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This study found that few NHS patients had surgery after their first shoulder dislocation, and further research would be needed to tell if surgery prevents further dislocations.

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Jonathan L Rees 1,2,*, Anjali Shah 1,2, Katherine Edwards 1,2, Maria T Sanchez-Santos 1,2, Danielle E Robinson 1,2, Antonella Delmestri 1,2, Andrew Carr 1,2, Nigel Arden 1,2,3, Sarah E Lamb 1,2,7, Amar Rangan 1,2,4,5, Andrew Judge 1,2, Rafael Pinedo-Villanueva 1,2, Tim Holt 6, Sally Hopewell 1,2,7, Daniel Prieto-Alhambra 1,2, Gary Collins 1,2

1 Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK
2 NIHR Oxford Biomedical Research Centre, Oxford, UK
3 MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK
4 Department of Health Sciences, University of York, York, UK
5 The James Cook University Hospital, South Tees Hospital NHS Foundation Trust, Middlesbrough, UK
6 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
7 Oxford Clinical Trials Research Unit, University of Oxford, Oxford, UK
* Corresponding author Email:

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