Management of Mid‐season Traumatic Anterior Shoulder Instability in Athletes

doi:10.5435/JAAOS-20-08-518

Paper

Management of Mid‐season Traumatic Anterior Shoulder Instability in Athletes

Published Aug 1, 2012 · B. Owens, J. Dickens, Kelly G. Kilcoyne

Journal of the American Academy of Orthopaedic Surgeons

Q1 SJR score

90

Citations

3

Influential Citations

Full textSemantic Scholar

Abstract

&NA; Shoulder dislocation and subluxation injuries are common in young athletes and most frequently occur during the competitive season. Controversy exists regarding optimal treatment of an athlete with an in‐season shoulder dislocation, and limited data are available to guide treatment. Rehabilitation may facilitate return to sport within 3 weeks, but return is complicated by a moderate risk of recurrence. Bracing may reduce the risk of recurrence, but it restricts motion and may not be tolerated in patients who must complete certain sport‐specific tasks such as throwing. Surgical management of shoulder dislocation or subluxation with arthroscopic or open Bankart repair reduces the rate of recurrence; however, the athlete is unable to participate in sport for the remainder of the competitive season. When selecting a management option, the clinician must consider the natural history of shoulder instability, pathologic changes noted on examination and imaging, sport‐ and position‐specific demands, duration of treatment, and the athlete's motivation.

Highly Cited

Study Snapshot

Optimal treatment for mid-season shoulder instability in athletes involves considering the athlete's history, pathology, demands, and motivation, while considering the risks and benefits of various management options.

PopulationOlder adults (50-71 years)

Sample size24

MethodsObservational

OutcomesBody Mass Index projections

ResultsSocial networks mitigate obesity in older groups.

Paper

Management of Mid‐season Traumatic Anterior Shoulder Instability in Athletes

References

Immobilization in external rotation after primary shoulder dislocation did not reduce the risk of recurrence: a randomized controlled trial.

Immobilization in external rotation does not reduce the rate of recurrence for patients with first-time traumatic anterior shoulder dislocation.

Management of Shoulder Instability in In-Season Athletes

Rehabilitation and bracing can help athletes with shoulder instability return to play within 3 weeks, while surgical stabilization may be necessary for recurrent instability or performance issues.

Pathoanatomy of first-time, traumatic, anterior glenohumeral subluxation events.

First-time, traumatic, anterior glenohumeral subluxation events in young athletes often result in labral and Hill-Sachs lesions, warranting a high index of suspicion and requiring arthroscopic surgery.

Association of generalized joint hypermobility with a history of glenohumeral joint instability.

Generalized joint hypermobility is associated with a history of glenohumeral joint instability in young, physically active individuals, regardless of sex or race.

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The incidence rate of shoulder dislocations in the United States is 23.9 per 100,000 person-years, with young age and male sex being risk factors.

Citations

Arthroscopic Shoulder Stabilization in High School Football Players

High school football players returning to competitive play after arthroscopic shoulder stabilization surgery experienced a higher rate of recurrent instability, with fear of reinjury being the most common reason for not returning to football.

Determining the True Incidence of Glenohumeral Instability Among Players in the National Football League: An Epidemiological Study of Non–Missed Time Shoulder Instability Injuries

Non-missed time shoulder instability injuries in the NFL (97.4%) were mostly subluxations, which may have been underreported due to the difficulty in detecting and diagnosing subluxation.

Effectiveness of combined surgical and exercise-based interventions following primary traumatic anterior shoulder dislocation: a systematic review and meta-analysis

Surgery combined with exercise-based interventions is more effective in reducing recurrence and possibly increasing return to activity than exercise alone after traumatic anterior shoulder dislocation.

Management of Common Football-Related Injuries About the Shoulder

Common football-related shoulder injuries include AC joint instability, GH joint instability, and shoulder dislocation, with a history of shoulder instability decreasing the likelihood of making an NFL team for offensive and defensive linemen.

In-Season Management of Shoulder Instability: How to Evaluate, Treat, and Safely Return to Sport

In-season operative treatment for shoulder instability is recommended for high return to sport and lower recurrent instability rates.

Type IX Superior Labrum Anterior and Posterior Lesion in a Professional Football Player: A Rare Pattern of Shoulder Instability in a Non-throwing Athlete

A rare type IX SLAP lesion in a professional football player was successfully treated with surgical treatment, allowing him to return to full sport and compete at the same level without recurrence.

Chronic anterior shoulder instability with bone loss: a practical approach

The Latarjet procedure is the gold standard for treating chronic anterior shoulder instability with bone loss, providing consistent short- and long-term results.