Current concepts on the assessment of a patient with a traumatic anterior shoulder dislocation

Ntambue J Kauta; Jean P Du Plessis; Johannes J De Wet; Basil Vrettos; Stephen J L Roche

Authors

Ntambue J Kauta University of Cape Town https://orcid.org/0000-0002-7099-2506
Jean P Du Plessis University of Cape Town https://orcid.org/0000-0001-6469-7765
Johannes J De Wet University of Cape Town https://orcid.org/0000-0001-5464-749X
Basil Vrettos University of Cape Town https://orcid.org/0000-0003-4226-0794
Stephen J L Roche University of Cape Town https://orcid.org/0000-0002-5695-2751

Keywords:

anterior shoulder dislocation, anterior shoulder instability, recurrent shoulder dislocation, anterior shoulder instability assessment

Abstract

Anterior shoulder dislocation is a common condition that most orthopaedic surgeons will have to deal with in their practice.

Nonoperative management of the initial traumatic anterior shoulder dislocation is likely to lead to a recurrent shoulder dislocation in more than 90% of cases in the younger active population. Recurrent anterior shoulder dislocation can persist even after instability surgery in certain cases. A detailed, accurate assessment of the patient is of paramount importance for successful treatment.

This review aims to provide insight into key concepts to consider in the assessment of an anterior shoulder dislocation. Predisposing factors, clinical examination and the role of imaging in the assessment of an anterior shoulder dislocation will be reviewed.

Level of evidence: Level 5