{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T01:12:52Z","timestamp":1784250772646,"version":"3.55.0"},"reference-count":14,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T00:00:00Z","timestamp":1770336000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T00:00:00Z","timestamp":1770336000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to survey sport medicine physicians globally to evaluate how they treat patients with a first\u2010time shoulder dislocation (FTSD), specifically exploring the most common management strategies, the evidence or guidelines guiding these decisions, and the influence of demographic factors on these strategies and perceptions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional survey was developed and distributed globally from 14 October 2024 through 22 March 2025 to sport medicine physicians involved in the management of shoulder instability. The questionnaire assessed respondents' demographics, preferred management strategies for FTSDs, and perceptions regarding the evidence supporting various treatment approaches. Descriptive statistics were used to summarize the data, and regression analyses were conducted to explore associations between demographic variables and management practices and perceptions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 326 respondents completed the survey, predominantly fellowship\u2010trained orthopaedic surgeons from North America and Europe. The most common management strategy was immobilization for 1\u20133 weeks, followed by physical therapy incorporating strengthening and proprioception exercises. Imaging practices varied geographically, with North American respondents preferring radiographic assessment and Europeans favouring magnetic resonance imaging at initial presentation. Surgical management or consideration for surgical intervention was most influenced by the presence of bony injury (81%), patient age (69%) and participation in contact sports (63%). Younger physicians favoured arthroscopic stabilization, while older respondents leaned towards open approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>While variability in the management of FTSDs persists, the results of this study demonstrate emerging trends towards consensus on critical factors for consideration in the management of such patients. However, despite the prevalence of guideline\u2010based management, a substantial proportion of respondents, particularly those over 55 years old, continue to base their practices on personal experience and training rather than standardized protocols. The development and dissemination of evidence\u2010based guidelines remain essential to standardize clinical practices and optimize patient outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.70297","type":"journal-article","created":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T13:34:14Z","timestamp":1770384854000},"page":"1421-1430","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Management of first\u2010time shoulder dislocations: A survey of sport medicine physician perceptions"],"prefix":"10.1002","volume":"34","author":[{"given":"Danielle","family":"Dagher","sequence":"first","affiliation":[{"name":"Department of Health Research Methods, Evidence, and Impact McMaster University Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ethan","family":"Mewhinney","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences McMaster University Hamilton Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"MacDonald","sequence":"additional","affiliation":[{"name":"Department of Surgery, Section of Orthopedics University of Manitoba Winnipeg Manitoba Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel M.","family":"Frank","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Colorado School of Medicine Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinning","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine and Shoulder Surgery Boston University School of Medicine Boston Massachusetts 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Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,6]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874325001711011001"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.00070"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.2174\/1874325001711010875"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.04.046"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.07.022"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2017-098539"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546513510391"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1758573218773543"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jisako.2023.01.002"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(20)30370-9"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2014-094342"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-0468.22"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2020.08.011"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.00450"}],"container-title":["Knee 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