Management of first-time dislocations of the shoulder in patients older than 40 years: the prevalence of iatrogenic fracture.

Objective: To evaluate the prevalence of iatrogenic humeral neck fracture after attempted closed reduction in patients older than 40 years who present with a first-time anterior dislocation.

Design: Retrospective cohort study, evidence-based medicine level IV.

Patients: Ninety-two patients older than 40 years (mean 66.