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Current Reviews in Musculoskeletal Medicine

Erschienen in:

25.06.2024 | REVIEW

Current Concepts on the Management of Shoulder Instability in Throwing Athletes

verfasst von: Ryan R. Thacher, Nathan H. Varady, Tyler Khilnani, Christopher L. Camp, Joshua S. Dines

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 9/2024

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Abstract

Purpose of Review

The management of shoulder instability in throwing athletes remains a challenge given the delicate balance between physiologic shoulder laxity facilitating performance and the inherent need for shoulder stability. This review will discuss the evaluation and management of a throwing athlete with suspected instability with a focus on recent findings and developments.

Recent Findings

The vast majority of throwing athletes with shoulder instability experience subtle microinstability as a result of repetitive microtrauma rather than episodes of gross instability. These athletes may present with arm pain, dead arms or reduced throwing velocity. Recent literature reinforces the fact that there is no “silver bullet” for the management of these athletes and an individualized, tailored approach to treatment is required. While initial nonoperative management remains the hallmark for treatment, the results of rehabilitation protocols are mixed, and some patients will ultimately undergo surgical stabilization. In these cases, it is imperative that the surgeon be judicious with the extent of surgical stabilization as overtightening of the glenohumeral joint is possible, which can adversely affect athlete performance.

Summary

Managing shoulder instability in throwing athletes requires a thorough understanding of its physiologic and biomechanical underpinnings. Inconsistent results seen with surgical stabilization has led to a focus on nonoperative management for these athletes with surgery reserved for cases that fail to improve non-surgically. Overall, more high quality studies into the management of this challenging condition are warranted.

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Titel: Current Concepts on the Management of Shoulder Instability in Throwing Athletes
verfasst von: Ryan R. Thacher
Nathan H. Varady
Tyler Khilnani
Christopher L. Camp
Joshua S. Dines
Publikationsdatum: 25.06.2024
Verlag: Springer US
Erschienen in: Current Reviews in Musculoskeletal Medicine / Ausgabe 9/2024
Elektronische ISSN: 1935-9748
DOI: https://doi.org/10.1007/s12178-024-09910-1

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Current Concepts on the Management of Shoulder Instability in Throwing Athletes