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Master Thesis

Immobilisation de l'épaule en rotation externe après un premier épisode de luxation antérieure : mise au point et proposition d'un protocole d'étude

Abstract : For 10 years, immobilization of the shoulder in internal rotation after a first-time anterior shoulder dislocation is called into question. Cadaveric and MRI studies showed a better coaptation of the Bankart lesion, labral lesion frequently observed in anterior shoulder dislocation, when the arm is placed in external rotation compared to the classic internal rotation position. The major benefit for the patient would be a reduction of the recurrence rate, which represents the stake in the treatment, especially for young patients. Several clinical trials have been made to confirm this hypothesis but results are heterogeneous and conclusions difficult to make. Immobilizing the shoulder in external rotation after a first-time anterior shoulder dislocation is still debated at the present time. It would be interesting to realize a study in collaboration with the association "Médecins de Montagne". This medical network would allow the inclusion of a sufficient number of patients during a winter season. The aim of the study would be to evaluate recurrence rate after a first-time anterior shoulder dislocation among young patients in two groups of immobilization (external rotation and internal rotation) with a two years follow-up. Such a study would require a strong motivation among doctors. Other difficulties could be met: patient compliance and follow-up, cost of the study... However, according to the results, the treatment of first-time anterior shoulder dislocation could be modified.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00906199
Contributor : Jean-Hugues Morneau <>
Submitted on : Tuesday, November 19, 2013 - 2:09:25 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:16 AM
Long-term archiving on: : Monday, March 3, 2014 - 2:26:21 PM

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  • HAL Id : dumas-00906199, version 1

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Chloé Bodiou-Hardy. Immobilisation de l'épaule en rotation externe après un premier épisode de luxation antérieure : mise au point et proposition d'un protocole d'étude. Médecine humaine et pathologie. 2013. ⟨dumas-00906199⟩

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