No benefit of external vs internal rotation for immobilization after shoulder dislocation .
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OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2016;4(9):30 Am J Sports Med. 2016 Feb;44(2):521-32Six randomized controlled trials (RCTs) which investigated the use of immobilization in external rotation versus internal rotation after primary anterior shoulder dislocation were selected for the current meta-analysis. Pooled comparisons were conducted for outcomes of recurrence, disease-specific quality of life, and compliance. Overall, there was no significant difference between external rotation and internal rotation in recurrence rate, nor in subgroup analyses based on mean study patient age or length of immobilization protocol. No significant differences were observed in pooled Western Ontario Shoulder Instability Index (WOSI) Scores or compliance rate.
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