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• W4387444984 abstract "Introduction: Recurrence rates following traumatic anterior glenohumeral dislocations remain as high as 50%, even following surgical stabilisation. Fear of movement or re-injury influence decisions for return to sport, work and daily and social activities. More detailed information is needed to fully understand consequences of glenohumeral dislocations at personal level. Our aim was to explore lived experiences of persons with traumatic anterior glenohumeral dislocations and highlight strategies to manage fear of reinjury. Methods: We interviewed fourteen individuals (median age 27.5y, range 21-40; two women) 6 months to 5 years following traumatic anterior glenohumeral dislocation, with or without past stabilising surgery, via Zoom or in person. They completed the Tampa Scale of Kinesiophobia (TSK-11; median 42.5/68, 33-54), QuickDASH (median 15/100, 0-55), and the Shoulder Instability Return to Sport after Injury (median 34/100, 0-90). Recordings were transcribed verbatim and we analysed transcriptions using Interpretive Description. Results: We interviewed fourteen individuals (median age 27.5y, range 21-40; two women) 6 months to 5 years following traumatic anterior glenohumeral dislocation, with or without past stabilising surgery, via Zoom or in person. They completed the Tampa Scale of Kinesiophobia (TSK-11; median 42.5/68, 33-54), QuickDASH (median 15/100, 0-55), and the Shoulder Instability Return to Sport after Injury (median 34/100, 0-90). Recordings were transcribed verbatim and we analysed transcriptions using Interpretive Description. Discussion: Regardless of undergoing surgical or non-surgical management, most participants described an ongoing interplay between fear and confidence in themselves and their shoulder, some concerned about return to work, others choosing a different sport and ways to socialise with friends. All levels of postinjury experiences appeared to contribute towards re-injury fear. A metaphor of a river can describe the injury effects, whereby the physical consequences of the unstable ‘glass shoulder’ are represented by visible turbulence around the large rock (the physical injury), yet on-going emotional and social consequences are deeper turbulence of submerged rocks, invisible by people surrounding the individual, yet sufficiently strong to interrupt self-identity and life. Ultimately, participants developed individual strategies to adapt to the on-going re-injury risk, realising that this may stay with them for life. Impact/Application to the field:•This study adds towards knowledge of patient experiences of glenohumeral dislocations beyond the impact on their physical abilities.•Emotional and psychosocial consequences of glenohumeral dislocations are substantial, need to be recognised by clinicians, and addressed in long-term rehabilitation and maintenance programmes. Declaration: This study was partly funded by a grant from the New Zealand Manipulative Physiotherapists Assocation." @default.
• W4387444984 created "2023-10-10" @default.
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• W4387444984 date "2023-10-01" @default.
• W4387444984 modified "2023-10-11" @default.
• W4387444984 title "The ‘Glass shoulder’: individuals’ perspectives of living with at traumatic glenohumeral dislocation – a qualitative study" @default.
• W4387444984 doi "https://doi.org/10.1016/j.jsams.2023.08.033" @default.
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