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Shoulder instability in the athlete

A A Allen1, J J Warner

  • 1Department of Orthopaedic Surgery, Hospital for Special Surgery, Cornell University College of Medicine, New York, New York, USA.

The Orthopedic Clinics of North America
|July 1, 1995
PubMed
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Treating athlete shoulder instability requires recognizing the pattern and choosing the right therapy. While nonoperative care is common, surgical stabilization offers effective options for athletes to return to play quickly.

Area of Science:

  • Orthopedics
  • Sports Medicine
  • Biomechanics

Background:

  • Glenohumeral instability is a common issue in athletes.
  • Accurate diagnosis of the instability pattern is crucial for effective treatment.
  • The goal is to restore function and minimize athlete disability.

Purpose of the Study:

  • To outline the challenges in managing athletic shoulder instability.
  • To discuss therapeutic decision-making for return to sport.
  • To review nonoperative and operative treatment options.

Main Methods:

  • Clinical assessment of glenohumeral instability patterns.
  • Review of nonoperative management strategies.
  • Evaluation of arthroscopic and open stabilization techniques.

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Main Results:

  • Recognition and understanding of instability patterns are the primary clinical challenges.
  • Appropriate therapeutic decisions facilitate a faster return to previous function.
  • Nonoperative management is effective for many athletes.
  • Surgical stabilization is a viable option when indicated.

Conclusions:

  • Effective management of glenohumeral instability in athletes hinges on accurate diagnosis and tailored treatment.
  • A spectrum of nonoperative and surgical interventions exists to optimize athlete outcomes.
  • Timely and appropriate treatment is key for athletes to regain their previous level of function.