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Posterior shoulder instability: current concepts review

ALEXANDER VAN TONGEL UGent, Anne Karelse, Bart Berghs, René Verdonk UGent and Lieven De Wilde UGent (2011) KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY. 19(9). p.1547-1553
abstract
Purpose: Posterior shoulder instability has been difficult to diagnose and even more challenging to manage. However, it is being diagnosed and treated more frequently, particularly after sports injuries. The purpose of this article is to review literature concerning the management of these pathologies. Methods: A literature review was carried out in the main medical databases to evaluate the several studies concerning the open and arthroscopic treatment of posterior shoulder instability. Results: Because of better awareness of the pathology, better technical investigations, and a better understanding of shoulder biomechanics, more and more mechanical factors that can cause posterior instability have been described. Structural abnormalities can be divided into bony abnormalities and soft-tissue abnormalities. Each group can also be divided into abnormalities caused by trauma (macro- or microtrauma) or congenital. These abnormalities can be treated with non-anatomic and anatomic stability procedures. During the last decades, the latter have been described more frequently, most of them arthroscopically. Conclusion: For surgical treatment to be successful, the instability must be attributable to mechanical factors that can be modified by surgery. Because of better knowledge of the pathology, a more specific surgery can be performed. This lesion-specific surgery has improved clinical results compared to non-anatomic stability procedures, particularly when that surgery has been performed arthroscopically.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (review)
publication status
published
subject
keyword
ROTATOR CUFF TEAR, FRACTURE-DISLOCATIONS, MULTIDIRECTIONAL INSTABILITY, POSTEROINFERIOR INSTABILITY, GLENOHUMERAL INSTABILITY, ARTHROSCOPIC MANAGEMENT, MCLAUGHLIN PROCEDURE, GLENOID HYPOPLASIA, CAPSULAR PLICATION, HUMERAL HEAD, Posterior shoulder instability, Structural abnormalities, Open treatment, Arthroscopic treatment, Review
journal title
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
Knee Surg. Sports Traumatol. Arthrosc.
volume
19
issue
9
pages
1547 - 1553
Web of Science type
Review
Web of Science id
000294183400021
JCR category
SPORT SCIENCES
JCR impact factor
2.209 (2011)
JCR rank
17/83 (2011)
JCR quartile
1 (2011)
ISSN
0942-2056
DOI
10.1007/s00167-010-1293-z
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
1900603
handle
http://hdl.handle.net/1854/LU-1900603
date created
2011-09-13 15:43:53
date last changed
2014-01-06 08:57:59
@article{1900603,
  abstract     = {Purpose: Posterior shoulder instability has been difficult to diagnose and even more challenging to manage. However, it is being diagnosed and treated more frequently, particularly after sports injuries. The purpose of this article is to review literature concerning the management of these pathologies. 
Methods: A literature review was carried out in the main medical databases to evaluate the several studies concerning the open and arthroscopic treatment of posterior shoulder instability. 
Results: Because of better awareness of the pathology, better technical investigations, and a better understanding of shoulder biomechanics, more and more mechanical factors that can cause posterior instability have been described. Structural abnormalities can be divided into bony abnormalities and soft-tissue abnormalities. Each group can also be divided into abnormalities caused by trauma (macro- or microtrauma) or congenital. These abnormalities can be treated with non-anatomic and anatomic stability procedures. During the last decades, the latter have been described more frequently, most of them arthroscopically. 
Conclusion: For surgical treatment to be successful, the instability must be attributable to mechanical factors that can be modified by surgery. Because of better knowledge of the pathology, a more specific surgery can be performed. This lesion-specific surgery has improved clinical results compared to non-anatomic stability procedures, particularly when that surgery has been performed arthroscopically.},
  author       = {VAN TONGEL, ALEXANDER and Karelse, Anne and Berghs, Bart and Verdonk, Ren{\'e} and De Wilde, Lieven},
  issn         = {0942-2056},
  journal      = {KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY},
  keyword      = {ROTATOR CUFF TEAR,FRACTURE-DISLOCATIONS,MULTIDIRECTIONAL INSTABILITY,POSTEROINFERIOR INSTABILITY,GLENOHUMERAL INSTABILITY,ARTHROSCOPIC MANAGEMENT,MCLAUGHLIN PROCEDURE,GLENOID HYPOPLASIA,CAPSULAR PLICATION,HUMERAL HEAD,Posterior shoulder instability,Structural abnormalities,Open treatment,Arthroscopic treatment,Review},
  language     = {eng},
  number       = {9},
  pages        = {1547--1553},
  title        = {Posterior shoulder instability: current concepts review},
  url          = {http://dx.doi.org/10.1007/s00167-010-1293-z},
  volume       = {19},
  year         = {2011},
}

Chicago
Van Tongel, Alexander, Anne Karelse, Bart Berghs, René Verdonk, and Lieven De Wilde. 2011. “Posterior Shoulder Instability: Current Concepts Review.” Knee Surgery Sports Traumatology Arthroscopy 19 (9): 1547–1553.
APA
Van Tongel, A., Karelse, A., Berghs, B., Verdonk, R., & De Wilde, L. (2011). Posterior shoulder instability: current concepts review. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 19(9), 1547–1553.
Vancouver
1.
Van Tongel A, Karelse A, Berghs B, Verdonk R, De Wilde L. Posterior shoulder instability: current concepts review. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY. 2011;19(9):1547–53.
MLA
Van Tongel, Alexander, Anne Karelse, Bart Berghs, et al. “Posterior Shoulder Instability: Current Concepts Review.” KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY 19.9 (2011): 1547–1553. Print.