Meta-analysis shows comparable outcomes for external and internal rotation immobilization following shoulder dislocation, suggesting reconsideration of ER use.
IR and ER immobilization result in comparable functional and stability outcomes following primary anterior shoulder dislocation. Given similar recurrence and return-to-sport outcomes and no clinically meaningful difference in WOSI, routine use of ER bracing may not be warranted.
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Boutros et al. (2026) studied this question.
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