Shoulder instability Flashcards
1
Q
What is shoulder instability
A
-inability to maintain humeral head in the glenoid fossa
2
Q
What are the 3 types of shoulder instability
A
- anterior
- Posterior
- Multidirectional
3
Q
What are the clinical features of ANTERIOR instability
A
- recurrent dislocation or sub laxation
- shoulder pain
- episodes of ‘dead arm syndrome’
4
Q
What examination would take place for ANTERIOR instability
A
- assess ligament laxity
- assess shoulder power
- x-ray
5
Q
What else can be associated with ANTERIOR instability
A
- Bankart lesion
- Hill-sachs lesion
6
Q
What is the treatment for traumatic ANTERIOR instability
A
- repair underlying tendon
- Magnusson-stack PuttiPlatt procedures NOT recommended - lead to decrease external rotation and decrease in shoulder power
7
Q
what is the treatment for Atraumatic ANTERIOR instability
A
- strengthening of RC and scapula stabilisers
- modification of sport activity
- surgery only if constructive rehab fails
8
Q
What is POSTERIOR instability
A
- Atraumatic is most common
- sublaxed shoulder position
9
Q
What is the treatment for POSTERIOR instability
A
- strengthening of posterior stabilising muscles
- surgery - posterior capsuloabral repair, capsular shrinkage
10
Q
What is MULTIDIRECTIONAL instablity
A
- combination of 2 or 3 instabilities
- most commonly atraumatic
- often associated with generalised ligamentous laxity
11
Q
What is the treatment of MULTIDIRECTIONAL instabilty
A
- Strengthening of shoulder muscles
- avoid stretching
