Shoulder instability:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1995
|
| Schriftenreihe: | Clinics in sports medicine
14,4 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | X S., S. 751 - 1013 Ill. |
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| 490 | 1 | |a Clinics in sports medicine |v 14,4 | |
| 650 | 2 | |a Articulation glénohumérale | |
| 650 | 2 | |a Instabilité articulaire - Diagnostic | |
| 650 | 2 | |a Instabilité articulaire - Thérapeutique | |
| 650 | 4 | |a Joint Instability |x diagnosis | |
| 650 | 4 | |a Joint Instability |x therapy | |
| 650 | 4 | |a Joints |x Hypermobility | |
| 650 | 4 | |a Shoulder Joint | |
| 650 | 4 | |a Shoulder joint | |
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Datensatz im Suchindex
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|---|---|
| adam_text | j SHOULDER INSTABILITY
CONTENTS
Preface xiii
David W. Altchek
Anatomy and Pathomechanics of Shoulder Instability 751
Kevin P. Speer
The mechanisms contributing to stability of the glenohumeral
joint are complex and varied. The rotator cuff is the dominant
contributor to stability throughout the midranges of motion
through the concavity compression mechanism. The capsuloliga
mentous system is responsible for static shoulder stability at the
end range of motion only. Biomechanical studies of the shoulder
involving ligament cutting studies have generated a more precise
understanding of the individual contributions of the various liga¬
ments and capsular regions to shoulder instability. Magnetic reso¬
nance imaging studies have better defined the pathoanatomy of
acute traumatic anterior shoulder dislocation.
The Clinical Presentation of Shoulder Instability Including
On Field Management 761
Roald Bahr, Edward V. Craig, and Lars Engebretsen
In the athlete, shoulder instability may result from external high
energy trauma or repetitive overuse. Our understanding of how
shoulder instability may contribute to and result from shoulder
injury has improved considerably during the past decade. In
addition, the delicate balance between mobility and stability and
the interrelationship between instability and rotator cuff disease
make the clinical management of the unstable shoulder and its
field treatment a challenge for physicians, therapists, trainers, and
others responsible for the care of injured athletes.
[ CLINICS IN SPORTS MEDICINE
VOLUME 14 • NUMBER 4 • OCTOBER 1995 vii
Imaging of Shoulder Instability 777
Peter B. Gusmer and Hollis G. Potter
Multiple imaging modalities are used in the evaluation of the
patient with known or suspected instability. Plain films are often
the initial study and are useful in detecting fractures and as¬
sessing alignment. Magnetic resonance imaging, with its
multiplanar capabilities, such as that of visualizing soft tissue
structures, is rapidly becoming the study of choice for shoulder
instability. Ultrasonography and computed tomography arthog
raphy have limited roles in the evaluation of the patient with
instability.
The Conservative Management of the Unstable Shoulder
Including Rehabilitation 797
David M. Dines and Michael Levinson
The therapeutic management of many primary and recurring
instabilities of the glenohumeral joint involves nonsurgical tech¬
niques. Early treatment, including diminution of symptoms, anal¬
gesia, and immobilization, is followed by intensive rehabilitation
of the shoulder musculature. The incidence of recurrence and
appropriate length of immobilization remain controversial as¬
pects of the conservative treatment of shoulder instability. Appro¬
priate rehabilitation for shoulder instability depends on a precise
program that addresses the dynamic restraint system of the gle¬
nohumeral joint. Appropriate exercise programs that enhance
scapular stabilization and the patient s neuromuscular control
over the glenohumeral joint are outlined and emphasized.
Arthroscopic Evaluation of the Unstable Shoulder 817
Michael S. Wall and Stephen J. O Brien
The increasing use of shoulder arthroscopy in the early 1980s has
contributed significantly to the diagnosis, treatment, and under¬
standing of shoulder instability. Shoulder instability is recognized
as a spectrum, spanning from occult subluxation to frank disloca¬
tion. Arthroscopy assumes a more significant diagnostic role in
the case of subtle shoulder instability. A description of the
authors preferred method of examination under anesthesia is
included. The arthroscopic findings associated with shoulder in¬
stability are described, together with a brief review of the struc¬
tures important for shoulder stability. Descriptions of normal
arthroscopic shoulder anatomy and some of the more common
normal variants also are discussed.
Arthroscopic Shoulder Stabilization: Overview of Indications,
Technique, and Efficacy 841
Todd M. Swenson and Jon J. P. Warner
With the advancement of arthroscopic techniques during the past
decade, newer minimally invasive procedures for shoulder stabi
Viii CONTENTS
lization have been introduced. Even in the hands of experienced
arthroscopists, unacceptably high recurrence rates for arthro
scopic shoulder stabilization have been reported. In our experi¬
ence, however, this is an effective and efficacious technique pro¬
vided that patients are selected carefully and that meticulous
technique is used. Failure to exclude patients with significant
concomitant capsular laxity and inadequate technique are the
principal reasons for failure of the arthroscopic approach.
The Surgical Treatment of Anterior Shoulder Instability 863
Loel Z. Payne and David W. Altchek
The selective capsular repair for anterior shoulder instability
allows the surgical technique to address the pathology encoun¬
tered. An initial transverse capsulotomy allows visualization of
the joint and flexibility in determining the site of the repair. The
capsular tensioning can be performed either medially or laterally
as determined by the presence of a Bankart lesion. Examination
of the joint following the procedure should reveal the elimination
of the pathologic anterior translation, reduction in the inferior
translation, and the degree of external rotation desired to meet
the specific goals of the patient.
Management of Multidirectional Instability 885
Ken Yamaguchi and Evan L. Flatow
Patients with multidirectional instability have symptomatic gle
nohumeral instability in the anterior, inferior, and posterior direc¬
tions. Because standard unidirectional procedures do not correct
all of the directions of instability, they may fail in treatment.
Clinical presentation of multidirectional instability and indica¬
tions for surgery and technique in each direction are described.
Rehabilitation for these patients also is discussed.
The Surgical Treatment of Posterior Shoulder Instability 903
George A. C. Murrell and Russell F. Warren
Operative procedures for recurrent posterior instability range
from glenoid osteotomy, posterior bone block procedures, poste¬
rior capsular plication with biceps tenodesis to arthroscopic stabi¬
lization with a biodegradable tac. The best results and the most
commonly reported procedure(s) involve the reattachment of any
labral detachment and a posterior capsular plication via a poste¬
rior approach.
Shoulder Instability in the Overhand or Throwing Athlete 917
Ronald S. Kvitne, Frank W. Jobe, and Christopher M. Jobe
The overhead or throwing athlete risks developing a wide variety
of shoulder disorders because of the repetitive nature and chronic
stress associated with overhand or throwing motions. These activ
CONTENTS IX
ities may predispose the shoulder to tendinitis, impingement
syndromes, rotator cuff pathologic conditions, and even glenohu
meral joint instability. Accurate diagnosis and successful treat¬
ment of these various conditions that are unique to the throwing
athlete require a thorough understanding of the basic biomecha
nics of the throwing motion, and an appreciation of the delicate
balance between shoulder mobility and stability.
Acute Shoulder Dislocation: Indications and Techniques for
Operative Management 937
Robert A. Arciero and Patrick St. Pierre
This article reviews the natural history of the initial traumatic
anterior shoulder dislocation. The literature is compared with the
experience at the US Military Academy in a uniform group of
young athletes. The concept and rationale for acute arthroscopic
stabilization are introduced. Operative indications and the current
arthroscopic technique are detailed.
Revision Instability Surgery 955
O. Alton Barron and Louis U. Bigliani
Revision instability is a complex clinical problem. A successful
outcome is dependent on several factors, including an accurate
diagnosis clearly delineating the different pathologic conditions
contributing to the failure. Also, from a technical aspect, an at¬
tempt should be made to restore the normal anatomic relation¬
ships while achieving glenohumeral stability in a functional range
of motion. The purpose of this article is to assist the clinician
in the evaluation and treatment of failed instability surgery by
combining the authors personal experience with an extensive
review of the literature.
Complications of Shoulder Instability Surgery 973
Michael S. Wall and Russell F. Warren
This article presents the complications of shoulder instability that
occur before, during, and after surgery. Suggestions as to how to
avoid these complications also are included. Knowledge of what
can go wrong during each of these three periods allows one to
minimize the possibility of incurring complications. This knowl¬
edge is gained through experience, study, and continued re¬
search. The outcomes are better results and a more content patient
population.
Cumulative Index 1995 1001
Subscription Information Inside back cover
X CONTENTS
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| spelling | Shoulder instability David W. Altchek, guest ed. Philadelphia [u.a.] Saunders 1995 X S., S. 751 - 1013 Ill. txt rdacontent n rdamedia nc rdacarrier Clinics in sports medicine 14,4 Articulation glénohumérale Instabilité articulaire - Diagnostic Instabilité articulaire - Thérapeutique Joint Instability diagnosis Joint Instability therapy Joints Hypermobility Shoulder Joint Shoulder joint Schultergelenkkrankheit (DE-588)4124153-8 gnd rswk-swf Schlottergelenk (DE-588)4396838-7 gnd rswk-swf Schultergelenkluxation (DE-588)4180208-1 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Schultergelenkluxation (DE-588)4180208-1 s DE-604 Schultergelenkkrankheit (DE-588)4124153-8 s Schlottergelenk (DE-588)4396838-7 s Altchek, David W. Sonstige oth Clinics in sports medicine 14,4 (DE-604)BV002806345 14,4 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=006991863&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Shoulder instability Clinics in sports medicine Articulation glénohumérale Instabilité articulaire - Diagnostic Instabilité articulaire - Thérapeutique Joint Instability diagnosis Joint Instability therapy Joints Hypermobility Shoulder Joint Shoulder joint Schultergelenkkrankheit (DE-588)4124153-8 gnd Schlottergelenk (DE-588)4396838-7 gnd Schultergelenkluxation (DE-588)4180208-1 gnd |
| subject_GND | (DE-588)4124153-8 (DE-588)4396838-7 (DE-588)4180208-1 (DE-588)4143413-4 |
| title | Shoulder instability |
| title_auth | Shoulder instability |
| title_exact_search | Shoulder instability |
| title_full | Shoulder instability David W. Altchek, guest ed. |
| title_fullStr | Shoulder instability David W. Altchek, guest ed. |
| title_full_unstemmed | Shoulder instability David W. Altchek, guest ed. |
| title_short | Shoulder instability |
| title_sort | shoulder instability |
| topic | Articulation glénohumérale Instabilité articulaire - Diagnostic Instabilité articulaire - Thérapeutique Joint Instability diagnosis Joint Instability therapy Joints Hypermobility Shoulder Joint Shoulder joint Schultergelenkkrankheit (DE-588)4124153-8 gnd Schlottergelenk (DE-588)4396838-7 gnd Schultergelenkluxation (DE-588)4180208-1 gnd |
| topic_facet | Articulation glénohumérale Instabilité articulaire - Diagnostic Instabilité articulaire - Thérapeutique Joint Instability diagnosis Joint Instability therapy Joints Hypermobility Shoulder Joint Shoulder joint Schultergelenkkrankheit Schlottergelenk Schultergelenkluxation Aufsatzsammlung |
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