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Management of mid-season traumatic anterior shoulder instability in athletes.

Publication ,  Journal Article
Owens, BD; Dickens, JF; Kilcoyne, KG; Rue, J-PH
Published in: J Am Acad Orthop Surg
August 2012

Shoulder dislocation and subluxation injuries are common in young athletes and most frequently occur during the competitive season. Controversy exists regarding optimal treatment of an athlete with an in-season shoulder dislocation, and limited data are available to guide treatment. Rehabilitation may facilitate return to sport within 3 weeks, but return is complicated by a moderate risk of recurrence. Bracing may reduce the risk of recurrence, but it restricts motion and may not be tolerated in patients who must complete certain sport-specific tasks such as throwing. Surgical management of shoulder dislocation or subluxation with arthroscopic or open Bankart repair reduces the rate of recurrence; however, the athlete is unable to participate in sport for the remainder of the competitive season. When selecting a management option, the clinician must consider the natural history of shoulder instability, pathologic changes noted on examination and imaging, sport- and position-specific demands, duration of treatment, and the athlete's motivation.

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Published In

J Am Acad Orthop Surg

DOI

ISSN

1067-151X

Publication Date

August 2012

Volume

20

Issue

8

Start / End Page

518 / 526

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Time Factors
  • Shoulder Joint
  • Shoulder Injuries
  • Recurrence
  • Range of Motion, Articular
  • Physical Therapy Modalities
  • Physical Examination
  • Orthopedics
  • Joint Instability
 

Citation

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Owens, B. D., Dickens, J. F., Kilcoyne, K. G., & Rue, J.-P. (2012). Management of mid-season traumatic anterior shoulder instability in athletes. J Am Acad Orthop Surg, 20(8), 518–526. https://doi.org/10.5435/JAAOS-20-08-518
Owens, Brett D., Jonathan F. Dickens, Kelly G. Kilcoyne, and John-Paul H. Rue. “Management of mid-season traumatic anterior shoulder instability in athletes.J Am Acad Orthop Surg 20, no. 8 (August 2012): 518–26. https://doi.org/10.5435/JAAOS-20-08-518.
Owens BD, Dickens JF, Kilcoyne KG, Rue J-PH. Management of mid-season traumatic anterior shoulder instability in athletes. J Am Acad Orthop Surg. 2012 Aug;20(8):518–26.
Owens, Brett D., et al. “Management of mid-season traumatic anterior shoulder instability in athletes.J Am Acad Orthop Surg, vol. 20, no. 8, Aug. 2012, pp. 518–26. Pubmed, doi:10.5435/JAAOS-20-08-518.
Owens BD, Dickens JF, Kilcoyne KG, Rue J-PH. Management of mid-season traumatic anterior shoulder instability in athletes. J Am Acad Orthop Surg. 2012 Aug;20(8):518–526.

Published In

J Am Acad Orthop Surg

DOI

ISSN

1067-151X

Publication Date

August 2012

Volume

20

Issue

8

Start / End Page

518 / 526

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Time Factors
  • Shoulder Joint
  • Shoulder Injuries
  • Recurrence
  • Range of Motion, Articular
  • Physical Therapy Modalities
  • Physical Examination
  • Orthopedics
  • Joint Instability