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Shoulder instability in athletes. The Asian perspective

K M Chan1, N Maffulli, M Nobuhara

  • 1Department of Orthopaedics and Traumatology, Chinese University of Hong Kong, Faculty of Medicine, Prince of Wales Hospital, Shatin.

Clinical Orthopaedics and Related Research
|February 1, 1996
PubMed
Summary

Athletic shoulder instability is gaining attention in Asian sports medicine, especially in overhead sports. This review covers classification, assessment, and management, including arthroscopic surgery, considering regional factors.

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Area of Science:

  • Orthopaedic Sports Medicine
  • Athletic Shoulder Instability
  • Asian Healthcare Systems

Background:

  • Increasing interest in athletic shoulder instability within Asian orthopaedic sports medicine.
  • Prevalence in East Asian countries due to popularity of overhead and throwing sports.
  • Need for region-specific clinical assessment and management strategies.

Purpose of the Study:

  • To review the classification of athletic shoulder instability, focusing on rotator interval injuries.
  • To present a systematic clinical assessment plan tailored to Asian healthcare contexts.
  • To discuss management options, including Bankart repair, capsular shift, and arthroscopic surgery, considering cultural and regional factors.

Main Methods:

  • Systematic review of literature on athletic shoulder instability in Asia.

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  • Analysis of classification systems, including rotator interval injuries.
  • Discussion of clinical assessment and surgical management strategies.

    • Main Results:

    • Rotator interval injury is a key aspect of shoulder instability classification.
    • Clinical assessment must account for regional considerations and healthcare costs in Asia.
    • Bankart repair with capsular shift is a common surgical choice, with attention to multidirectional and posterior instability.
    • Arthroscopic surgery is increasingly utilized, with its indications and limitations discussed.

    Conclusions:

    • Management of athletic shoulder instability in Asia requires consideration of patient attitudes and cultural backgrounds.
    • Arthroscopic techniques offer promising options but require careful evaluation of indications and limitations.
    • A tailored approach to assessment and treatment is crucial for addressing athletic shoulder instability in the Asian population.