Your browser doesn't support javascript.
loading
Treatment of first-time traumatic anterior shoulder dislocation: the UK TASH-D cohort study.
Rees, Jonathan L; Shah, Anjali; Edwards, Katherine; Sanchez-Santos, Maria T; Robinson, Danielle E; Delmestri, Antonella; Carr, Andrew; Arden, Nigel; Lamb, Sarah E; Rangan, Amar; Judge, Andrew; Pinedo-Villanueva, Rafael; Holt, Tim; Hopewell, Sally; Prieto-Alhambra, Daniel; Collins, Gary.
Afiliação
  • Rees JL; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
  • Shah A; NIHR Oxford Biomedical Research Centre, Oxford, UK.
  • Edwards K; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
  • Sanchez-Santos MT; NIHR Oxford Biomedical Research Centre, Oxford, UK.
  • Robinson DE; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
  • Delmestri A; NIHR Oxford Biomedical Research Centre, Oxford, UK.
  • Carr A; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
  • Arden N; NIHR Oxford Biomedical Research Centre, Oxford, UK.
  • Lamb SE; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
  • Rangan A; NIHR Oxford Biomedical Research Centre, Oxford, UK.
  • Judge A; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
  • Pinedo-Villanueva R; NIHR Oxford Biomedical Research Centre, Oxford, UK.
  • Holt T; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
  • Hopewell S; NIHR Oxford Biomedical Research Centre, Oxford, UK.
  • Prieto-Alhambra D; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK.
  • Collins G; NIHR Oxford Biomedical Research Centre, Oxford, UK.
Health Technol Assess ; 23(18): 1-104, 2019 04.
Article em En | MEDLINE | ID: mdl-31043225
Traumatic anterior shoulder dislocation (TASD) happens when the top of the arm bone is forced frontwards out of the shoulder socket. After a TASD, the shoulder joint can become 'unstable' and keep dislocating. The main treatments are surgery or physiotherapy; however, we do not know which treatment is best at stopping more dislocations. Two large NHS computer databases were studied to assess this problem. This has allowed us to produce information on the extent of this problem in the UK. We also looked for any differences in the number of people who suffered more shoulder dislocations when treated with either surgery or no surgery. The results showed that young men aged 16­20 years and women aged > 50 years suffer the most with this problem. In young people, the cause is thought to be due to sports injuries. These findings in women aged > 50 years are new and suggest that further research is needed to discover what puts them at a greater risk of TASD. When patients who had surgery and those who did not were compared, there appeared to be no difference in the number of people suffering a re-dislocation. Although, overall, this might suggest that surgery after only one dislocation does not have any extra benefit in preventing more dislocations, this research discovered that important information used to help decide on whether or not surgical treatment is needed is not reported in the databases. Some patients may be at a greater risk of more dislocations than other patients based on risk factors, such as sport and occupation, and this information is not recorded in the NHS databases. Therefore, the research question cannot be answered by studying these NHS databases and so other methods, such as a research trial or a custom database built especially for shoulder dislocation patients, would be needed.
Assuntos
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Luxação do Ombro Tipo de estudo: Clinical_trials / Etiology_studies / Guideline / Health_technology_assessment / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: Europa Idioma: En Revista: Health Technol Assess Assunto da revista: PESQUISA EM SERVICOS DE SAUDE / TECNOLOGIA MEDICA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Reino Unido País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Luxação do Ombro Tipo de estudo: Clinical_trials / Etiology_studies / Guideline / Health_technology_assessment / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: Europa Idioma: En Revista: Health Technol Assess Assunto da revista: PESQUISA EM SERVICOS DE SAUDE / TECNOLOGIA MEDICA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Reino Unido País de publicação: Reino Unido