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Related Concept Videos

Muscles of the Shoulder01:23

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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.
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An algorithm for successfully managing anterior shoulder instability.

Stephanie C Petterson1, Gerald Agyapong, Jasmine E Brite

  • 1Stephanie C. Petterson is clinical research director at the Orthopaedic Foundation in Stamford, Conn. At the time this article was written, Gerald Agyapong was a student in the PA program at Sacred Heart University in Fairfield, Conn. He now practices in orthopedics at New York Presbyterian-Queens Hospital in Flushing, N.Y. Jasmine E. Brite is a research assistant at Plancher Orthopaedics and Sports Medicine in New York, N.Y. Jaya Shanmugam is a fellow at the Orthopaedic Foundation and Plancher Orthopaedics. Karen K. Briggs is a research associate at the Orthopaedic Foundation. Kevin D. Plancher is a clinical professor in the Department of Orthopaedic Surgery at Montefiore Medical Center/Albert Einstein College of Medicine in New York, N.Y.; adjunct clinical assistant professor in the Department of Orthopaedic Surgery at Weill Cornell Medical College in New York, N.Y.; founder of the Orthopaedic Foundation; and practices at Plancher Orthopaedics and Sports Medicine. The authors have disclosed no potential conflicts of interest, financial or otherwise.

JAAPA : Official Journal of the American Academy of Physician Assistants
|March 11, 2022
PubMed
Summary
This summary is machine-generated.

Anterior shoulder instability, often linked to labral and bone injuries, requires thorough evaluation. Early surgery may prevent recurrence, especially in young athletes, aiding return to activities.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Anatomy

Background:

  • Anterior glenohumeral joint instability is common.
  • Often associated with labral and bony injuries, leading to recurrent instability.
  • Requires comprehensive assessment for effective management.

Purpose of the Study:

  • To outline the diagnosis and management of anterior shoulder instability.
  • To emphasize the importance of identifying associated injuries.
  • To discuss strategies for minimizing recurrence and restoring function.

Main Methods:

  • Detailed patient history and physical examination.
  • Diagnostic imaging to assess bony and soft-tissue pathologies.
  • Review of current literature on anatomy, pathoanatomy, and treatment.

Main Results:

  • Concomitant humeral and glenoid bony deficiencies are critical findings.
  • Early surgical intervention can decrease recurrence rates.
  • Accurate diagnosis is essential for optimal patient outcomes.

Conclusions:

  • Effective management of anterior shoulder instability hinges on precise diagnosis and tailored treatment.
  • Minimizing recurrence is crucial for functional recovery and return to activities.
  • Understanding relevant anatomy and pathoanatomy guides surgical decision-making.