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- W1992615547 abstract "Purpose of review: To familiarize readers with recent developments in the management of anterior shoulder instability in the overhead athlete, focusing on biomechanics, initial nonoperative treatment, clinical assessment, management of anterior glenoid deficiency and arthroscopic stabilization. Recent findings: In overhead athletes, restoring joint position awareness following open anterior stabilization is a prerequisite for return to a preoperative level of competition. Arthroscopic anteroinferior plication causes a decrease in humeral head translation. To minimize recurrence, acute anterior dislocation should be managed initially by immobilization in external rotation. The apprehension, relocation, and anterior drawer tests are highly specific but not sensitive for anterior instability. Specificity should be maximized by using apprehension, not pain, as an endpoint. The nonanatomic Bristow procedure has long-term results comparable to anatomic anterior stabilization procedures. Tricortical iliac crest bone graft can effectively treat anterior glenoid deficiency, but appropriate graft height and contour is essential. Following arthroscopic stabilization, glenohumeral deficiency, ligamentous hyperlaxity, and inferior glenohumeral ligament stretching encourage postoperative recurrence. Anterior capsular tears represent a new ‘essential lesion’ amenable to arthroscopic treatment. Summary: Recent studies have advanced the biomechanical analysis, diagnosis, and treatment of anterior instability in the overhead athlete." @default.
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- W1992615547 date "2007-03-01" @default.
- W1992615547 modified "2023-09-27" @default.
- W1992615547 title "Anterior shoulder instability in the overhead athlete: current concepts" @default.
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- W1992615547 doi "https://doi.org/10.1097/bco.0b013e3280895b44" @default.
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