JAAOS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Pollock, R.
Right arrow Articles by Bigliani, L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Pollock, R.
Right arrow Articles by Bigliani, L.
Journal of the American Academy of Orthopaedic Surgeons, Vol 1, Issue 1, 24-32
Copyright © 1993 by the American Academy of Orthopaedic Surgeons

Journal Article

Glenohumeral Instability: Evaluation and Treatment

RG Pollock and LU Bigliani

College of Physicians and Surgeons, Columbia University, New York, Orthopaedic Hospital, Columbia-Presbyterian Medical Center, New York.

Glenohumeral instability encompasses a spectrum of disorders of varying degree, direction, and etiology. The keys to accurate diagnosis are a thorough history and physical examination. Plain radiographs are frequently negative, especially in subtle forms of instability. Computed tomography (CT), CT arthrography, magnetic resonance imaging, arthroscopy, and examination under anesthesia may occasionally yield important diagnostic information. Nonoperative treatment of shoulder instability consists of reduction of the joint (when necessary), followed by immobilization and rehabilitative exercises. The length and the value of immobilization remain controversial. Rehabilitative programs emphasize strengthening f the dynamic stabilizers of the shoulder, particularly the rotator cuff muscles. Both arthroscopic and open techniques can be used for operative stabilization of the glenohumeral joint. Results of these repairs are assessed not only in terms of recurrence rate, but also in terms of functional criteria, including return to athletics. Some standard repairs have declined in popularity, giving way to procedures that directly address the pathology of detached or excessively lax capsular ligaments without distorting surrounding anatomy. Capsular repairs also allow correction of multiple components of instability.


This article has been cited by other articles:


Home page
 Am J Sports MedHome page
E. L. Sauers, P. A. Borsa, D. E. Herling, and R. D. Stanley
Instrumented Measurement of Glenohumeral Joint Laxity and its Relationship to Passive Range of Motion and Generalized Joint Laxity
Am. J. Sports Med., March 1, 2001; 29(2): 143 - 150.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
W. N. Levine, J. S. Arroyo, R. G. Pollock, E. L. Flatow, and L. U. Bigliani
Open Revision Stabilization Surgery for Recurrent Anterior Glenohumeral Instability
Am. J. Sports Med., March 1, 2000; 28(2): 156 - 160.
[Abstract] [Full Text] [PDF]

Home page
 Am J Sports MedHome page
K. Hayashi, K. L. Massa, G. Thabit III, G. S. Fanton, M. F. Dillingham, K. W. Gilchrist, and M. D. Markel
Histologic Evaluation of the Glenohumeral Joint Capsule After the Laser-Assisted Capsular Shift Procedure for Glenohumeral Instability
Am. J. Sports Med., March 1, 1999; 27(2): 162 - 167.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1993 by the American Academy of Orthopaedic Surgeons.