Shoulder instability: management and rehabilitation.
Shoulder dislocation and subluxation occurs frequently in athletes with peaks in the second and sixth decades. The majority (98%) of traumatic dislocations are in the anterior direction. The most frequent complication of shoulder dislocation is recurrence, a complication that occurs much more frequently in the adolescent population. The static (predominantly capsuloligamentous and labral) and dynamic (neuromuscular) restraints to shoulder instability are now well defined. Rehabilitation aims to enhance the dynamic muscular and proprioceptive restraints to shoulder instability. This paper reviews the nonoperative treatment and the postoperative management of patients with various classifications of shoulder instability.
Hayes
Kimberley
K
Sports Medicine and Shoulder Service, Orthopaedic Research Institute, St George Hospital Campus, University of New South Wales, Sydney, Australia.
Callanan
Mary
M
Walton
Judie
J
Paxinos
Anastasios
A
Murrell
George A C
GA
D000367:Age Factors; D001696:Biomechanical Phenomena; D006801:Humans; D007593:Joint Instability / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D026741:Physical Therapy Modalities / Q000379:methods*; D012008:Recurrence; D012783:Shoulder Dislocation / Q000150:complications / Q000628:therapy*; D012785:Shoulder Joint / Q000503:physiopathology / Q000601:surgery