Immobilization Strategies in Acute Shoulder Trauma: Best Practices in Orthopaedic Support and Stabilization

Background: Acute shoulder trauma represents 8-13% of all musculoskeletal injuries, and immobilization is a standard of care. The best immobilization method is controversial due to the conflicting evidence regarding the use of a particular device and immobilization time. This study aimed to compare the efficiency of different immobilization regimens in acute shoulder trauma treatment. Methods: This is a 12-month prospective observational study of 100 adult patients with acute shoulder trauma (dislocations, fractures, soft tissue injuries) presenting within 72 hours of injury. Patients were treated with a variety of different immobilization devices, including slings, shoulder immobilizers, abduction braces, and custom orthotics, based on the nature of the injury and clinician choice. Data collected included demographic data, injury characteristics, immobilization data, complications, and functional outcomes at 6 weeks following immobilization. Patient satisfaction was quantified using a 5-point Likert scale. The statistical analysis of this study is done using SPSS v26. Results: The study population exhibited male predominance (60%), with the highest frequency of injury being fracture (40%, p=0.02). Slings were applied most frequently (40%, p=0.01) and were then followed by shoulder immobilizers (30%). More than half of the patients (50%) were immobilized for 2-4 weeks (p=0.01). Complications were found in 30% of patients, with the most common being joint stiffness (15%, p=0.03). Slings produced superior functional outcomes (mean score 85.2±5.1, p=0.012) compared to other devices. Patient satisfaction was high, with 70% indicating satisfied or very satisfied results. Conclusion: Slings proved to be the most effective for acute shoulder trauma management, providing optimal balance between functional recovery and patient satisfaction. The 2–4-week immobilization period appears ideal for most cases, though individualized approaches remain necessary for complex injuries.