Shoulder Instability, An Issue of Clinics in Sports Medicine

1st Edition, Volume 43-4 - September 6, 2024
Editors: Jonathan F. Dickens, Brian C. Lau
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 2 8 7 3 - 8
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 2 8 7 4 - 5

In this issue of Clinics in Sports Medicine, guest editors Drs. Jonathan F. Dickens and Brian C. Lau bring their considerable expertise to the topic of Shoulder Instabili… Read more

Shoulder Instability, An Issue of Clinics in Sports Medicine

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In this issue of Clinics in Sports Medicine, guest editors Drs. Jonathan F. Dickens and Brian C. Lau bring their considerable expertise to the topic of Shoulder Instability. Shoulder instability is a common injury in sports and orthopedic surgeons must stay up to date with on-field assessment, current imaging, and surgical and nonsurgical treatment strategies to help athletes get back in the game. In this issue, top experts discuss anterior and posterior shoulder instability in athletes, including shoulder anatomy and biomechanics, imaging, operative and nonoperative treatments, and more.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Functional Anatomy and Biomechanics of Shoulder Instability
Key points
Introduction
Static and Dynamic Stabilizers of the Glenohumeral Joint
Glenoid Bone Loss
Humeral Bone Loss
Influence of Scapular Morphology
Contribution from the Long Head of the Biceps Tendon
Biomechanics
Summary
Evaluating the Athlete with Instability from on the Field to in the Clinic
Key points
Introduction
Recognizing instability
On field evaluation and initial management
Transitioning to clinical assessment
Imaging
Biomechanical considerations
Discussion
Summary
Clinics care points
Current Imaging of Anterior and Posterior Instability in the Athlete
Key points
Introduction
Radiographs
Computed tomographic scan
MRI and magnetic resonance arthrography
Glenoid bone loss
Humeral bone loss
Labral tears and variants
Humeral avulsion of inferior glenohumeral ligament
Summary
Clinics care points
Anterior Instability
Decision Making of the In-season Athlete with Anterior Shoulder Instability
Key points
Introduction
On-field management
Postinjury care
Imaging
Glenoid track
Nonoperative management
Operative management
Psychological readiness for return to play
Discussion
Summary
Clinics care points
Arthroscopic Management of the Contact Athlete with Anterior Instability
Key points
Introduction
History of the Bankart repair
Modern Bankart repair technique
Access and glenoid preparation
Labral repair
Bankart repair outcomes in athletes
Remplissage
Remplissage technique
Remplissage patient selection
Remplissage outcomes
Bony augmentation procedures
Latarjet Bristow
Distal clavicle autograft
Distal tibia allograft
Latarjet outcomes
Latarjet versus Bankart with or without remplissage
Summary
Clinics care points
Open Bankart Repair: Technique and Outcomes for the High-Level Athlete
Key points
Introduction
Indications
Procedural approach
Our technique
Clinical outcomes
Clinics care points
The Latarjet Procedure for Recurrent Anterior Shoulder Instability in the Contact Athlete
Key points
Introduction
Discussion
Summary
Clinics care points
Open Bone Augmentation Solutions for the Failed Shoulder Stabilization
Key points
Introduction
Surgical technique
Discussion
Summary
Clinics care points
Current Evidence and Techniques for Arthroscopic Bone Augmentation
Key points
Introduction
Critical/subcritical bone loss
Graft biomechanics
Patient evaluation
Indications and contraindications
Authors’ preferred surgical technique
Outcomes/discussion
Summary
Management of Shoulder Instability in the Overhead Athletes
Key points
Introduction
Role of supportive structures
Epidemiology and pathophysiology
Throwing mechanics
Discussion
Physical therapy and return to throwing program
Summary
Clinics care points
Rehabilitation and Return to Sport following Operative and Nonoperative Treatment of Anterior Shoulder Instability
Key points
Introduction
Nonoperative management
Arthroscopic Bankart repair
Remplissage and open Bankart repair
Latarjet and other bone block procedures
Summary
Clinics care points
Appendix 1. Detailed rehabilitation progression
Posterior Instability
Biomechanics and Pathoanatomy of Posterior Shoulder Instability
Key points
Introduction
Discussion
Summary
Clinics care points
Arthroscopic Management of Posterior Shoulder Instability
Key points
Introduction
History
Signs and symptoms
Discussion
Summary
Clinics care points
Current Concepts in Assessment and Management of Failed Posterior Labral Repair
Key points
Introduction & background
Incidence & impact
Risk factors
Special considerations
Assessment/evaluation
Treatment strategies
Summary
Clinics care points

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Shoulder Instability, An Issue of Clinics in Sports Medicine

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Jonathan F. Dickens

Brian C. Lau