of the shoulder in adults

Completed

Conditions: Traumatic anterior shoulder instability
Injury, Occupational Diseases, Poisoning
Shoulder instability

Registration Number: ISRCTN22171602

Lead Sponsor: niversidade Federal de Sao Paulo (UNIFESP) (Brazil)

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 50

Inclusion Criteria

1. Adults aged 18 - 40 years, either sex
2. Radiographic confirmation of a first-time anterior shoulder dislocation caused by an external force applied to the shoulder in a fall, or other forceful injury
3. No associated fracture visible on conventional radiographs at the time of presentation
4. Clinical history and symptoms of anterior shoulder instability
5. No medical contraindications to general anaesthesia
6. Detection of a Bankart lesion (anteroinferior capsulolabral detachment) on the arthroscopic examination of the shoulder

Exclusion Criteria

1. Aged under 18 or over 40 years
2. Patients with generalised joint laxity, bilateral instability, multidirectional instability, and an additional soft-tissue injury that could affect joint stability
3. Patients with convulsive disorders, collagen diseases, previous surgery of the shoulder and any other condition that affects the shoulder mobility
4. Cerebrovascular disease or other severe medical illness
5. Inability to give informed consent or to complete questionnaires

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1. Disability of Arm Shoulder and Hand (DASH) Questionnaire<br>2. UCLA Shoulder Rating Scale<br>3. Rowe Score for Instability<br><br>Identical care program for rehabilitation was done in each of compared groups. Following enrolment in the study, all the participants were assessed every week during the first 2 weeks and at the 4th and 8th weeks; thereafter, monthly until the final examination. All primary and secondary outcomes were reported.

Secondary Outcome Measures

Name	Time	Method
Range of movement: passive range of motion measurements, specifically forward flexion and internal and external rotation at 90° of abduction, were recorded and compared with the patients' nonoperative side.<br><br>Identical care program for rehabilitation was done in each of compared groups. Following enrolment in the study, all the participants were assessed every week during the first 2 weeks and at the 4th and 8th weeks; thereafter, monthly until the final examination. All primary and secondary outcomes were reported.