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Related Experiment Videos

Shoulder instability in the athlete.

P S Sherbondy1, E G McFarland

  • 1Department of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Physical Medicine and Rehabilitation Clinics of North America
|November 25, 2000
PubMed
Summary
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Understanding shoulder instability in athletes requires knowledge of anatomy and biomechanics. Treatment involves rehabilitation, with surgery an option for persistent cases, including arthroscopic stabilization.

Area of Science:

  • Orthopedics
  • Sports Medicine
  • Biomechanics

Background:

  • Shoulder instability is a frequent issue in athletes.
  • Understanding shoulder anatomy and biomechanics is crucial for diagnosis and treatment.
  • A thorough history and physical exam are key to diagnosis.

Purpose of the Study:

  • To outline the diagnosis and management of shoulder instability in athletes.
  • To discuss the role of nonoperative and operative treatments.
  • To review current trends in surgical stabilization techniques.

Main Methods:

  • Review of anatomical and biomechanical principles.
  • Emphasis on clinical diagnosis through history and physical examination.
  • Discussion of diagnostic imaging and treatment pathways (rehabilitation and surgery).

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Main Results:

  • Most cases are diagnosed via clinical examination.
  • Shoulder rehabilitation is a primary treatment option.
  • Surgical interventions effectively prevent recurrent instability.

Conclusions:

  • Effective management of shoulder instability relies on understanding anatomy and biomechanics.
  • Nonoperative treatment should be trialed before surgical intervention.
  • Arthroscopic stabilization techniques are emerging as effective alternatives to open surgery.