title: Shoulder instability in older patients.
abstract: Glenohumeral instability has a bimodal age distribution, with most affected patients younger than 40 years, but with a second peak in older patients. Glenohumeral dislocations in older patients often present with complex injury patterns, including rotator cuff tears, fractures, and neurovascular injuries. Glenohumeral instability in patients older than 40 years requires a different approach to treatment. An algorithmic approach aids the surgeon in the stepwise decision-making process necessary to treat this injury pattern.
authors: Division of Shoulder and Elbow Surgery, Warren Alpert Medical School of Brown University, 2 Dudley Street, Suite 200, Providence, RI 02905, USA. Electronic address: escottpaxton@gmail.com.
authors: E Scott
authors: ES
authors: Paxton
authors: Department of Orthopedics, Rothman Institute, Thomas Jefferson University, 925 Chestnut Street, 5th Floor, Philadelphia, PA 19107, USA.
authors: Christopher C
authors: CC
authors: Dodson
authors: Department of Orthopedics, Rothman Institute, Thomas Jefferson University, 925 Chestnut Street, 5th Floor, Philadelphia, PA 19107, USA.
authors: Mark D
authors: MD
authors: Lazarus
mesh_terms: D000465:Algorithms; D001366:Axillary Artery / Q000293:injuries; D002908:Chronic Disease; D006801:Humans; D007593:Joint Instability / Q000209:etiology* / Q000503:physiopathology; D008875:Middle Aged; D000070636:Rotator Cuff Injuries; D012421:Rupture; D012783:Shoulder Dislocation / Q000175:diagnosis* / Q000503:physiopathology; D012785:Shoulder Joint / Q000503:physiopathology
keywords: Bankart; Elderly; Hill-Sachs; Locked dislocation; Rotator cuff tear; Shoulder instability