Posterior shoulder instability in the contact athlete.
Historically, posterior shoulder instability has been a challenging problem for contact athletes and orthopedic surgeons alike. A complete understanding of the normal shoulder anatomy and biomechanics and the pathoanatomy responsible for the instability is necessary for a successful clinical outcome. In addition, the surgeon must be familiar with the diagnostic imaging and physical examination maneuvers required for the correct diagnosis without missing any other concurrent abnormalities. This understanding will allow orthopedists to plan and execute the appropriate management, whether this may involve conservative or surgical intervention. The goal should always be to correct the abnormality and have the patient return to play with full strength and no recurrent instability.
Department of Orthopaedic Surgery, University of Michigan, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.
Eric P
EP
Tannenbaum
Jon K
JK
Sekiya
D001182:Arthroscopy / Q000379:methods; D001265:Athletic Injuries / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D003131:Combined Modality Therapy; D012090:Cumulative Trauma Disorders / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D006801:Humans; D007593:Joint Instability / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D008487:Medical History Taking; D019637:Orthopedic Procedures / Q000379:methods; D010808:Physical Examination; D026741:Physical Therapy Modalities; D011182:Postoperative Care / Q000379:methods; D012783:Shoulder Dislocation / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000503:physiopathology / Q000601:surgery
Contact athlete; Posterior shoulder instability; Reverse Bankart; Reverse Hill-Sachs