shoulder instab

Question 1

atraumatic hypermob

Answer 1

physiological laxity of connective tissue or non-uniform loading of joint

disloc or sublux in direction of instab

Question 2

anterior atraumatic instab

Answer 2

ant directed forces placed when abd and ER = ant translation

Question 3

posterior atraumatic instab

Answer 3

less common

repetitive post directed forces against forward flexed humerus = post translatin

Question 4

inferior atraumatic instab

Answer 4

wekaness of paralysis of rot cuff muscles - swimmers or multidirectional

Question 5

multidirectional atraumatic instab

Answer 5

more than 1 direction

Question 6

traumatic anterior dilsloc

Answer 6

posterior directed force - direct blow or fall on flexed elbow and ext shoulder

Question 7

recurrent disloc

Answer 7

from significant capsular and ligamentous laxity

high chance after first traumatic disloc < 30 yrs

Question 8

management in protection phase

Answer 8

sling for 1-2 wks

activity restriciton for 6-8 wks

avoid pos of disloc

protected rom - ER 10-15° tas IR to 0°; no ext

muscle setting of rott cuf and biceps

gr 2 joint mob

Question 9

management in controlled motion phase

Answer 9

sling lnf if shoulder is tired or need to protect

PJM pero bawal ant glide

slef stretch of post capsule

IR and ER stnregthening

isoms, srab exercises, dynamic resistance

Question 10

management in return to function phase

Answer 10

balance in shoulder and scap strenngth

coordination of scapulothoracic rhythm

inc speed and control

more endurance