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Posterior Glenohumeral Instability: Evidence-based Treatment
Rachel M Frank1, Anthony A Romeo, Matthew T Provencher
1From CU Sports Medicine, Department of Orthopedics, University of Colorado School of Medicine, Boulder, CO (Dr. Frank), the Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL (Dr. Romeo), and the Steadman Philippon Research Institute and the Steadman Clinic, Vail, CO (Dr. Provencher).
Posterior glenohumeral instability is a growing concern in athletes. Improved research enhances diagnosis and treatment for this challenging shoulder condition, especially in contact sports players.
Area of Science:
- Orthopedics
- Sports Medicine
- Biomechanics
Background:
- Posterior glenohumeral instability is an increasingly recognized clinical issue in athletic individuals.
- Recent research has advanced the understanding of its pathoanatomy and biomechanics.
- It is less common than anterior instability but prevalent in specific athletic groups.
Purpose of the Study:
- To highlight the importance of posterior glenohumeral instability in athletes.
- To emphasize the need for increased clinical awareness and diagnostic accuracy.
- To discuss current understanding of diagnosis and treatment.
Main Methods:
- Review of recent basic and clinical research.
- Analysis of pathoanatomy and biomechanics.
- Discussion of diagnostic and treatment strategies.
Main Results:
- Understanding of posterior glenohumeral instability has significantly improved.
- Diagnostic and treatment methods are more refined.
- Awareness among clinicians is crucial for timely diagnosis.
Conclusions:
- Posterior glenohumeral instability requires greater clinical attention, particularly in athletes.
- Early recognition of physical examination and radiographic findings is key.
- Further research and education can improve patient outcomes.
