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An algorithm for successfully managing anterior shoulder instability. | LitMetric

An algorithm for successfully managing anterior shoulder instability.

JAAPA

Stephanie C. Petterson is clinical research director at the Orthopaedic Foundation in Stamford, Conn. At the time this article was written, Gerald Agyapong was a student in the PA program at Sacred Heart University in Fairfield, Conn. He now practices in orthopedics at New York Presbyterian-Queens Hospital in Flushing, N.Y. Jasmine E. Brite is a research assistant at Plancher Orthopaedics and Sports Medicine in New York, N.Y. Jaya Shanmugam is a fellow at the Orthopaedic Foundation and Plancher Orthopaedics. Karen K. Briggs is a research associate at the Orthopaedic Foundation. Kevin D. Plancher is a clinical professor in the Department of Orthopaedic Surgery at Montefiore Medical Center/Albert Einstein College of Medicine in New York, N.Y.; adjunct clinical assistant professor in the Department of Orthopaedic Surgery at Weill Cornell Medical College in New York, N.Y.; founder of the Orthopaedic Foundation; and practices at Plancher Orthopaedics and Sports Medicine. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Published: April 2022

AI Article Synopsis

Article Abstract

The most common form of shoulder instability involves the anterior glenohumeral joint. Often it is associated with labral and bony injuries with subsequent recurrent instability. To determine optimal management, clinicians should perform a detailed history and physical examination, including appropriate diagnostic imaging to assess for concomitant humeral and glenoid bony deficiencies and other soft-tissue pathologies. Early surgical intervention may reduce risk of recurrence, particularly in young, active athletes. This article highlights the relevant anatomy, pathoanatomy, diagnostic examination including radiologic imaging, management, and prevention of complications for anterior shoulder instability. Minimizing recurrence is key to restoring function for patients to safely return to recreational and sporting activities, and to perform activities of daily living.

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Source
http://dx.doi.org/10.1097/01.JAA.0000823168.14527.15DOI Listing

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