Traumatic Shoulder Instability.

Treatment

What are management options for traumatic shoulder instability?

A patient with traumatic anterior glenohumeral instability has symptoms of instability (apprehension, subluxation, or dislocation) when the arm is elevated near the coronal plane, extended, and externally rotated. Characteristically the shoulder is relatively asymptomatic in other extreme positions or in midrange positions.

Thus, for some patients appropriate management may consist solely of education about the nature of the lesion and identification of the positions and activities that need to be avoided. Strengthening the shoulder musculature may help prevent the shoulder being forced into positions of instability. The exercise program suggested for atraumatic instability may be considered as an option for traumatic instability as well. "Training tape" may be applied to the anterior aspect of the shoulder as a reminder to avoid abduction, external rotation, and extension ofthe shoulder. However, many patients with refractory symptoms will wish to consider surgical repair.

Disclaimer

This resource has been provided by the University of Washington Department of Orthopaedics and Sports Medicine as general information only. This information may not apply to a specific patient. Additional information may be found at http://www.orthop.washington.edu or by contacting the UW Department of Orthopaedics and Sports Medicine.

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