Sep 23, 2026 · 25 min · 11 segments
In our latest interview, Dr Mark Fulcher is joined by Mr Ryan Gao, Shoulder and Elbow Surgeon, to discuss what should happen after a first shoulder dislocation, the risk of recurrence, the role of…
Ryan GowGuest
Mark FulcherHost
And then going back to the ED, so they've just been discharged from the ED, what about things like a sling? How long do you
want them in a sling? Is that important? Is that not important? Yeah, great question.
So a sling not only tells themselves that they've had a major injury, but it tells other people that's surrounding them that they've had a major injury.
I think one of the important things that we should know about and highlight is that the arthritis rate or the rate of getting arthritis after dislocation is quite significant.
And there has been some landmark papers published in Scandinavia where if you have had one dislocation, your risk of arthritis years later is 18%, so 1.8%.
And what we want to do as clinicians is to minimize recurrent instability or recurrent dislocations so that we can save the patient's shoulder joint in the future.
Do you give them some advice about how long to be in it? Is it purely for comfort? Do you think if you wear it for a certain amount of time, it reduces recurrence? Is there any data there?
So I think it's very important that we emphasize to them that they need to be seen, assessed, have appropriate imaging and discussion regarding prognosis and appropriate treatment.
And then going back to the ED, so they've just been discharged from the ED, what about things like a sling? How long do you
want them in a sling? Is that important? Is that not important? Yeah, great question.
So a sling not only tells themselves that they've had a major injury, but it tells other people that's surrounding them that they've had a major injury.
I think one of the important things that we should know about and highlight is that the arthritis rate or the rate of getting arthritis after dislocation is quite significant.
And there has been some landmark papers published in Scandinavia where if you have had one dislocation, your risk of arthritis years later is 18%, so 1.8%.
And what we want to do as clinicians is to minimize recurrent instability or recurrent dislocations so that we can save the patient's shoulder joint in the future.
Do you give them some advice about how long to be in it? Is it purely for comfort? Do you think if you wear it for a certain amount of time, it reduces recurrence? Is there any data there?
So I think it's very important that we emphasize to them that they need to be seen, assessed, have appropriate imaging and discussion regarding prognosis and appropriate treatment.
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