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Arthroscopic evaluation of the unstable shoulder
1Hospital for Special Surgery, New York, New York, USA.
Clinics in Sports Medicine
|October 1, 1995
Summary
Arthroscopic evaluation, combined with examination under anesthesia (EUA), aids in managing glenohumeral instability. This approach helps determine surgical stabilization methods for both acute dislocations and occult instability.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Arthroscopy
Background:
- Glenohumeral instability requires understanding static and dynamic stabilizers.
- Arthroscopic evaluation is a key diagnostic tool.
Purpose of the Study:
- To outline the role of arthroscopic evaluation and examination under anesthesia (EUA) in managing glenohumeral instability.
- To highlight diagnostic and prognostic applications of arthroscopy in shoulder instability.
Main Methods:
- Arthroscopic assessment of glenohumeral anatomy.
- Integration of examination under anesthesia (EUA) with arthroscopy.
- Evaluation of diagnostic accuracy for occult instability.
Main Results:
- Mastery of arthroscopic anatomy is crucial for effective evaluation.
- Arthroscopy combined with EUA aids in treatment decisions for dislocations.
- Arthroscopy is diagnostic for occult instability, guiding stabilization choices.
Conclusions:
- Arthroscopic evaluation and EUA are integral to managing glenohumeral instability.
- These methods help decide between open and arthroscopic stabilization.
- Arthroscopy provides diagnostic value for occult instability.