Operative Stabilization of Posterior Shoulder Instability

Bottoni, Craig R.; Franks, Brett R.; Moore, Josef H.; DeBerardino, Thomas M.; Taylor, Dean C.; Arciero, Robert A.

doi:10.1177/0363546504271509

Cited by 152 publications

(131 citation statements)

References 32 publications

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“…Additionally, the level 4 retrospective investigation of 20 shoulders performed by McIntyre et al [13] utilized a multiple suture technique and reported 60% (3 of 5) of their DeLong JM et al . Posterior shoulder instability in the athletic population Bottoni et al [32] Ⅳ CLR TC (1 bilateral)…”

Section: Concomitant Injuriesmentioning

confidence: 99%

Posterior shoulder instability in the athletic population: Variations in assessment, clinical outcomes, and return to sport

DeLong

Bradley

2015

WJO

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Posterior instability of the shoulder is becoming an increasingly recognized shoulder injury in the athletic population. Diagnostic elements, such as etiology, directionality, and degree of instability are essential factors to assess in the unstable athletic shoulder. Concomitant injuries and associated pathologic lesions continue to be a significant challenge in the surgical management of posterior shoulder instability. Return to sport and previous level of play is ultimately the goal for every committed athlete and surgeon, thus subpopulations of athletes should be recognized as distinct entities requiring unique diagnostic, functional outcome measures, and surgical approaches.

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Section: Concomitant Injuriesmentioning

confidence: 99%

Posterior shoulder instability in the athletic population: Variations in assessment, clinical outcomes, and return to sport

DeLong

Bradley

2015

WJO

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“…Subluxation in this scenario is an incomplete dislocation event that spontaneously reduces. Posterior shoulder instability is typically the result of a posteriorly directed load to the shoulder in a position of forward flexion, adduction, and internal rotation [3]. Posterior shoulder instability, including dislocation and subluxation, occurs much less frequently than anterior Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.…”

Section: Introductionmentioning

confidence: 99%

‘Batter’s Shoulder’: Can Athletes Return to Play at the Same Level After Operative Treatment?

Wanich

Dines

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Background Batter's shoulder has been defined as posterior subluxation of the lead shoulder during the baseball swing. However, it is unclear whether or how frequently patients may return to play after treatment of this uncommon condition. Questions/purposes We therefore determined the rate of return to play after operative treatment for Batter's shoulder and whether ROM was restored. Methods We retrospectively reviewed the records of 14 baseball players diagnosed with Batter's shoulder. Four played professionally, six were in college, and four were in varsity high school. The average age was 20.3 years (range, 16-33 years). All had physical examinations and MRI findings consistent with posterior labral tears involving the lead shoulder. Treatment involved arthroscopic posterior labral repair (n = 10), débridement (n = 2), or rehabilitation (n = 2). The minimum followup was 18 months (average, 2.8 years; range, 18-64 months).

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“…Open treatment with labral repair and capsular shift have been described with variable results. [8][9][10] More recently, arthroscopic techniques have shown good results. [1][2][3][4][5][6][7] Although most surgeons are comfortable with anterior labral repair, arthroscopic procedures about the posterior glenoid and capsule can be more difficult because of their relative infrequency.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Posterior Labral Repair and Capsular Shift With a Lateralized Posterior Portal

Ciccone¹

2013

Arthroscopy Techniques

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Arthroscopic techniques for posterior shoulder subluxation with labral injuries in athletes have shown good results. The difficulty with the procedure is gaining appropriate access to the posteroinferior quadrant of the glenoid at a steep enough angle that allows for safe anchor placement. Various portals have been described that can be used as accessory portals for anchor placement. Although the use of additional portals to create appropriate access to the joint is always encouraged, preoperative planning can minimize the need for their use. The video shows a simple technique for posterior labral repair with capsular plications through a lateralized posterior portal in the lateral decubitus position. This technique allows the surgeon to address posterior labral tears and capsular laxity without the need for accessory portals.

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Operative Stabilization of Posterior Shoulder Instability

Cited by 152 publications

References 32 publications

Posterior shoulder instability in the athletic population: Variations in assessment, clinical outcomes, and return to sport

Posterior shoulder instability in the athletic population: Variations in assessment, clinical outcomes, and return to sport

‘Batter’s Shoulder’: Can Athletes Return to Play at the Same Level After Operative Treatment?

Arthroscopic Posterior Labral Repair and Capsular Shift With a Lateralized Posterior Portal

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