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[Management of shoulder instability].

Philippe Loriaut1,2, Romain Rousseau1

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Shoulder instability, often from traumatic dislocation in athletes, requires careful diagnosis. Treatment involves conservative rehabilitation or surgery, guided by patient-specific factors like age and activity level.

Keywords:
Instabilité de l’épauleOrthopédie

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Traumatology

Background:

  • Shoulder instability is a prevalent issue among young, active athletes.
  • It frequently results from traumatic glenohumeral dislocation.
  • Key diagnostic tools include clinical apprehension tests and imaging.

Purpose of the Study:

  • To outline the management strategies for shoulder instability.
  • To identify common associated lesions such as Bankart lesions and Hill-Sachs injuries.
  • To emphasize the factors influencing therapeutic decisions.

Main Methods:

  • Diagnosis relies on clinical apprehension tests.
  • Diagnostic imaging plays a crucial role in identifying lesions.
  • Management options include conservative rehabilitation and surgical intervention.

Main Results:

  • Bankart lesions and Hill-Sachs injuries are the most frequent associated pathologies.
  • Treatment can be conservative (rehabilitation) or surgical.
  • Therapeutic indications are multifactorial.

Conclusions:

  • The choice between conservative and surgical management for shoulder instability depends on various criteria.
  • Factors such as mechanism of injury, hyperlaxity, age, dislocation history, and associated lesions guide treatment.
  • Personalized management plans are essential for optimal outcomes in athletes.