Instability of the Shoulder

Question 1

define instability of the shoulder

Answer 1

this is dislocation/subluxation of the shoulder joint

Question 2

common age group for instability of the shoulder

Answer 2

teens-30s

Question 3

cause of instability

Answer 3

sporting injury usually

Question 4

most common shoulder dislocation

Answer 4

anterior

Question 5

which conditions can have recurrent dislocations?

Answer 5

EDS, etc.

Question 6

presentation of shoulder instability

Answer 6

shoulder out of place
labral lesion (Bankhart)- anterior
fracture of humeral head (Hill Sachs)
fracture of glenoid (bony bankhart)

Question 7

diagnosis of shoulder dislocation

Answer 7

clinical

if other structures are potentially damaged do AP shoulder and garth views

Question 8

management of shoulder instability

Answer 8

manipulation with Kocher method, Hippocratic method or Stimson method
sling for a couple of weeks
physiotherapy for core strengthening and scapula stabilising
surgery: arthroscopic or open stabilisation

Question 9

when is surgery used in shoulder instability?

Answer 9

bankhart repair- reattaching labrum and capsule