The shoulder enjoys the widest range of motion of all the joints in the human body, therefore requires a delicate balance between stability and motility. The glenohumeral joint is inclined to fall into two main instability categories: macro and micro. Macroinstability can be traumatic or atraumatic, with anterior or posterior dislocation of the humeral head. Microinstability falls within the broader section of acquired instability in overstressed shoulder caused by repeated joint stress. Anterior traumatic instability is the most frequent entity and a relatively common injury in young and athletic population. While shoulder instability is a clinical diagnosis, imaging impacts the patient management by detailing the extent of injury, such as capsulo-labral-ligamentous tears, fracture, and/or dislocation, describing the predisposing anatomic conditions and guide the therapetic choice. The aim of this comprehensive review is to cover the imaging findings of shoulder instability by different imaging techniques.
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http://dx.doi.org/10.1007/s00256-020-03459-z | DOI Listing |
Complications occur with total shoulder arthroplasty (TSA), and they can be daunting to diagnose and treat. It is important to review common TSA-related complications and to summarize risk factors along with causes of these complications and how to avoid them. The orthopaedic surgeon should be knowledgeable about how to successfully manage complications to achieve good patient outcomes and the etiologies and management of the painful and stiff shoulder arthroplasty, subscapularis failure after anatomic TSA, instability after reverse shoulder arthroplasty, and acromion stress fractures in the setting of reverse TSA.
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December 2024
Radiology, Saitama Medical University, Saitama, JPN.
Purpose: In this study, we evaluated serial changes in shoulder muscle volume and computed tomography (CT) density of the transverse force couple (i.e., subscapularis (Ssc) vs.
View Article and Find Full Text PDFAm J Sports Med
January 2025
Department of Orthopaedics, China-Japan Union Hospital of Jilin University, Changchun, China.
Background: Surgical planning for anterior shoulder instability (ASI) necessitates accurate measurements of glenoid bone defects, but current methods are either challenging or too complex for practical use. This underscores the need for a simplified, but precise, assessment technique for anterior glenoid bone defects.
Purpose: To introduce a new measurement technique that requires only computed tomography (CT) of the affected shoulder joint and simultaneously simplifies the assessment of bone defects in the anterior glenoid.
Am J Sports Med
January 2025
Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Background: Anterior labroligamentous periosteal sleeve avulsion (ALPSA) lesions are associated with recurrent shoulder instability and higher rates of failure after capsulolabral repair compared with similarly treated Bankart lesions. Although these lesions can portend poor outcomes, there are limited data on the associated conditions and postoperative course in a young, active population.
Purpose: To evaluate the mid- to long-term clinical course and failure rates after ALPSA repairs and assess features associated with these outcomes.
Am J Sports Med
January 2025
Steadman Philippon Research Institute, Vail, Colorado, USA.
Background: Sternoclavicular joint (SCJ) instability can lead to pain, reduced function, and an inability to perform sports and activities of daily living. Reconstruction of the SCJ using hamstring autograft in a figure-of-8 configuration has demonstrated good outcomes at short- and midterm follow-ups, but there is a paucity of literature on long-term outcomes.
Purpose: To evaluate the long-term clinical and functional outcomes after SCJ reconstruction, with a focus on return to sport, instability recurrence, and revision surgery.
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