Columbia University
There is no consensus regarding whether rehabilitation or surgical stabilization leads to optimized outcomes for treatment of primary anterior shoulder dislocations. This prospective, randomized controlled trial therefore aims to compare arthroscopic Bankart repair versus physical therapy for the treatment of primary anterior shoulder dislocations.
While primary anterior shoulder dislocations had been previously treated conservatively, growing concerns amidst recurrent shoulder instability have fueled interest in managing these injuries with surgery to mitigate the risk of future instability events. While the significant literature investigating the rates of shoulder instability with initial operative management suggests improvement outcomes, there is limited level 1 evidence to support these implications. A randomized-controlled trial (RCT) of 21 primary anterior shoulder dislocations undergoing arthroscopic Bankart repair or rehabilita…
Inclusion Criteria: * patients 12 and older * seen by the Columbia University Shoulder Elbow and Sports Medicine Service * first time anterior shoulder dislocation diagnosis Exclusion Criteria: * humeral avulsion during arthroscopy * bony defect \> 25% of glenoid surface * general anesthesia contraindication * previous shoulder surgery * inability or unwillingness to adhere to study participate * lost to follow up
Participants in this group will undergo minimally invasive surgery to repair their shoulder with a technique called a Bankart repair.
Participants in this group will follow a specific physical therapy rehabilitation protocol
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