Instability Severity Index Score Does Not Predict the Risk of Shoulder Dislocation after a First Episode Treated Conservatively

The first purpose of this study was to verify the association between Instability Severity Index Score (ISIS) and Recurrent Shoulder Dislocation (RSD) after a first episode treated conservatively. The second aim is to identify the risk factors associated with RSD after a primary acute shoulder anter...

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Autores principales:	Umile Giuseppe Longo, Rocco Papalia, Gianluca Ciapini, Sergio De Salvatore, Carlo Casciaro, Elisa Ferrari, Fabio Cosseddu, Michele Novi, Ilaria Piergentili, Paolo Parchi, Michelangelo Scaglione, Vincenzo Denaro
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	shoulder instability Instability Severity Index shoulder dislocation ISIS conservative surgery Medicine R
Acceso en línea:	https://doaj.org/article/f8dcaa759b7f42b28d081389c000a0be
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spelling	oai:doaj.org-article:f8dcaa759b7f42b28d081389c000a0be2021-11-25T17:50:24ZInstability Severity Index Score Does Not Predict the Risk of Shoulder Dislocation after a First Episode Treated Conservatively10.3390/ijerph1822120261660-46011661-7827https://doaj.org/article/f8dcaa759b7f42b28d081389c000a0be2021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/12026https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601The first purpose of this study was to verify the association between Instability Severity Index Score (ISIS) and Recurrent Shoulder Dislocation (RSD) after a first episode treated conservatively. The second aim is to identify the risk factors associated with RSD after a primary acute shoulder anterior dislocation treated conservatively. A total of 111 patients with first traumatic anterior shoulder dislocation treated at a single trauma centre between January 2014 and March 2016 were enrolled. The main predictive variables of risk factors and the ISIS score were calculated. Among the 85 patients included, 26 cases of RSD were observed (30.6%). Considering the whole population, no significant association between ISIS and RSD were reported. Regarding other risk factors, high-risk working activities and rotator cuff injury had a significantly higher RSD risk. Sex, dominant limb, familiar history, hyperlaxity, contact or overhead sports, competitive sport, post-reduction physiokinesitherapy, return to sports activity time, Hill-Sachs lesion, bony Bankart lesion and great tuberosity fracture did not seem to influence the risk of RSD. No correlation between ISIS score and RSD in patients treated conservatively after a first episode of shoulder dislocation were reported. The only risk factors with a significant association to RSD were high-risk working activities and rotator cuff injury.Umile Giuseppe LongoRocco PapaliaGianluca CiapiniSergio De SalvatoreCarlo CasciaroElisa FerrariFabio CossedduMichele NoviIlaria PiergentiliPaolo ParchiMichelangelo ScaglioneVincenzo DenaroMDPI AGarticleshoulder instabilityInstability Severity Indexshoulder dislocationISISconservativesurgeryMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 12026, p 12026 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	shoulder instability Instability Severity Index shoulder dislocation ISIS conservative surgery Medicine R
spellingShingle	shoulder instability Instability Severity Index shoulder dislocation ISIS conservative surgery Medicine R Umile Giuseppe Longo Rocco Papalia Gianluca Ciapini Sergio De Salvatore Carlo Casciaro Elisa Ferrari Fabio Cosseddu Michele Novi Ilaria Piergentili Paolo Parchi Michelangelo Scaglione Vincenzo Denaro Instability Severity Index Score Does Not Predict the Risk of Shoulder Dislocation after a First Episode Treated Conservatively
description	The first purpose of this study was to verify the association between Instability Severity Index Score (ISIS) and Recurrent Shoulder Dislocation (RSD) after a first episode treated conservatively. The second aim is to identify the risk factors associated with RSD after a primary acute shoulder anterior dislocation treated conservatively. A total of 111 patients with first traumatic anterior shoulder dislocation treated at a single trauma centre between January 2014 and March 2016 were enrolled. The main predictive variables of risk factors and the ISIS score were calculated. Among the 85 patients included, 26 cases of RSD were observed (30.6%). Considering the whole population, no significant association between ISIS and RSD were reported. Regarding other risk factors, high-risk working activities and rotator cuff injury had a significantly higher RSD risk. Sex, dominant limb, familiar history, hyperlaxity, contact or overhead sports, competitive sport, post-reduction physiokinesitherapy, return to sports activity time, Hill-Sachs lesion, bony Bankart lesion and great tuberosity fracture did not seem to influence the risk of RSD. No correlation between ISIS score and RSD in patients treated conservatively after a first episode of shoulder dislocation were reported. The only risk factors with a significant association to RSD were high-risk working activities and rotator cuff injury.
format	article
author	Umile Giuseppe Longo Rocco Papalia Gianluca Ciapini Sergio De Salvatore Carlo Casciaro Elisa Ferrari Fabio Cosseddu Michele Novi Ilaria Piergentili Paolo Parchi Michelangelo Scaglione Vincenzo Denaro
author_facet	Umile Giuseppe Longo Rocco Papalia Gianluca Ciapini Sergio De Salvatore Carlo Casciaro Elisa Ferrari Fabio Cosseddu Michele Novi Ilaria Piergentili Paolo Parchi Michelangelo Scaglione Vincenzo Denaro
author_sort	Umile Giuseppe Longo
title	Instability Severity Index Score Does Not Predict the Risk of Shoulder Dislocation after a First Episode Treated Conservatively
title_short	Instability Severity Index Score Does Not Predict the Risk of Shoulder Dislocation after a First Episode Treated Conservatively
title_full	Instability Severity Index Score Does Not Predict the Risk of Shoulder Dislocation after a First Episode Treated Conservatively
title_fullStr	Instability Severity Index Score Does Not Predict the Risk of Shoulder Dislocation after a First Episode Treated Conservatively
title_full_unstemmed	Instability Severity Index Score Does Not Predict the Risk of Shoulder Dislocation after a First Episode Treated Conservatively
title_sort	instability severity index score does not predict the risk of shoulder dislocation after a first episode treated conservatively
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/f8dcaa759b7f42b28d081389c000a0be
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Instability Severity Index Score Does Not Predict the Risk of Shoulder Dislocation after a First Episode Treated Conservatively

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