Acute rehabilitation following traumatic anterior shoulder dislocation (ARTISAN): pragmatic, multicentre, randomised controlled trial

Key Points

1. A minimal-intervention approach may be comparable to more intensive physiotherapy in the acute (<6 months) phase following traumatic anterior shoulder dislocation in people attending hospital trauma centres.

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BACKGROUND & OBJECTIVE

Traumatic anterior shoulder dislocation is a common orthopedic injury associated with significant morbidity and functional impairment, however the optimal rehabilitation strategy in the acute phase remains uncertain.

The Acute Rehabilitation following Traumatic Anterior Shoulder Dislocation (ARTISAN) trial aims to address this gap by investigating the effectiveness of two rehabilitation approaches: additional physiotherapy versus a control intervention consisting of a single session of physiotherapy. The primary objective was to determine whether additional physiotherapy improves the Oxford Shoulder Instability Score (OSIS) at six months post-dislocation compared to the control group.

Traumatic anterior shoulder dislocation is a common orthopedic injury associated with significant morbidity and functional impairment.

In the general and slightly older population who experience a first-time shoulder dislocation, this minimal intervention approach may be the preferred treatment method.

METHODS

• ARTISAN was a multicentre randomized controlled trial conducted across 41 NHS hospitals in the UK. A total of 482 adults with first-time traumatic anterior shoulder dislocation confirmed on x-ray who were being managed non-operatively were included.

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