About Courses Library Newsletter Contact

Multidisciplinary Shoulder & Elbow Society Library

Our comprehensive library has everything you need to help you better understand your patients' shoulder or elbow problems.

Acute Rehabilitation Following Traumatic Anterior Shoulder Dislocation: The ARTISAN Trial

advice physiotherapy rehabilitation shoulder instability traumatic anterior shoulder dislocation tubs
Acute Rehabilitation Following Traumatic Anterior Shoulder Dislocation (ARTISAN) Trial

The ARTISAN trial investigated rehabilitation strategies for traumatic anterior shoulder dislocation. 482 patients were randomized to receive either advice only or advice plus additional physiotherapy. The primary outcome was shoulder function measured by the Oxford Shoulder Instability Score.

Key findings:

  1. No significant difference in shoulder function between groups at 6 weeks, 3, 6, and 12 months.
  2. Disability scores, quality of life, and complication rates were similar in both groups.
  3. Advice-only approach was sufficient for improving shoulder function and other clinical outcomes.

The study suggests that routinely referring patients to a physiotherapy program may not offer additional benefits over a single advice session with supporting materials and the option to self-refer. This minimal intervention approach could reduce the burden on patients and healthcare resources without compromising outcomes.

However, the study predominantly included middle-aged male participants, which may limit generalizability to other demographics. Future research could explore long-term outcomes and economic implications of different rehabilitation approaches.

 

Check out the study here: 

Kearney RS, Ellard DR, Parsons H, et al. Acute rehabilitation following traumatic anterior shoulder dislocation (ARTISAN): pragmatic, multicentre, randomised controlled trial [published correction appears in BMJ. 2024 Mar 15;384:q662. doi: 10.1136/bmj.q662]. BMJ. 2024;384:e076925. Published 2024 Jan 17. doi:10.1136/bmj-2023-076925

Categories

All Categories ac joint dislocations ac joint separations acromioclavicular joint adhesive capsulitis advice anatomy antuna and seebauer classification arthroscopic subacromial decompression bursa capsule case of the week case study cervical spine cervicogenic pain charcot classification classification systems clinical pearls codman conservative continous learning continuing education corticosteroid cortisone cross-body adduction test cubital tunnel syndrome deltoid drop-arm sign dunning-krugger effect elbow elbow arthritis elbow arthroscopy elbow contractures elbow ct scan elbow imaging elbow osteoarthritis elbow pain elbow radiographs elbow septic arthritis elbow stability elbow stiffness elbow surgery elbow x-rays empty can epidemiology external rotation resistance flexor pronator strain force couple frozen shoulder full can glenohumeral joint glenohumeral joint osteoarthritis glenohumeral ligament glenoid bone loss hawkins-kennedy hemiarthroplasty historical definitions impingement infographic injection injury instability joint journal of shoulder and elbow surgery labral tears labrum lift-off test ligaments management muscles myofascial pain neck pain neer's sign neuropathic arthropathy neuropathy nonoperative normal shoulder orthopaedic special test orthopaedic special tests orthopaedics osteoarthritis osteomyelitis pain relief painful arc pathomechanics patient guide physiotherapy quiz question quiz question of the week radiculopathy range of motion rehabilitation revision surgery rotator cuff rotator cuff related pain rotator cuff tendinopathy scapular tilt scapulothoracic motion screw axes glenohumeral joint shoulder shoulder & elbow specialists shoulder arthritis shoulder dislocation shoulder instability shoulder motion shoulder osteoarthritis shoulder pain shoulder stability slap spurling test stability stable shoulder subacromial impingement subacromial pain syndrome subacromial space surgery synovial membrane the rockwood classification the unstable shoulder throwing injuries total shoulder arthroplasty trauma traumatic anterior shoulder dislocation treatment tubs ulnar collateral ligament injury ulnar nerve upper trapezius
FREE GIFT: SHOULDER CARE ALGORITHM INFOGRAPHIC

Join Our Newsletter & Get a FREE Membership

By signing up you for our newsletter you will get a FREE membership to the Multidisciplinary Shoulder & Elbow Society and we will send you our Shoulder Care Algorithm Infographic which was created and is used by our shoulder & elbow fellowship trained orthopaedic surgeons. On top of that you will receive our weekly newsletter which includes articles, educational resource, surgeon clinical pearls, along with access to instructional courses and the annual meeting.

You're safe with me. I'll never spam you or sell your contact info.