Cargando…

Survey on the management of acute first-time anterior shoulder dislocation amongst Dutch public hospitals

INTRODUCTION: The primary aim of this study was to record how orthopaedic surgeons are currently managing acute first-time anterior shoulder dislocation (AFASD) 8 years after introduction of the Dutch national guideline: “acute primary shoulder dislocation, diagnostics and treatment” in 2005. The se...

Descripción completa

Detalles Bibliográficos
Autores principales: Berendes, T. D., Pilot, P., Nagels, J., Vochteloo, A. J. H., Nelissen, R. G. H. H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4365281/
https://www.ncbi.nlm.nih.gov/pubmed/25697813
http://dx.doi.org/10.1007/s00402-015-2156-3
_version_ 1782362195891322880
author Berendes, T. D.
Pilot, P.
Nagels, J.
Vochteloo, A. J. H.
Nelissen, R. G. H. H.
author_facet Berendes, T. D.
Pilot, P.
Nagels, J.
Vochteloo, A. J. H.
Nelissen, R. G. H. H.
author_sort Berendes, T. D.
collection PubMed
description INTRODUCTION: The primary aim of this study was to record how orthopaedic surgeons are currently managing acute first-time anterior shoulder dislocation (AFASD) 8 years after introduction of the Dutch national guideline: “acute primary shoulder dislocation, diagnostics and treatment” in 2005. The second aim was to evaluate how these surgeons treat recurrent instability after AFASD. MATERIALS AND METHODS: An online questionnaire regarding the management of AFASD and recurrent shoulder instability was held amongst orthopaedic surgeons of all 98 Dutch hospitals. RESULTS: The overall response rate was 60 %. Of the respondents, 75 % had a local protocol for managing AFASD, of which 28 % had made changes in their treatment protocol after the introduction of the national guideline. The current survey showed wide variety in the overall treatment policies for AFASD. Twenty-seven percent of the orthopaedic surgeons were currently unaware of the national guideline. The variability in treatment for AFASD was present throughout the whole treatment from which policy at the emergency department; when to operate for recurrent instability; type of surgical technique for stabilization and type of fixation of the labrum. As for the treatment of recurrent instability, the same variability was seen: 36 % of the surgeons perform only arthroscopic procedures, 7 % only open and 57 % perform both open and arthroscopic procedures. CONCLUSIONS: Despite the introduction of the national guideline for the initial management of AFASD in 2005, still great variety among orthopaedic surgeons in the Netherlands was present. As for the surgical stabilization technique, the vast majority of the respondents are performing an arthroscopic shoulder stabilization procedure at the expense of the more traditional open procedure as a first treatment option for post-traumatic shoulder instability. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s00402-015-2156-3) contains supplementary material, which is available to authorized users.
format Online
Article
Text
id pubmed-4365281
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Springer Berlin Heidelberg
record_format MEDLINE/PubMed
spelling pubmed-43652812015-03-26 Survey on the management of acute first-time anterior shoulder dislocation amongst Dutch public hospitals Berendes, T. D. Pilot, P. Nagels, J. Vochteloo, A. J. H. Nelissen, R. G. H. H. Arch Orthop Trauma Surg Orthopaedic Surgery INTRODUCTION: The primary aim of this study was to record how orthopaedic surgeons are currently managing acute first-time anterior shoulder dislocation (AFASD) 8 years after introduction of the Dutch national guideline: “acute primary shoulder dislocation, diagnostics and treatment” in 2005. The second aim was to evaluate how these surgeons treat recurrent instability after AFASD. MATERIALS AND METHODS: An online questionnaire regarding the management of AFASD and recurrent shoulder instability was held amongst orthopaedic surgeons of all 98 Dutch hospitals. RESULTS: The overall response rate was 60 %. Of the respondents, 75 % had a local protocol for managing AFASD, of which 28 % had made changes in their treatment protocol after the introduction of the national guideline. The current survey showed wide variety in the overall treatment policies for AFASD. Twenty-seven percent of the orthopaedic surgeons were currently unaware of the national guideline. The variability in treatment for AFASD was present throughout the whole treatment from which policy at the emergency department; when to operate for recurrent instability; type of surgical technique for stabilization and type of fixation of the labrum. As for the treatment of recurrent instability, the same variability was seen: 36 % of the surgeons perform only arthroscopic procedures, 7 % only open and 57 % perform both open and arthroscopic procedures. CONCLUSIONS: Despite the introduction of the national guideline for the initial management of AFASD in 2005, still great variety among orthopaedic surgeons in the Netherlands was present. As for the surgical stabilization technique, the vast majority of the respondents are performing an arthroscopic shoulder stabilization procedure at the expense of the more traditional open procedure as a first treatment option for post-traumatic shoulder instability. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s00402-015-2156-3) contains supplementary material, which is available to authorized users. Springer Berlin Heidelberg 2015-02-21 2015 /pmc/articles/PMC4365281/ /pubmed/25697813 http://dx.doi.org/10.1007/s00402-015-2156-3 Text en © The Author(s) 2015 https://creativecommons.org/licenses/by/4.0/ Open AccessThis article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Orthopaedic Surgery
Berendes, T. D.
Pilot, P.
Nagels, J.
Vochteloo, A. J. H.
Nelissen, R. G. H. H.
Survey on the management of acute first-time anterior shoulder dislocation amongst Dutch public hospitals
title Survey on the management of acute first-time anterior shoulder dislocation amongst Dutch public hospitals
title_full Survey on the management of acute first-time anterior shoulder dislocation amongst Dutch public hospitals
title_fullStr Survey on the management of acute first-time anterior shoulder dislocation amongst Dutch public hospitals
title_full_unstemmed Survey on the management of acute first-time anterior shoulder dislocation amongst Dutch public hospitals
title_short Survey on the management of acute first-time anterior shoulder dislocation amongst Dutch public hospitals
title_sort survey on the management of acute first-time anterior shoulder dislocation amongst dutch public hospitals
topic Orthopaedic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4365281/
https://www.ncbi.nlm.nih.gov/pubmed/25697813
http://dx.doi.org/10.1007/s00402-015-2156-3
work_keys_str_mv AT berendestd surveyonthemanagementofacutefirsttimeanteriorshoulderdislocationamongstdutchpublichospitals
AT pilotp surveyonthemanagementofacutefirsttimeanteriorshoulderdislocationamongstdutchpublichospitals
AT nagelsj surveyonthemanagementofacutefirsttimeanteriorshoulderdislocationamongstdutchpublichospitals
AT vochtelooajh surveyonthemanagementofacutefirsttimeanteriorshoulderdislocationamongstdutchpublichospitals
AT nelissenrghh surveyonthemanagementofacutefirsttimeanteriorshoulderdislocationamongstdutchpublichospitals