What is the recommended initial course of action for adult males with first-time anterior glenohumeral dislocations?

• A. Immediate physical therapy
• B. At least 1 week of immobilization
• C. Surgical intervention
• D. Ice therapy within 24 hours

Answer: (B)

For adult males experiencing a first-time anterior glenohumeral dislocation, the recommended initial course of action is at least one week of immobilization. This approach is crucial for several reasons. First, immobilization facilitates proper healing of the soft tissues surrounding the shoulder joint, including ligaments, tendons, and the joint capsule, which may have been damaged during the dislocation.

Additionally, immobilization can help reduce pain and prevent further injury while the acute inflammatory phase subsides. The use of a sling or other immobilizing device helps keep the arm in a position that minimizes tension on the injured structures, allowing for gradual recovery. It also provides psychological comfort to the patient, as the dislocated joint will be stabilized.

After the period of immobilization, a structured rehabilitation program can be introduced to restore range of motion, strength, and functional stability. However, starting with sufficient immobilization is essential before embarking on any active rehabilitation to optimize healing and prevent recurrent dislocations.

The other choices do not align with the standard treatment protocol for first-time anterior shoulder dislocations, as immediate physical therapy may risk exacerbation of the injury, surgical intervention is typically reserved for recurrent dislocations or significant structural damage, and ice therapy can be beneficial but does not