Incidence of Glenohumeral Instability in Collegiate Athletics

Owens, Brett D.; Agel, Julie; Mountcastle, Sally B.; Cameron, Kenneth L.; Nelson, Bradley J.

doi:10.1177/0363546509334591

Cited by 284 publications

(255 citation statements)

References 12 publications

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“…The highest risk group was young (< 20 years), male patients with an incidence density ratio of 98 per 100000 person-years. Other studies have also shown that young athletes and those that participate in high-energy contact sports are most likely to develop glenohumeral instability following an initial traumatic dislocation [9,10] . Epileptic patients present as a challenging subgroup due to a tendency to develop large bipolar lesions, especially if their condition is poorly controlled [11,12] .…”

Section: Epidemiologymentioning

confidence: 99%

Current concepts in the management of recurrent anterior gleno-humeral joint instability with bone loss

Ramhamadany

Modi

2016

WJO

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The management of recurrent anterior gleno-humeral joint instability is challenging in the presence of bone loss. It is often seen in young athletic patients and dislocations related to epileptic seizures and may involve glenoid bone deficiency, humeral bone deficiency or combined bipolar lesions. It is critical to accurately identify and assess the amount and position of bone loss in order to select the most appropriate treatment and reduce the risk of recurrent instability after surgery. The current literature suggests that coracoid and iliac crest bone block transfers are reliable for treating glenoid defects. The treatment of humeral defects is more controversial, however, although good early results have been reported after arthroscopic Remplissage for small defects. Larger humeral defects may require complex reconstruction or partial resurfacing. There is currently very limited evidence to support treatment strategies when dealing with bipolar lesions. The aim of this review is to summarise the current evidence regarding the best imaging modalities and treatment strategies in managing this complex problem relating particularly to contact athletes and dislocations related to epileptic seizures.

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Section: Epidemiologymentioning

confidence: 99%

Current concepts in the management of recurrent anterior gleno-humeral joint instability with bone loss

Ramhamadany

Modi

2016

WJO

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“…Non-surgical shoulder immobilization technique for 4 weeks followed by rehabilitation [14] Bankart lesion repair by arthroscopy [10] Control Procedure:…”

Section: Us 3 Yearsmentioning

confidence: 99%

“…With a peak of bimodal incidence, the 15 -29 age group shows 46.8% of shoulder dislocations, with another peak of incidence in the group of 61 -80 age related to low-energy trauma [7] [8]. A review of the National Collegiate Athletic Association (NCAA) analyzed an injury surveillance system during the years 1989 to 2004 reporting 2080 glenohumeral instabilities in various sports and equating the rate of injuries in 0.12/1000 exposed athletes, most in sports such as football, wrestling and hockey [9] [10].…”

Section: Introductionmentioning

confidence: 99%

Complications of Surgical Treatment of Anterior Shoulder Dislocation: A Systematic Review

Nascimento¹,

Castro²,

Pereira³

et al. 2017

OJO

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Introduction: shoulder joint has the greatest range of motion in the human body. The shoulder anatomy promotes high mobility and favors relative sacrifice of articular stability, making it susceptible and more prone to events of instability and dislocation. This review aimed at identifying main complications of surgical treatment of anterior shoulder dislocation. Methodology: This systematic review was conducted according to the International Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA) guidelines. Studies which were eligible for this systematic review included: English or Spanish language, studies published from 2000, which mentioned surgical complications of anterior shoulder dislocation in their results, both in open and arthroscopic surgery. Included studies which were required to have at least 1 complication following surgical repair. Only studies from original data were included. Results: We found 228 potentially eligible studies for the survey. Through the inclusion and exclusion criteria and after consensus among reviewers, we chose 9 studies to compose the systematic review. Conclusion: Important information emerges: recurring instability, recurring dislocation, external rotation limitation and arthritis are main surgical complications of anterior shoulder dislocation.

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“…A nterior shoulder dislocations are common injuries, 1 and young male athletes who participate in contact sports have particularly high rates, approaching 90%, of recurrent instability. 2,3 The Bankart lesion, in which the anteroinferior glenoid labrum is detached from the glenoid, is the critical lesion present in more than 90% of cases, 4,5 although other co-pathology must be identified carefully and addressed appropriately for successful treatment.…”

mentioning

confidence: 99%

The Use of Accessory Portals in Bankart Repair With Posterior Extension in the Lateral Decubitus Position

Cvetanovich

Hamamoto

Campbell

et al. 2016

Arthroscopy Techniques

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The Bankart lesion, in which the anteroinferior labrum is detached from the glenoid, is the critical anatomic lesion in the majority of patients with anterior glenohumeral instability. Some patients with anterior glenohumeral instability will have Bankart lesions with posterior extension beyond the 6-o'clock position, and achieving anatomic labral repair in these cases can present a technical challenge. In our experience, the lateral decubitus position and use of accessory portals allow superior visualization of the inferior half of the glenohumeral joint for glenoid and labral preparation, anchor placement, and suture management. The use of double-loaded suture anchors at the inferior glenoid provides multiple points of fixation at this challenging location while limiting the number of anchors required. The purpose of this article is to present a simple and reproducible technique for arthroscopic repair of Bankart lesions with posterior extension, emphasizing the use of accessory 5-o'clock trans-subscapularis and 7-o'clock portals.

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Incidence of Glenohumeral Instability in Collegiate Athletics

Abstract: Glenohumeral instability is a relatively common injury sustained by collegiate athletes. More injuries occurred during competition and among male athletes.

Cited by 284 publications

References 12 publications

Current concepts in the management of recurrent anterior gleno-humeral joint instability with bone loss

Current concepts in the management of recurrent anterior gleno-humeral joint instability with bone loss

Complications of Surgical Treatment of Anterior Shoulder Dislocation: A Systematic Review

The Use of Accessory Portals in Bankart Repair With Posterior Extension in the Lateral Decubitus Position

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