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Evaluation and treatment of shoulder instability.

Publication ,  Journal Article
Anakwenze, OA; Huffman, GR
Published in: Phys Sportsmed
May 2011

The shoulder joint has a wide range of motion as a result of a complex interplay of soft tissue and bone structures. It is also the most frequently dislocated joint in the body. Shoulder dislocations are generally classified as traumatic and nontraumatic. There are many specific causes, each of which necessitate individualized treatment modalities. Accurate diagnosis requires a careful history and physical examination. Arthroscopic surgery and advances in imaging have expanded our understanding of anatomy and pathology relevant to shoulder instability and its treatment. Surgery is the treatment of choice for recurrent traumatic instability. Surgery may also be indicated in some first-time traumatic dislocations in young contact athletes, whereas rehabilitation is the initial treatment of choice in older patients with initial instability and in those with nontraumatic dislocations. Results of arthroscopic capsulolabral repair now equal those of open capsulolabral repair and have become the surgical treatment of choice for most patients. However, in cases of recurrent instability and significant bone deficiency of either the glenoid or humeral head, open bone reconstructive procedures are often necessary to ensure successful outcomes.

Duke Scholars

Published In

Phys Sportsmed

DOI

ISSN

0091-3847

Publication Date

May 2011

Volume

39

Issue

2

Start / End Page

149 / 157

Location

England

Related Subject Headings

  • Treatment Outcome
  • Sport Sciences
  • Shoulder Joint
  • Shoulder Dislocation
  • Range of Motion, Articular
  • Joint Instability
  • Humans
  • Arthroscopy
  • 4207 Sports science and exercise
  • 3202 Clinical sciences
 

Citation

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Anakwenze, O. A., & Huffman, G. R. (2011). Evaluation and treatment of shoulder instability. Phys Sportsmed, 39(2), 149–157. https://doi.org/10.3810/psm.2011.05.1906
Anakwenze, Oke A., and G Russell Huffman. “Evaluation and treatment of shoulder instability.Phys Sportsmed 39, no. 2 (May 2011): 149–57. https://doi.org/10.3810/psm.2011.05.1906.
Anakwenze OA, Huffman GR. Evaluation and treatment of shoulder instability. Phys Sportsmed. 2011 May;39(2):149–57.
Anakwenze, Oke A., and G. Russell Huffman. “Evaluation and treatment of shoulder instability.Phys Sportsmed, vol. 39, no. 2, May 2011, pp. 149–57. Pubmed, doi:10.3810/psm.2011.05.1906.
Anakwenze OA, Huffman GR. Evaluation and treatment of shoulder instability. Phys Sportsmed. 2011 May;39(2):149–157.

Published In

Phys Sportsmed

DOI

ISSN

0091-3847

Publication Date

May 2011

Volume

39

Issue

2

Start / End Page

149 / 157

Location

England

Related Subject Headings

  • Treatment Outcome
  • Sport Sciences
  • Shoulder Joint
  • Shoulder Dislocation
  • Range of Motion, Articular
  • Joint Instability
  • Humans
  • Arthroscopy
  • 4207 Sports science and exercise
  • 3202 Clinical sciences