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Posterior glenohumeral instability.

L Seebauer¹, W Keyl¹

¹Orthopädische Abteilung, Städtisches Krankenhaus München-Bogenhausen, Germany.

|March 2, 2017

Summary

This summary is machine-generated.

Posterior shoulder instability presents unique diagnostic and treatment challenges. Management strategies vary based on whether the instability is traumatic or atraumatic, focusing on surgical or non-surgical interventions respectively.

Keywords:

Key words Posterior shoulder instability • Voluntary shoulder instability • Posterior capsular shift • Glenoidosteotomy • Posterior bone block • Biofeedback

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Area of Science:

Orthopedics
Sports Medicine
Shoulder Surgery

Background:

Posterior shoulder instability is a complex condition with diverse causes.
Existing literature shows significant variability in treatment recommendations.
Instability is broadly categorized into traumatic and atraumatic types.

Purpose of the Study:

To differentiate diagnostic and therapeutic approaches for posterior shoulder instability.
To outline management strategies based on instability type and patient factors.
To provide a comprehensive overview of current treatment options.

Main Methods:

Review of literature on posterior shoulder instability.
Classification of instability into traumatic and atraumatic categories.
Analysis of various surgical and non-surgical treatment modalities.

Main Results:

Traumatic instability often involves humeral head impaction fractures, with treatment tailored to defect size, dislocation duration, and patient demands.
Atraumatic instability management emphasizes individualized rehabilitation programs.
Psychological assessment is crucial before considering surgery for atraumatic cases.

Conclusions:

Treatment for posterior shoulder instability requires careful consideration of etiology and patient-specific factors.
Non-operative management is preferred for atraumatic instability, while surgical options like capsular shift or bony procedures are available for specific traumatic cases.
Combined procedures may be necessary for complex cases involving both capsular laxity and glenoid pathology.