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

Umile Giuseppe Longo, Rocco Papalia, Gianluca Ciapini, Sergio De Salvatore, Carlo Casciaro, Elisa Ferrari, Fabio Cosseddu, Michele Novi, Ilaria Piergentili, Paolo Parchi, Michelangelo Scaglione and Vincenzo Denaro
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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

IJERPH, 2021, vol. 18, issue 22, 1-8

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.

Keywords: shoulder instability; Instability Severity Index; shoulder dislocation; ISIS; conservative; surgery; predictivity; recurrent dislocation; risk factor (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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