An Overview of Shoulder Instability and its Management
Nicholas Greville Farrar, Joby Jacob George Malal*, Jochen Fischer , Mohammed Waseem
Identifiers and Pagination:Year: 2013
Issue: Suppl 3
First Page: 338
Last Page: 346
Publisher ID: TOORTHJ-7-338
Article History:Received Date: 3/11/2012
Revision Received Date: 24/11/2012
Acceptance Date: 1/12/2012
Electronic publication date: 6/9/2013
Collection year: 2013
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.5/) which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.
The assessment and management of patients with instability of the shoulder joint can be challenging, due to the varying ways patients present, the array of different classification systems, the confusing terminology used and the differing potential management strategies. This review article aims to provide a clear explanation of the common concepts in shoulder instability and how they relate to the assessment and management of patients.
There are sections covering the mechanisms of shoulder stability, the clinical assessment of patients and imaging techniques. Beyond that there is a discussion on the common classifications systems used and the typical management options.
Some patients fall into reasonably well defined categories of classification and in these cases, the management plan is relatively easy to define. Unfortunately, other patients can elude simple classification and in these instances their management requires very careful consideration. Further research may help to facilitate a better understanding of management of the patients in this latter group.