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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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Reverse Total Shoulder Arthroplasty
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Posterior shoulder instability: a systematic review.

Umile Giuseppe Longo1, Mauro Ciuffreda1, Joel Locher1

  • 1Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, 00128 Trigoria, Rome, Italy.

British Medical Bulletin
|May 19, 2020
PubMed
Summary
This summary is machine-generated.

Surgical outcomes for posterior shoulder instability vary. Both soft tissue and bony abnormalities show similar redislocation rates, highlighting the need for lesion-specific surgical approaches.

Keywords:
arthroscopyinstabilityposteriorshouldersoft-tissue and bony abnormalities

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Shoulder Instability Research

Background:

  • Posterior shoulder instability presents complex challenges.
  • Surgical interventions aim to address glenoid and humeral abnormalities.
  • Outcomes of these procedures require comprehensive review.

Purpose of the Study:

  • To review surgical outcomes for posterior shoulder instability.
  • To analyze results for soft tissue and bony abnormalities.
  • To inform treatment strategies for posterior shoulder dislocation.

Main Methods:

  • Systematic literature review following PRISMA guidelines.
  • Searched multiple databases (PubMed, Medline, etc.) for relevant studies.
  • Included studies on posterior shoulder instability, dislocations, and capsulolabral repairs.

Main Results:

  • 847 shoulders (810 patients) were analyzed.
  • Redislocation occurred in 8.7% of soft tissue cases and 9.1% of bony abnormality cases.
  • Similar redislocation rates were observed for both types of abnormalities.

Conclusions:

  • Optimal treatment for posterior shoulder dislocation is not yet defined.
  • Lesion-specific operative stabilization is crucial for posterior shoulder instability.
  • Future research should focus on establishing optimal treatment modalities.