Shoulder instability can result from acute injury or repetitive overhead activity. Once the injury is identified, the initial course of treatment is aggressive rehabilitation. Structural injuries can occur but may not be clinically significant. Should a thorough scapular stabilization and rotator cuff strengthening program fail, consultation with an orthopedic surgeon to consider further imaging or possible intervention is appropriate. As the physician's study of approaches to the first-time dislocator continues, they will be better informed of reasonable options to offer the athlete.
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http://dx.doi.org/10.1016/j.pop.2004.07.002 | DOI Listing |
J Hand Surg Eur Vol
January 2025
Hand and Microsurgery, Department of Orthopaedics, Faculty of Medicine, Thammasat University, Pathumthani, Thailand.
This study evaluates the outcomes of arthroscopic triangular fibrocartilage complex (TFCC) foveal reattachment using an inside-out suture passing through the TFCC at specific ulnocarpal anatomical landmarks to grasp the radioulnar ligaments. Thirty-eight patients with a mean age of 36 years (range 19-54), diagnosed with TFCC injury with distal radioulnar joint (DRUJ) instability, underwent arthroscopic inside-out TFCC foveal reattachment using designated suture sites. At a mean follow-up of 32 months (range 26-44), pain score, range of motion, grip strength, Disabilities of the Arm, Shoulder and Hand (DASH) score, and Modified Mayo Wrist Score all showed significant improvement after surgery.
View Article and Find Full Text PDFArch Bone Jt Surg
January 2024
Department of Orthopedic Surgery, 5th Azar hospital, Golestan University of Medical Sciences, Gorgan, Iran.
Objectives: Anterior shoulder instability with minimal glenoid bone loss has several options for Bankart repair. We aimed to evaluate the results of a modified technique using two anchors with double and single loaded suture (three stitches in total) in arthroscopic Bankart surgery.
Methods: Thirty-eight patients underwent arthroscopic Bankart surgery and were assessed after an average 40 months follow-up.
J Clin Orthop Trauma
March 2025
Department of Orthopaedics, Woodend Hospital, Aberdeen, AB15 6XS, UK.
Reverse shoulder arthroplasty (RSA) has witnessed a significant advancement with the introduction of lateralisation techniques, aiming to enhance shoulder function and implant durability. Traditional medialised designs, following Grammont's principles, have encountered challenges such as scapular notching, reduced rotational strength, and instability. In contrast, lateralisation methods, which reposition the joint center of rotation laterally on the glenoid, humerus, or both, seek to improve deltoid leverage, optimize the rotator cuff muscles' length-tension relationship, and enhance joint stability.
View Article and Find Full Text PDFJ Orthop
August 2025
University of Alabama at Birmingham, Department of Orthopaedic Surgery, Birmingham, AL, USA.
Purpose: This study aims to compare the biomechanical performance of elastic and static suture-based cerclage systems to traditional screw constructs in the setting of modeled glenoid bony augmentation.
Methods: Biomechanical testing was conducted on polyurethane cellular foam blocks modeling a 20 % glenoid defect repaired with a coracoid graft. Constructs consisted of an elastic suture-based cerclage, static suture-based cerclage, and a two-screw construct.
Orthop J Sports Med
January 2025
Department of Orthopaedic Surgery, Carthage Area Hospital, Carthage, New York, USA.
Background: While glenoid bone loss (GBL) after anterior shoulder instability correlates with poor functional outcomes, the specific effects of GBL in posterior and combined-type shoulder instability remain poorly characterized, especially in a high-risk military population.
Purpose/hypothesis: The purpose of this study was to compare GBL between unidirectional anterior or posterior instability versus combined-type instability in active-duty servicemembers. It was hypothesized that total GBL and GBL in the direction of instability would be greater in those with combined-type instability compared with unidirectional instability.
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