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I denne episoden snakker vi med ortoped Kaare Midtgaard. Kaare har nylig publisert en leder hvor han peker på at pasienter med traumatisk, fremre skulderluksasjon antageligvis bør opereres langt tidligere og langt hyppigere enn det man gjør i dag. Han viser til en systematisk gjennomgang fra 2020 som viser at pasienter som ikke blir opereret etter førstegangsluksasjon har 7 ganger høyere sjanse for å reluksere enn pasienter som stabiliseres kirurgisk allerede etter første traumet. I denne podcasten diskuterer vi de mange momentene rundt dette. Ser du pasienter med skulderinstabilitet i din kliniske praksis er dette en podcast vi virkelig kan anbefale. AKTUELLE REFERANSER: Antonio, G.E., et al.: First-time shoulder dislocation: High prevalence of labral injury and age-related differences revealed by MR arthrography. J Magn Reson Imaging, 2007. 26(4): p. 983-91.Brownson, P., et al.: BESS/BOA Patient Care Pathways: Traumatic anterior shoulder instability. Shoulder Elbow, 2015. 7(3): p. 214-26.Easwaran, R., et al.: Imaging in shoulder instability with focus on identifying and measuring bone loss: A narrative review. Journal of Arthroscopy and Joint Surgery, 2018. 5(2): p. 71-78.Enger, M., et al.: Shoulder injuries from birth to old age A 1-year prospective study of 3031 shoulder injuries in an urban population. Injury, 2018.Gooding, B.W.T., et al.: The Management of Acute Traumatic Primary Anterior Shoulder Dislocation in Young Adults. Shoulder & Elbow, 2017. 2(3): p. 141-146.Hasebroock, A.W., et al.: Management of primary anterior shoulder dislocations: a narrative review. Sports Med Open, 2019. 5(1): p. 31.Hurley, E.T., et al.: Arthroscopic Bankart Repair Versus Conservative Management for First-Time Traumatic Anterior Shoulder Instability: A Systematic Review and Meta-analysis. Arthroscopy, 2020. 36(9): p. 2526-2532.Kavaja, L., et al.: Treatment after traumatic shoulder dislocation: a systematic review with a network meta-analysis. Br J Sports Med, 2018. 52(23): p. 1498-1506.King, S.W., et al.: Management of first time shoulder dislocation. Journal of Arthroscopy and Joint Surgery, 2018. 5(2): p. 86-89.Liavaag, S., et al.: The epidemiology of shoulder dislocations in Oslo.Scand J Med Sci Sports, 2011. 21(6): p. e334-40.Nakagawa, S., et al.: The Development Process of Bipolar Bone Defects From Primary to Recurrent Instability in Shoulders With Traumatic Anterior Instability. Am J Sports Med, 2019. 47(3): p. 695-703.Olds, M.K., et al.: Who will redislocate his/her shoulder? Predicting recurrent instability following a first traumatic anterior shoulder dislocation.BMJ Open Sport & Exercise Medicine, 2019. 5(1).Ozbaydar, M., et al.: Results of arthroscopic capsulolabral repair: Bankart lesion versus anterior labroligamentous periosteal sleeve avulsion lesion.Arthroscopy, 2008. 24(11): p. 1277-83.Provencher, C.M.T., et al.: Editorial Commentary: Evidence to Support Surgical Intervention for First-Time Shoulder Instability: Stabilize Them Early! Arthroscopy, 2020. 36(9): p. 2533-2536.Robinson, C.M., et al.: Functional outcome and risk of recurrent instability after primary traumatic anterior shoulder dislocation in young patients. J Bone Joint Surg Am, 2006. 88(11): p. 2326-36.Rugg, C.M., et al.: Surgical stabilization for first-time shoulder dislocators: a multicenter analysis. J Shoulder Elbow Surg, 2018. 27(4): p. 674-