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

Author

Listed:
  • Umile Giuseppe Longo

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, 00128 Rome, Italy)

  • Rocco Papalia

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, 00128 Rome, Italy)

  • Gianluca Ciapini

    (1st Orthopedic Division, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, 56126 Pisa, Italy)

  • Sergio De Salvatore

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, 00128 Rome, Italy)

  • Carlo Casciaro

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, 00128 Rome, Italy)

  • Elisa Ferrari

    (Department of Orthopedic and Traumatology, University of Pisa, 56126 Pisa, Italy)

  • Fabio Cosseddu

    (Department of Orthopedic and Traumatology, University of Pisa, 56126 Pisa, Italy)

  • Michele Novi

    (Department of Orthopedic and Traumatology, University of Pisa, 56126 Pisa, Italy)

  • Ilaria Piergentili

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, 00128 Rome, Italy)

  • Paolo Parchi

    (1st Orthopedic Division, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, 56126 Pisa, Italy)

  • Michelangelo Scaglione

    (Department of Orthopedic and Traumatology, University of Pisa, 56126 Pisa, Italy)

  • Vincenzo Denaro

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, 00128 Rome, Italy)

Abstract

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.

Suggested Citation

  • Umile Giuseppe Longo & Rocco Papalia & Gianluca Ciapini & Sergio De Salvatore & Carlo Casciaro & Elisa Ferrari & Fabio Cosseddu & Michele Novi & Ilaria Piergentili & Paolo Parchi & Michelangelo Scagli, 2021. "Instability Severity Index Score Does Not Predict the Risk of Shoulder Dislocation after a First Episode Treated Conservatively," IJERPH, MDPI, vol. 18(22), pages 1-8, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:12026-:d:680365
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