From the Research
Shoulder restrictions are necessary after a shoulder dislocation has been reduced, with immobilization in external rotation for 3 weeks being the most effective method to reduce the risk of recurrent dislocation, as shown in the study by 1. The study found that immobilization in external rotation reduced the risk of surgical intervention compared to internal rotation, with a failure rate of 26% in the external rotation group compared to 52% in the internal rotation group. Key points to consider when implementing shoulder restrictions include:
- Immobilization in external rotation for 3 weeks to allow for initial healing and reduce the risk of recurrent dislocation
- Avoiding external rotation, abduction, and extension during the immobilization period
- Gradually introducing range-of-motion exercises and strengthening of the rotator cuff and scapular stabilizing muscles after the immobilization period
- Young active individuals, particularly those under 25, face a higher recurrence risk and may need to be more cautious with return to sports or overhead activities, as noted in the study by 2. It is essential to prioritize these restrictions to minimize the risk of recurrent dislocation and promote optimal healing of the shoulder joint, as the supporting structures are often damaged and require time to repair, as discussed in the study by 1.