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Related Experiment Videos

Scapular instability. The scapulothoracic joint.

M I Ellen1, J J Gilhool, D P Rogers

  • 1Department of Physical Medicine and Rehabilitation, Hospital of the University of Pennsylvania, Philadelphia, USA.

Physical Medicine and Rehabilitation Clinics of North America
|November 25, 2000
PubMed
Summary
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Scapular instability, often caused by various factors, typically responds to targeted exercises. Persistent cases may require surgical intervention for effective treatment and improved shoulder function.

Area of Science:

  • Orthopedics
  • Sports Medicine
  • Anatomy

Background:

  • Scapular instability presents a complex clinical challenge with diverse etiologies.
  • Accurate diagnosis is crucial for effective management of shoulder dysfunction.

Purpose of the Study:

  • To outline the diagnostic work-up for scapular instability.
  • To detail treatment strategies, encompassing both conservative and surgical options.

Main Methods:

  • Initial radiographic evaluation.
  • In-depth diagnostic investigations as needed.
  • Prescription of exercise-based rehabilitation programs.
  • Surgical techniques for refractory cases.

Main Results:

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  • Conservative treatment, primarily focused on strengthening exercises, can yield results over 12-18 months.
  • Surgical interventions, including nerve dissection and muscle flap reconstruction, are options for nonoperative treatment failures.

    • Conclusions:

    • A structured approach to diagnosing and treating scapular instability is essential.
    • Most cases can be managed nonoperatively, but surgical options exist for complex or persistent conditions.