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The Journal of Bone and Joint Surgery 80:300-1 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

Sandy Kirkley, M.D., F.R.C.S.(C), L. Hovelius, M.D., B. G. Augustini, M.D., H. Fredin, M.D., O. Johansson, M.D., R. Norlin, M.D. and J. Thorling, M.D.

TO THE EDITOR:

Although most of the information in "Primary Anterior Dislocation of the Shoulder in Young Patients. A Ten-Year Prospective Study" (78-A: 1677–1684, Nov. 1996), by Hovelius et al., was extremely helpful, I think that some of the conclusions were not justified by the data presented. The authors stated that only "one-third of the patients who had had the initial dislocation before the age of thirty years needed operative stabilization." The authors admitted that the criteria for recommendation of an operation were likely varied and not specifically known.

Figure 4 shows that, in the younger age-groups (those twenty-five years old or less), the prevalence of recurrent instability (at least two redislocations) that was not treated operatively combined with that of recurrent instability leading to operative treatment approached 70 per cent. This percentage would be even higher if the patients who did not have a recurrent dislocation but who believed . . . [Full Text of this Article]


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