Abstract
Posterior shoulder instability is recognised as being less prevalent than anterior
instability, however the diagnosis of this pathology is easily overlooked or missed
and this may contribute to an underestimation of prevalence. Recently, there has been
increasing recognition of this condition and consequently a greater requirement for
knowledge of diagnostic procedures and treatment directions. Currently there is limited
research into the conservative management of posterior instability, although it is
recommended as first-line treatment prior to surgical review, particularly in those
with an atraumatic instability mechanism. The aim of this paper is to outline a comprehensive
rehabilitation program for the conservative management of posterior instability with
a focus on scapular and humeral head control. The information provided includes extensive
written information, flowcharts, figures and a table of management parameters that
will provide therapists with adequate detail to replicate the program in the clinical
setting.
Keywords
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JHT Read for Credit
Quiz: #486
Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to JHTReadforCredit.com. There is only one best answer for each question.
- #1.The authors suggest that posterior shoulder instabilities and subluxations are
- a.exceedingly common
- b.exceedingly uncommon
- c.likely less common than traditionally represented
- d.likely more common than traditionally represented
- a.
- #2.Posterior shoulder instabilities are usually classified by the
- a.mechanism of injury
- b.acronyms TUBS and AMBRI
- c.severity of laxity
- d.severity of damage to the glenoid labrum
- a.
- #3.A classic problem in dealing with posterior shoulder instability is its being
- a.missed upon initial examination
- b.extremely difficult to manage
- c.required to be surgically repaired
- d.more painful than anterior instability
- a.
- #4.The authors recommend the systematic review of ______________ for diagnosing posterior shoulder instability
- a.McClure et al
- b.McIntyre et al
- c.MacDermid et al
- d.McDonald et al
- a.
- #5.Conservative treatment is the first line of management for posterior shoulder instability
- a.false
- b.true
- a.
When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.
Article info
Publication history
Accepted:
May 9,
2017
Received in revised form:
May 9,
2017
Received:
January 31,
2017
Identification
Copyright
© 2017 Hanley & Belfus, an imprint of Elsevier Inc. All rights reserved.
