Evaluating treatment options for first-time shoulder dislocation

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This pilot study aims to assess the feasibility of a larger trial comparing arthroscopic soft tissue stabilization to non-operative management for patients experiencing their first anterior shoulder dislocation. The study will focus on the risk of recurrent dislocation and functional outcomes over a 24-month period. It targets individuals aged 14 to 40 who have had a dislocation within the past three months, utilizing both clinical assessments and imaging to confirm diagnoses. The findings will help determine the best management strategies for this common injury.

Why it matters

Who can join: the full rules

Inclusion Criteria:

1. Patients ages 14-40 years;
2. Diagnosis of first-time shoulder anterior dislocation having occurred within the past 3 months confirmed either by radiographic evidence or documented reduction of anterior shoulder dislocation as well as physical examination eliciting unwanted glenohumeral translation with reproduction of symptoms;
3. Provision of informed consent.

Exclusion Criteria:

1. Patients that cannot undergo surgery or anesthesia;
2. Patients with concomitant injuries (rotator cuff tear, fracture)
3. Previous shoulder surgery;
4. Patients that will likely have problems with maintaining follow-up or are incarcerated;
5. Epilepsy/seizure disorder;
6. Pregnancy;
7. Diagnosis of multidirectional instability;
8. Bony glenoid defect (bony Bankart) \>10% as measured on preop imaging;
9. Dislocation without trauma, in a context of hyper laxity or atraumatic instability;
10. Cases involving litigation or workplace insurance claims (e.g., WSIB).

Where it's running

• St. Joseph's Healthcare Hamilton
  Hamilton, Ontario, Canada Recruiting

Study contacts

• Principal investigator: Moin Khan, MD — McMaster University
• Study coordinator: Danielle Dagher, MSc
• Email: ddagher@stjoes.ca
• Phone: 905-522-1155

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.