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Related Experiment Video

Updated: May 7, 2026

An Inertial Measurement Unit Based Method to Estimate Hip and Knee Joint Kinematics in Team Sport Athletes on the Field

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Published on: May 26, 2020

Microinstability and internal impingement in overhead athletes.

Lauchlan Chambers¹, David W Altchek

¹Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.

Clinics in Sports Medicine

|October 2, 2013

Summary

Overhead athletes with glenohumeral joint instability often develop shoulder pathologies. Conservative treatment is recommended first, but arthroscopic suture plication offers the best outcomes if surgery is necessary.

Keywords:

Arthroscopic suture plication Internal impingement Labral debridement Microinstability Rotator cuff

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Last Updated: May 7, 2026

An Inertial Measurement Unit Based Method to Estimate Hip and Knee Joint Kinematics in Team Sport Athletes on the Field

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Published on: May 26, 2020

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Published on: December 8, 2023

Area of Science:

Orthopedic Surgery
Sports Medicine
Biomechanics

Background:

The glenohumeral joint requires a balance between dynamic and static stabilizers for overhead athletes.
Hypermobility is necessary for overhead activities, yet stability is crucial to prevent subluxation.
Microinstability and internal impingement are common in overhead athletes, often with associated pathologies.

Purpose of the Study:

To review the management of glenohumeral joint instability in overhead athletes.
To outline conservative and surgical treatment options for associated shoulder pathologies.

Main Methods:

Literature review of studies on glenohumeral joint instability, microinstability, and internal impingement in overhead athletes.
Analysis of conservative management strategies, including physical therapy protocols.
Evaluation of surgical techniques, focusing on arthroscopic procedures.

Main Results:

Conservative treatment, including rotator cuff and scapular stabilizer strengthening and posterior capsule stretching, should be attempted for 3-6 months.
Arthroscopic suture plication combined with treatment of concomitant lesions yields the best clinical outcomes when surgery is indicated.

Conclusions:

A structured approach involving conservative management followed by surgical intervention is essential for overhead athletes with glenohumeral instability.
Targeted exercises and appropriate surgical techniques are key to restoring function and preventing subluxation.