Kralinger Franz S, Golser Karl, Wischatta Ralph, Wambacher Markus, Sperner Gernot
Department of Traumatology, University Hospital of Innsbruck, Innsbruck, Austria.
Am J Sports Med. 2002 Jan-Feb;30(1):116-20. doi: 10.1177/03635465020300010501.
We evaluated the factors influencing the recurrence rate after primary anterior traumatic shoulder dislocation, especially sports activity. A significant number of patients changed to athletic activities that produce less shoulder strain. The natural assumption would be that sports activity directly influences recurrence. However, age-adjusted logistic regression analysis revealed that the correlation between sports and recurrence rate was false. Our statistical findings also clearly showed that physical therapy and immobilization do not reduce the risk of recurrence. The only factor associated with recurrence was age between 21 and 30 years. Patients in this age group who participate in high-risk sports activities should undergo primary surgical stabilization because of the increased risk of recurrence.
我们评估了影响原发性创伤性肩关节前脱位后复发率的因素，尤其是体育活动。相当多的患者转而从事对肩部压力较小的体育活动。自然而然的假设是体育活动直接影响复发。然而，年龄调整后的逻辑回归分析显示，体育活动与复发率之间的相关性是虚假的。我们的统计结果还清楚地表明，物理治疗和固定并不能降低复发风险。与复发相关的唯一因素是年龄在21至30岁之间。由于复发风险增加，这个年龄组中参与高风险体育活动的患者应接受一期手术稳定治疗。
