Conservative treatment of first-time shoulder dislocation with the arm in external rotation

Nobuyuki Yamamoto, Hirotaka Sano, Eiji Itoi

Research output: Contribution to journalReview articlepeer-review

14 Citations (Scopus)


Nonoperative treatment of traumatic first-time shoulder dislocation has remained the same for a long time. The recurrence rate of nonoperative treatment is unacceptably high, especially in young and active patients. In an earlier study, we demonstrated the superiority of immobilization in external rotation over conventional treatment. Arthroscopic stabilization is being increasingly recommended after a first-time dislocation; however, surgical stabilization after a first-time dislocation still remains controversial. In this paper, we introduce a basic study that provides evidence for the development of immobilization in external rotation, recent clinical outcomes, and future perspective. Furthermore, how to choose the treatment options for first-time dislocations is discussed.

Original languageEnglish
Pages (from-to)98-103
Number of pages6
JournalJournal of Shoulder and Elbow Surgery
Issue number2 SUPPL.
Publication statusPublished - 2010 Mar


  • conservative treatment
  • immobilization in external rotation
  • Shoulder dislocation


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