Document Detail


Microinstability and Internal Impingement in Overhead Athletes.
MedLine Citation:
PMID:  24079429     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
A complex interplay exists between the static and dynamic stabilizers in the glenohumeral joint, especially in overheard athletes who need a shoulder hypermobile enough to perform overhead activity yet stable enough to prevent joint subluxation. Concomitant shoulder pathologies commonly occur in the setting of microinstability and internal impingement. Before any surgical intervention, a 3- to 6-month course of conservative measures should first be attempted, with exercises focused on rotator cuff and scapular stabilizer strengthening combined with posterior capsule stretching. If surgery is needed, arthroscopic suture plication with treatment of concomitant lesions has been shown to provide the best clinical outcomes.
Authors:
Lauchlan Chambers; David W Altchek
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-8-20
Journal Detail:
Title:  Clinics in sports medicine     Volume:  32     ISSN:  1556-228X     ISO Abbreviation:  Clin Sports Med     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-10-1     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8112473     Medline TA:  Clin Sports Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  697-707     Citation Subset:  -    
Copyright Information:
Copyright © 2013 Elsevier Inc. All rights reserved.
Affiliation:
Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA. Electronic address: chambersk@hss.edu.
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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