Trial reportThe American journal of sports medicine2021
Immobilization in External Rotation and Abduction Versus Arthroscopic Stabilization After First-Time Anterior Shoulder Dislocation: A Multicenter Randomized Controlled Trial.
Trial report in The American journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05532150 (Conservative Versus Operative Management of First Time Shoulder Dislocations), which is not on this map. Cited by 19 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Conservative Versus Operative Management of First Time Shoulder Dislocations
Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Clinical practice on treatment of primary traumatic anterior shoulder dislocation: a multidisciplinary guideline.Acta orthopaedica · 2026Guideline
- Systematic Review of Arthroscopic Bankart Repair Outcomes for Anterior Shoulder Instability.Medical science monitor : international medical journal of experimental and clinical research · 2024Pooled it
- Arthroscopic Bankart repair versus conservative treatment for first-time traumatic anterior shoulder dislocation: a systematic review and meta-analysis.European journal of medical research · 2023Pooled it
- Return to Sport After Arthroscopic Bankart Repair in Professional Male Football Players.Journal of clinical medicine · 2026Article
- Article
- Arthroscopic Bankart Repair Using the Labral Bridge Technique Reveals Excellent Outcomes at a Minimum Follow-up of 2 Years: A Retrospective Case Series.Orthopaedic journal of sports medicine · 2026Article
- The impact of randomized controlled trials on the management of anterior shoulder instability: A bibliometric and altmetrics analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Bankart surgery is the most effective treatment for first-time anterior shoulder dislocation without significant bone loss - Systematic review and network meta-analysis.Journal of orthopaedic translation · 2026Review
- Methodology and development of a machine learning probability calculator: Data heterogeneity limits ability to predict recurrence after arthroscopic Bankart repair.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- Arthroscopic shoulder instability surgery in patients under 25 years of age: the key role of soft tissue with both anterior and posterior axillary hammock tensioning.Journal of orthopaedic surgery and research · 2025Article
- Management of First-Time Anterior Shoulder Dislocation-A Systematic Review and Meta-analysis: Arthroscopy Association of Canada Position Statement.Orthopaedic journal of sports medicine · 2025Review
- The History and Evolution of the Open Labral Repair with Capsular Shift for Shoulder Instability.Current reviews in musculoskeletal medicine · 2024Review
- Rehabilitation Protocol Variability Following Arthroscopic Bankart Repair and Remplissage for Management of Anterior Shoulder Instability: A Systematic Review.International journal of sports physical therapy · 2024Article
- Global variations in treatment and outcomes reported for anterior shoulder instability: a systematic review of the literature.JSES reviews, reports, and techniques · 2023Review
- [Treatment strategies for traumatic anterior shoulder dislocation].Unfallchirurgie (Heidelberg, Germany) · 2023Review
- [Mid-term effectiveness of arthroscopic Bankart repair in treatment of recurrent anterior shoulder dislocation].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023Article
- Bankart Repair With or Without Concomitant Remplissage Results in Similar Shoulder Motion and Postoperative Outcomes in the Treatment of Shoulder Instability.Arthroscopy, sports medicine, and rehabilitation · 2023Article
- Effect of Preoperative MRI Coracoid Dimensions on Postoperative Outcomes of Latarjet Treatment for Anterior Shoulder Instability.Orthopaedic journal of sports medicine · 2022Article
- Case report of old anterior dislocation of the shoulder joint and review of the literature.Frontiers in surgery · 2022Article
Corrections and comments
- Erratum issued
Authors and funding
9 authors at 7 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTreatment of first-time shoulder dislocation (FSD) is a topic of debate. After high rates of recurrent instability after nonoperative management were reported in the literature, primary repair of FSD significantly increased. At the same time, new concepts were proposed that had promising results for immobilization in external rotation (ER) and abduction (ABD). PURPOSE: The aim of this study was to evaluate the recurrence rates (primary outcome) and clinical outcomes (secondary outcome parameters) of immobilization in ER+ABD versus arthroscopic primary stabilization after FSD. STUDY
designRandomized controlled trial; Level of evidence, 1.
methodsIn a multicenter randomized controlled trial, patients with FSD were randomized to either treatment with immobilization in 60° of ER plus 30° of ABD (group 1) or surgical treatment with arthroscopic Bankart repair (group 2). Clinical evaluation was performed 1, 3, and 6 weeks as well as 6, 12, and 24 months postoperatively or after reduction, including range of motion, instability testing, subjective shoulder value, Constant-Murley score, Rowe score, and Western Ontario Shoulder Instability Index. Recurrent instability events were prospectively recorded.
resultsBetween 2011 and 2017, a total of 112 patients were included in this study. Of these, 60 patients were allocated to group 1 and 52 to group 2. At the 24-month follow-up, 91 patients (81.3%) were available for clinical examination. The recurrence rate was 19.1% in group 1 and 2.3% in group 2 (
conclusionImmobilization in ER+ABD versus primary arthroscopic shoulder stabilization for the treatment of FSD showed no differences in clinical shoulder scores. However, recurrent instability was significantly higher after nonoperative treatment.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.