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Related Concept Videos

Muscles of the Shoulder01:23

Muscles of the Shoulder

The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...

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[Anterior shoulder instability--the current situation].

M D Schofer1, A Diehl, C Theisen

  • 1Orthopädie und Rheumatologie, Universitätsklinikum Marburg, Marburg. schofer@med.uni-marburg.de

Zeitschrift Fur Orthopadie Und Unfallchirurgie
|February 6, 2010
PubMed
Summary
This summary is machine-generated.

This study surveyed German hospitals on anterior shoulder instability treatment. Arthroscopic Bankart repair is the most common surgery, with physiotherapy widely used post-operatively.

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Area of Science:

  • Orthopaedic Surgery
  • Trauma Surgery
  • Sports Medicine

Background:

  • Anterior shoulder instability is a common condition requiring effective treatment.
  • Current treatment modalities and rehabilitation protocols vary among healthcare facilities.

Purpose of the Study:

  • To assess the contemporary practices in conservative and operative management of anterior shoulder instability.
  • To evaluate the rehabilitation strategies employed in German hospitals for this condition.

Main Methods:

  • An online questionnaire was distributed to all German hospitals with orthopaedic or trauma surgery departments.
  • Data collected pertained to treatment strategies and outcomes in 2007.
  • Response categories ranged from "always" (100%) to "never" (0%).

Main Results:

  • The response rate was 41%, with 67% performing shoulder stabilizations.
  • Arthroscopic techniques (68.2%) were favored over open procedures (31.8%), with Bankart repair being the most frequent operation (92.9%).
  • Physiotherapy was prescribed in 99.3% of cases; estimated re-luxation rates were 35.5% for conservative, 9.1% for open operative, and 10.6% for arthroscopic treatment.

Conclusions:

  • Arthroscopic Bankart repair is the predominant surgical approach for operative shoulder stabilization.
  • Standardized post-operative treatment protocols are well-established in German hospitals.