{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T02:49:27Z","timestamp":1747277367450,"version":"3.37.3"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Sports Med"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>To systematically compare the clinical efficacy of conservative treatment and\n                    arthroscopic one-stage repair for patients with first-time anterior dislocation\n                    of the shoulder. A retrieval and systematic review of randomized controlled\n                    studies of primary anterior shoulder dislocation with conservative versus\n                    arthroscopic repair was conducted and further pooled analysis was performed to\n                    compare the overall difference in clinical outcomes, including redislocation and\n                    revision surgery rates, shoulder function scores and related complications.\n                    Preliminary meta-analysis showed that the risk of anterior shoulder\n                    redislocation was 4.73-fold higher in patients treated conservatively than those\n                    undergoing arthroscopic repair (RR:4.73 [2.95\u20137.58],\n                    p&lt;0.000; I2=0%,\n                    p=0.920),and that the revision surgery rate was 5.91 times higher\n                    in the conservative group than in the arthroscopic repair group (RR:5.91\n                    [2.82\u201312.39], p&lt;0.000; I2=0%,\n                        p=0.560).Early arthroscopic repair can significantly reduce\n                    the redislocation and revision surgery rates and also improve the shoulder joint\n                    function score, without serious complications. However, it is necessary to\n                    recognize the subset of patients with a higher risk of redislocation in young\n                    patients through a high quality, blinded, prospective cohort study when early\n                    arthroscopic repair intervention in this subset of high-risk patients will be of\n                    significant clinical value.<\/jats:p>","DOI":"10.1055\/a-1982-3624","type":"journal-article","created":{"date-parts":[[2022,12,18]],"date-time":"2022-12-18T23:30:21Z","timestamp":1671406221000},"page":"169-176","source":"Crossref","is-referenced-by-count":2,"title":["Arthroscopic Repair Versus Conservative Treatment for First-time\n                    Anterior Shoulder Dislocation"],"prefix":"10.1055","volume":"44","author":[{"given":"Dengqiang","family":"Lei","sequence":"additional","affiliation":[{"name":"Orthopedic, Xining First People\u2019s Hospital, Xining,\n                    China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6459-4384","authenticated-orcid":false,"given":"Bo","family":"Tang","sequence":"additional","affiliation":[{"name":"Sports medicine, Xining First People\u2019s Hospital, Xining,\n                    China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yongjuan","family":"Li","sequence":"additional","affiliation":[{"name":"Sports medicine, Xining First People\u2019s Hospital, Xining,\n                    China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheng","family":"Fan","sequence":"additional","affiliation":[{"name":"Sports medicine, Xining First People\u2019s Hospital, Xining,\n                    China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,12,18]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1007\/BF00932317","article-title":"The 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Hurley","year":"2020","journal-title":"Arthroscopy"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"e1000097","DOI":"10.1371\/journal.pmed.1000097","article-title":"Preferred reporting items for systematic reviews and meta-analyses: the PRISMA\n                    statement","volume":"6","author":"D Moher","year":"2009","journal-title":"PLoS Med"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"d5928","DOI":"10.1136\/bmj.d5928","article-title":"The Cochrane Collaboration\u2019s tool for assessing risk of bias in\n                    randomised trials","volume":"343","author":"JP T Higgins","year":"2011","journal-title":"BMJ"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1053\/ar.1999.v15.015050","article-title":"Prospective randomized clinical trial comparing the effectiveness of immediate\n                    arthroscopic stabilization versus immobilization and rehabilitation in first\n                    traumatic anterior dislocations of the shoulder","volume":"15","author":"A Kirkley","year":"1999","journal-title":"Arthroscopy"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.arthro.2004.09.018","article-title":"Prospective randomized clinical trial comparing the effectiveness of immediate\n                    arthroscopic stabilization versus immobilization and rehabilitation in first\n                    traumatic anterior dislocations of the shoulder: long-term evaluation","volume":"21","author":"A Kirkley","year":"2005","journal-title":"Arthroscopy"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"576","DOI":"10.1177\/03635465020300041801","article-title":"A prospective, randomized evaluation of arthroscopic stabilization versus\n                    nonoperative treatment in patients with acute, traumatic, first-time shoulder\n                    dislocations","volume":"30","author":"C R Bottoni","year":"2002","journal-title":"Am J Sports 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A randomized, double-blind trial","volume":"90","author":"C M Robinson","year":"2008","journal-title":"J Bone Joint Surg Am"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"460","DOI":"10.2106\/JBJS.19.00858","article-title":"Primary arthroscopic stabilization for a first-time anterior dislocation of the\n                    shoulder: long-term follow-up of a randomized, double-blinded trial","volume":"102","author":"L Z Yapp","year":"2020","journal-title":"J Bone Joint Surg Am"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"1166","DOI":"10.1177\/0363546521996381","article-title":"Arthroscopic bankart repair versus\n                    immobilization for first episode of anterior shoulder dislocation before\n                    the age of 25: a randomized controlled trial","volume":"49","author":"C Poug\u00e8s","year":"2021","journal-title":"Am J Sports Med"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/S1058-2746(03)00218-0","article-title":"A prospective arthroscopic study of acute first-time anterior shoulder\n                    dislocation in the young: a five-year follow-up study","volume":"12","author":"R L te Slaa","year":"2003","journal-title":"J Shoulder Elbow Surg"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"945","DOI":"10.2106\/JBJS.G.00070","article-title":"Nonoperative treatment of primary anterior shoulder in patients forty years of\n                    age and risk of recurrence A prospective Twenty-five-year follow-up","volume":"90","author":"L Hovelius","year":"2008","journal-title":"J Bone Joint Surg Am"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1016\/j.jse.2014.01.018","article-title":"Immobilization in external rotation combined with abduction reduces the risk of\n                    recurrence after primary anterior shoulder dislocation","volume":"23","author":"K Heidari","year":"2014","journal-title":"J Shoulder Elbow Surg"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1177\/0363546515585119","article-title":"Immobilization in external rotation versus internal rotation after primary\n                    anterior shoulder dislocation: a meta-analysis of randomized controlled\n                    trials","volume":"44","author":"D B Whelan","year":"2016","journal-title":"Am J Sports Med"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1177\/0363546520987823","article-title":"Immobilization in external rotation and abduction versus arthroscopic\n                    stabilization after first-time anterior shoulder dislocation: a multicenter\n                    randomized controlled trial","volume":"49","author":"M Minkus","year":"2021","journal-title":"Am J Sports Med"},{"key":"ref23","doi-asserted-by":"crossref","first-page":"1519","DOI":"10.1016\/j.jse.2018.02.047","article-title":"Incidence of recurrence after shoulder dislocation: a nationwide database\n                    study","volume":"27","author":"J T Kao","year":"2018","journal-title":"J Shoulder Elbow Surg"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"1135","DOI":"10.1136\/bjsports-2015-095149","article-title":"In children 18 years and under, what promotes recurrent shoulder instability\n                    after traumatic anterior shoulder dislocation? A systematic review and\n                    meta-analysis of risk factors","volume":"50","author":"M Olds","year":"2016","journal-title":"Br J Sports Med"}],"container-title":["International Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1982-3624.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,2]],"date-time":"2023-03-02T00:46:56Z","timestamp":1677718016000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1982-3624"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,18]]},"references-count":24,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2023,3,1]]},"published-print":{"date-parts":[[2023,3]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1982-3624","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0172-4622","1439-3964"],"issn-type":[{"type":"print","value":"0172-4622"},{"type":"electronic","value":"1439-3964"}],"subject":[],"published":{"date-parts":[[2022,12,18]]}}}