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This study delves to better indicate decision-making for operative indication of post-traumatic PSI patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Patients who sustained posterior shoulder dislocations were selected from a single surgeon\u2019s database within a five-year period. Cases of degenerative or genetically caused PSI were excluded, resulting in a cohort of 28. Patients were initially managed conservatively but indicated for surgery if they were unable to actively stabilize the shoulder or exhibited bony or cartilage defects confirmed through imaging. If conservative treatment did not yield significant improvements, it was classified as a failure, and operative intervention was recommended. The WOSI Score, ROM, and X-ray were employed to evaluate the success of treatment.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Out of the 28 patients, 11 received conservative, seven immediate surgeries, and ten transitioned from conservative to operative treatment. The overall success rate showed 25 good to excellent results.\u00a0In the persistent conservative treatment group, the initial WOSI score was significantly lower compared to the operative group.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>This study suggests that post-traumatic PSI can be successfully managed conservatively with initial low clinical symptoms (low WOSI score) and in the absence of absolute indications for operative treatment. When surgery is necessary, arthroscopic procedures proved effective in achieving good to excellent results in 16 out of 17 cases.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00264-023-06045-9","type":"journal-article","created":{"date-parts":[[2023,12,4]],"date-time":"2023-12-04T05:01:32Z","timestamp":1701666092000},"page":"133-142","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Retrospective analysis of decision-making in post-traumatic posterior shoulder instability"],"prefix":"10.1007","volume":"48","author":[{"given":"Simon","family":"Bovenkerk","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7799-7302","authenticated-orcid":false,"given":"Carsten","family":"Englert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,12,4]]},"reference":[{"issue":"6","key":"6045_CR1","doi-asserted-by":"publisher","first-page":"890","DOI":"10.2106\/00004623-199274060-00010","volume":"74","author":"WZ Burkhead","year":"1992","unstructured":"Burkhead WZ, Rockwood CA (1992) Treatment of instability of the shoulder with an exercise program. 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Approval was granted by the Ethics Committee of the University of Regensburg. (Date: 22.07.2020 \/ No: 20\u20131930-101).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study. Written informed consent was obtained from the parents.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"The authors affirm that human research participants provided informed consent for publication of the images in Figures \u2013.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}