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. 2018 Jun 23;52(23):1498–1506. doi: 10.1136/bjsports-2017-098539

Table 2.

Summary of findings for labrum repair after a first-time traumatic shoulder dislocation

Labrum repair compared with physiotherapy for prevention of recurrent dislocations after a first-time traumatic shoulder dislocation
Patient or population: a first-time traumatic shoulder dislocation in general population
Setting: surgical versus non-surgical treatment
Intervention: labrum repair
Comparison: physiotherapy
Outcome
Number of participants
(studies)
Relative effect
(95% CI)
Anticipated absolute effects (95% CI) Certainty What happens
Non-surgical Labrum repair Difference
Redislocation rate after surgical treatment of primary shoulder dislocation
Follow-up: mean 2 years
Number of participants: 243
(four RCTs)
RR 0.15
(0.03 to 0.8)
52.9% 7.9%
(1.5 to 42.3)
45% fewer
(51.4 fewer to 10.6 fewer)
⨁⨁⨁◯
Moderate*
Labrum repair may be beneficial in reducing the rate of redislocations.

*Rated down for serious risk of bias (lack of blinding) and serious imprecision. Rated up for large magnitude of an effect.

RCT, randomised controlled trial; RR, relative risk.