title: Posterior Shoulder Instability in Overhead Athletes.
abstract: Posterior shoulder instability in overhead athletes presents a unique and difficult challenge. Often, this group has an inherent capsular laxity and/or humeral retroversion to accommodate the range of motion necessary to throw. This adaptation makes the diagnosis of posterior capsulolabral pathology challenging, as the examiner must differentiate between adaptive capsular laxity and pathologic instability. Further complicating matters, the intraoperative surgeon must find the delicate balance of achieving stability while still allowing the necessary range of motion.
authors.affiliation: Department of Orthopaedic Surgery, Sports Medicine Institute at Inova Medical Group, Inova Health System, 8501 Arlington Boulevard, Suite 200, Fairfax, VA 22031, USA. Electronic address: Chang.edward@gmail.com.
authors.forename: Edward S
authors.initials: ES
authors.lastname: Chang
authors.affiliation: Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, 3200 South Water Street, Pittsburgh, PA 15203, USA.
authors.forename: Nicholas J
authors.initials: NJ
authors.lastname: Greco
authors.affiliation: Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, 3200 South Water Street, Pittsburgh, PA 15203, USA.
authors.forename: Michael P
authors.initials: MP
authors.lastname: McClincy
authors.affiliation: Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, 200 Delafield Road, 200 Medical Arts Building, Suite 4010, Pittsburgh, PA 15125, USA.
authors.forename: James P
authors.initials: JP
authors.lastname: Bradley
mesh_terms: D001182:Arthroscopy; D056352:Athletes; D006801:Humans; D017746:Joint Capsule / Q000503:physiopathology; D007593:Joint Instability; D056888:Patient Positioning; D011182:Postoperative Care; D013177:Sports / Q000502:physiology*; D013536:Suture Techniques
keywords: Arthroscopic posterior capsulolabral reconstruction; Overhead athletes; Posterior shoulder instability; Surgical technique; Throwers; Zone-specific repair