Who will redislocate his/her shoulder? Predicting recurrent instability following a first traumatic anterior shoulder dislocation

Journal article


Olds, M. K., Ellis, R., Parmar, P. and Kersten, P. 2019. Who will redislocate his/her shoulder? Predicting recurrent instability following a first traumatic anterior shoulder dislocation. BMJ Open Sport and Exercise Medicine. 5 (1). https://doi.org/10.1136/bmjsem-2018-000447
AuthorsOlds, M. K., Ellis, R., Parmar, P. and Kersten, P.
Abstract

Objective

To develop a multivariate tool that would predict recurrent instability after a first-time traumatic anterior shoulder dislocation.

Methods

Participants (aged 16–40 years) were recruited across New Zealand into a prospective cohort study. Baseline data were collected during a telephone interview and through examination of radiology records. Variables associated with recurrent instability were selected for the multivariate logistic regression model using backwards selection (p<0.10). Coefficients for those variables retained in the model were used to develop the predictive tool.

Results

Among the 128 participants, 36% had redislocated at least once in the first 12 months. Univariate analysis showed an increased likelihood of recurrent dislocation with bony Bankart lesions (OR=3.65, 95% CI 1.05 to 12.70, p=0.04) and participants who had: not been immobilised in a sling (OR = 0.38, 95% CI 0.15 to 0.98, p=0.05), higher levels of shoulder activity (OR=1.13, 95% CI 1.01 to 1.27, p=0.03), higher levels of pain and disability (OR=1.03, 95% CI 1.01 to 1.06, p=0.02), higher levels of fear of reinjury (OR=1.12, 95% CI 1.01 to 1.26, p=0.04) and decreased quality of life (OR=1.01, 95% CI 1.00 to 1.02, p=0.05). There was no significant difference in those with non-dominant compared with dominant shoulder dislocations (p=0.10) or in those aged 16–25 years compared with 26–40 years (p=0.07).

Conclusion

Six of seven physical and psychosocial factors can be used to predict recurrent shoulder instability following a first-time traumatic anterior shoulder dislocation.

KeywordsShoulder dislocation; Redislocation; Recurrent instability
Year2019
JournalBMJ Open Sport and Exercise Medicine
Journal citation5 (1)
PublisherBMJ Publishing Group
ISSN2055-7647
Digital Object Identifier (DOI)https://doi.org/10.1136/bmjsem-2018-000447
Official URLhttps://bmjopensem.bmj.com/content/5/1/e000447
Publication dates
Online07 Mar 2019
Publication process dates
Accepted10 Feb 2019
Deposited14 Apr 2022
Accepted author manuscript
License
File Access Level
Open
Output statusPublished
Permalink -

https://repository.canterbury.ac.uk/item/90y2q/who-will-redislocate-his-her-shoulder-predicting-recurrent-instability-following-a-first-traumatic-anterior-shoulder-dislocation

Download files


Accepted author manuscript
e000447.full.pdf
License: CC BY-NC 4.0
File access level: Open

  • 8
    total views
  • 2
    total downloads
  • 4
    views this month
  • 2
    downloads this month

Export as

Related outputs

Collegial surface acting emotional labour, burnout, and intention to leave in novice and pre-retirement nurses in the United Kingdom: a cross sectional study.
Theodosius, C., Koulougliotti, C., Kersten, P., Rosten, C., Clarke, A. and Warren, Z. 2021. Collegial surface acting emotional labour, burnout, and intention to leave in novice and pre-retirement nurses in the United Kingdom: a cross sectional study. Nursing Open. 8 (1), pp. 463-472. https://doi.org/10.1002/nop2.649
Design considerations for a Multiple Sclerosis Fatigue mobile app MS Energize: A pragmatic iterative approach using usability testing and resonance checks.
Van Kessel, K., Babbage, D., Kersten, P., Drown, J., Sezier, A., Thomas, P. and Thomas, S. 2021. Design considerations for a Multiple Sclerosis Fatigue mobile app MS Energize: A pragmatic iterative approach using usability testing and resonance checks. Internet Interventions. 24, p. 100371. https://doi.org/10.1016/j.invent.2021.100371
The immediate and subsequent impact of a first-time traumatic anterior shoulder dislocation, results from a national cohort study
Olds, M., Ellis, R., Parmar, P. and Kersten, P. 2020. The immediate and subsequent impact of a first-time traumatic anterior shoulder dislocation, results from a national cohort study. Shoulder and Elbow. 13 (2), pp. 223-232. https://doi.org/10.1177/1758573220921484
Predicting Recurrent Instability of the Shoulder (PRIS): A valid prediction tool of patients who will not have repeat shoulder instability after first-Time traumatic anterior dislocation
Olds, M., Ellis, R. and Kersten, P. 2020. Predicting Recurrent Instability of the Shoulder (PRIS): A valid prediction tool of patients who will not have repeat shoulder instability after first-Time traumatic anterior dislocation. Journal of Orthopaedic & Sports Physical Therapy. 50 (8), pp. 431-469. https://doi.org/10.2519/jospt.2020.9284
Provision of first contact physiotherapy in primary care across the UK: A survey of the service
Halls, S., Thomas. R., Stott, H., Cupples, M. E., Kersten, P., Cramp, F., Foster, D. and Walsh, N. 2020. Provision of first contact physiotherapy in primary care across the UK: A survey of the service. Physiotherapy. 108, pp. 2-9. https://doi.org/10.1016/j.physio.2020.04.005
Developing clinical expertise in musculoskeletal physiotherapy; Using observed practice to create a valued practice-based collaborative learning cycle
Carr, M., Morris, J. and Kersten, P. 2020. Developing clinical expertise in musculoskeletal physiotherapy; Using observed practice to create a valued practice-based collaborative learning cycle. Musculoskeletal Science and Practice. 50, p. 102278. https://doi.org/10.1016/j.msksp.2020.102278
Digitizing a face-to-face group fatigue management program: exploring the views of people with multiple sclerosis and health care professionals via consultation groups and interviews
Thomas, S., Pulman, A., Thomas, P., Collard, S., Jiang, N., Dogan, H., Davies Smith, A., Hourihan, S., Roberts, F., Kersten, P., Pretty, K., Miller, J. K., Stanley, K. and Gay, M. 2019. Digitizing a face-to-face group fatigue management program: exploring the views of people with multiple sclerosis and health care professionals via consultation groups and interviews. JMIR Formative Research. 3 (2). https://doi.org/10.2196/10951
Incidence and outcomes of major trauma in New Zealand: findings from a feasibility study of New Zealand’s first national trauma registry
Czuba, K. J., Kersten, P., Anstiss, D., Kayes, N. M., Gabbe. B. J., Civil, I., Kool, B., Terry, G., Smith, G. A., Rohan, M. and Siegert, R. J. 2019. Incidence and outcomes of major trauma in New Zealand: findings from a feasibility study of New Zealand’s first national trauma registry. The New Zealand Medical Journal. 132 (1494), pp. 26-40.
Optimising the real-world impact of rehabilitation reviews: increasing the relevance and usability of systematic reviews in rehabilitation
Kayes, N., Martin, R. A., Bright, F. A. S., Kersten, P. and Pollock, A. 2019. Optimising the real-world impact of rehabilitation reviews: increasing the relevance and usability of systematic reviews in rehabilitation. European Journal of Physical and Rehabilitation Medicine. 55 (3), pp. 331-341. https://doi.org/10.23736/S1973-9087.19.05793-9
MS Energize: Field trial of an app for self-management of fatigue for people with multiple sclerosis
Babbage, D., Van Kessel, K., Drown, J., Thomas, S., Sezier, A., Thomas, P. and Kersten, P. 2019. MS Energize: Field trial of an app for self-management of fatigue for people with multiple sclerosis. Internet Interventions. https://doi.org/10.1016/j.invent.2019.100291
The Nijmegen Questionnaire: a valid measure for hyperventilation
Li Ogilvie, V., Kayes, N. and Kersten, P. 2019. The Nijmegen Questionnaire: a valid measure for hyperventilation. New Zealand Journal of Physiotherapy. 47 (3), pp. 160-171. https://doi.org/10.15619/NZJP/47.3.04
Strengths and Difficulties Questionnaire: internal validity and reliability for New Zealand pre-schoolers
Kersten, P., Vandal, A. C., Elder, H. and McPherson, K. M. 2018. Strengths and Difficulties Questionnaire: internal validity and reliability for New Zealand pre-schoolers. BMJ Open. 8 (4). https://doi.org/10.1136/bmjopen-2018-021551
Development of a toolkit to enhance care processes for people with a long-term neurological condition: a qualitative descriptive study
Sezier, A., Mudge, S., Kayes, N., Kersten, P., Payne, D., Harwood, M., Potter, E., Smith, G. and McPherson, K. M. 2018. Development of a toolkit to enhance care processes for people with a long-term neurological condition: a qualitative descriptive study. BMJ Open. 8 (6). https://doi.org/10.1136/bmjopen-2018-022038
Making sense of recovery after traumatic brain injury through a peer mentoring intervention: a qualitative exploration
Kersten, P., Cummins, C., Kayes, N., Babbage, D., Elder, H., Foster, A., Weatherall, M., Siegert, R. J., Smith, G. and McPherson, K. 2018. Making sense of recovery after traumatic brain injury through a peer mentoring intervention: a qualitative exploration. BMJ Open. 8 (10). https://doi.org/10.1136/bmjopen-2017-020672
Mobile technology use by people experiencing multiple sclerosis fatigue: survey methodology
Van Kessel, K., Babbage, D. R., Reay, N., Miner-Williams, W. M. and Kersten, P. 2017. Mobile technology use by people experiencing multiple sclerosis fatigue: survey methodology. JMIR mHealth and uHealth. 5 (2). https://doi.org/10.2196/mhealth.6192
Te Waka Kuaka, Rasch analysis of a cultural assessment tool in traumatic brain injury in Māori
Elder, H., Czuba, K., Kersten, P., Caracuel, A. and McPherson, K. 2017. Te Waka Kuaka, Rasch analysis of a cultural assessment tool in traumatic brain injury in Māori. F1000Research. 6 (1034). https://doi.org/10.12688/f1000research.11500.1
Cross-cultural acceptability and utility of the Strengths and Difficulties Questionnaire: views of families
Kersten, P., Dudley, M., Nayar, S., Elder, H., Robertson, H., Tauroa, R. and McPherson, K. M. 2016. Cross-cultural acceptability and utility of the Strengths and Difficulties Questionnaire: views of families. BMC Psychiatry. 16 (347). https://doi.org/doi.org/10.1186/s12888-016-1063-7
Ordinal-to-interval scale conversion tables and national items for the New Zealand version of the WHOQOL-BREF
Krägeloh, C. U., Billington, D. R., Hsien-Chuan Hsu, P., Feng, X. J., Medvedev, O. N., Kersten, P., Landon, J. and Siegert, R. J. 2016. Ordinal-to-interval scale conversion tables and national items for the New Zealand version of the WHOQOL-BREF. PLoS ONE. 11 (11). https://doi.org/10.1371/journal.pone.0166065