Surgical versus non-surgical treatment for first-time traumatic anterior shoulder dislocation with a bankart lesion: 10-years randomised controlled clinical trial
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Background:
Anterior traumatic dislocation is a common problem faced by orthopaedic surgeons. After a first episode of shoulder dislocation, a combination of lesions can lead to chronic instability
or re-dislocations episodes. The management after the first acute anterior shoulder
dislocation is controversial. Nowadays, the treatment choose is a conservative management
by immobilization, although the available literature supports the early surgical treatment,
especially in a close-defined population with a high risk of recurrences (young, male,
athletes and/or with a high demanded physical activities).
However, further clinical trials of good quality comparing surgical versus non-surgical
treatment for well-defined lesions are needed, especially for categories of patients who
have a lower risk of recurrence. Our aim is to try to solve this weak point.
Objective:
The aim of this protocol is to compare the effectiveness between the surgical versus nonsurgical
treatment for the first-time traumatic anterior dislocation of the shoulder with
Bankart lesion. The surgery used, will be the arthroscopic Bankart repair.
Design:
Our design will be a randomized, controlled, single-blind and unicentric clinical trial. It will
be done in Hospital Universitari Dr. Josep Trueta in Girona with the Orthopaedics and
Trauma Surgery (OTS) Department. Patient could be derived from all Girona’s province.
Participants:
We include physically active individuals (score of 40-80 in the Physical Activity Index of
American Academy of Health and Fitness (AAHF)) with ages between 18 and 30 years old,
and with a gender rate of 9 Males : 1 Female. (9M:1F) The lesion should be a first-time
episode traumatic anterior dislocation with a Bankart lesion diagnosed by Magnetic
Ressonance Imaging arthrography (arto-MRI)
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