Glenohumeral Joint Instability: The Orthopedic Approach

ABSTRACT

The goal of this article is to present a concise review of the current concepts of shoulder instability. This chapter supplements the radiologic assessment of glenohumeral instability, which follows this section.

KEYWORDS

Shoulder - instability

REFERENCES

• 1 Matsen III F A, Thomas S, Rockwood Jr C et al.. Glenohumeral instability. In: Matsen FA III The Shoulder Philadelphia: WB; Sanders Medical Publishers 1998: 611-754
• 2 Hawkins R J, Neer II C S, Pianta R M, Mendoza F X. Locked posterior dislocation of the shoulder.  J Bone Joint Surg Am. 1987;  69 9-18
• 3 Neer 2nd C S, Foster C R. Inferior capsular shift for involuntary inferior and multidirectional instability of the shoulder. Apreliminary report.  J Bone Joint Surg Am. 1980;  62 897-908
• 4 Hovelius L, Augustini B G, Fredin H, Johansson O, Norlin R, Thorling J. Primary anterior dislocation of the shoulder in young patients.  J Bone Joint Surg Am. 1996;  78 1677-1684
• 5 Sonnabend D H. Treatment of primary anterior shoulder dislocation in patients older than 40 years of age.  Clin Orthop. 1994;  304 74-77
• 6 Rowe C R. Prognosis in dislocations of the shoulder.  J Bone Joint Surg Am. 1956;  38 957-977
• 7 Armfield D, Stickle R L, Robertson D D, Towers J D, Debski R E. Biomechanical basis of common shoulder problems.  Semin Musculoskelet Radiol. 2003;  7 5-18
• 8 Matsen 3rd F A, Harryman 2nd D T, Sidles J A. Mechanics of glenohumeral instability.  Clin Sports Med. 1991;  10 783-788
• 9 Halder A M, Kuhl S G, Zobitz M E, Larson D, An K N. Effects of the glenoid labrum and glenohumeral abduction on stability of the shoulder joint through concavity-compression: an in vitro study.  J Bone Joint Surg Am. 2001;  83 1062-1069
• 10 Lippitt S, Matsen F. Mechanisms of glenohumeral joint stability.  Clin Orthop. 1993;  291 20-28
• 11 Taylor D C, Arciero R A. Pathologic changes associated with shoulder dislocations: Arthroscopic and Physical exam findings in first-time, traumatic anterior dislocations.  Am J Sports Med. 1997;  25 306-311
• 12 O'Brien S J, Neves M C, Arnoczky S P et al.. The anatomy and histology of the inferior glenohumeral ligament complex of the shoulder.  Am J Sports Med. 1990;  18 449-456
• 13 Rodeo S A, Suzuki K, Yamauchi M, Bhargava M, Warren R F. Analysis of collagen and elastic fibers in shoulder capsule in patients with shoulder instability.  Am J Sports Med. 1998;  26 634-643
• 14 Gerber C, Nyffeler R W. Classification of Glenohumeral Joint Instability.  Clin Orthop. 2002;  400 65-76
• 15 Fronek J, Warren R F, Bowen M. Posterior subluxation of the glenohumeral joint.  J Bone Joint Surg Am. 1989;  71 205-216
• 16 Jobe F W, Kvitne R S. Shoulder pain in the overhand or throwing athlete. The relationship of anterior instability and rotator cuff impingement.  Orthop Rev. 1989;  18 963-975
• 17 Silliman J F, Hawkins R J. Classification and physical diagnosis of instability of the shoulder.  Clin Orthop Relat Res. 1993;  (291) 7-19
• 18 Andrews J R, Carson W G, McLeod W D. Glenoid Labral Tears related to the long head of the biceps.  Am J Sports Med. 1985;  13 337-341
• 19 Synder S J, Karzel R P, Del Pizzo W. SLAP lesions of the shoulder.  Arthroscopy. 1990;  6 274-279
• 20 O'Brien S J, Pagnani M J, Fealy S et al.. The active compression test: A new and effective test for diagnosing labral tears and acromioclavicular joint abnormality.  Am J Sports Med. 1998;  26 610-613
• 21 Edwards T B, Boulahia A, Walch G. Radiographic Analysis of Bone Defects in Chronic Anterior Shoulder Instability.  Arthroscopy. 2003;  19 732-739
• 22 Rokous J R, Feagin J A, Abbott H G. Modified axillary roentgenogram: A useful adjunct in the diagnosis of recurrent instability of the shoulder.  Clin Orthop. 1972;  82 84-86
• 23 Itoi E et al.. The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair: A cadaveric study.  J Bone Joint Surg Am. 2000;  82 35-46
• 24 Itoi E, Lee S B, Amrami K K, Wenger D E, An K N. Quantitative assessment of classic anteroinferior bony bankart lesion by radiography and computer tomography.  Am J Sports Med. 2003;  31 112-118
• 25 Burkart S S, De Beer J F. Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: Significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion.  Arthroscopy. 2000;  16 677-694
• 26 Grigorian M, Genant H K, Tirman P F. Magnetic resonance imaging of the glenoid labrum.  Semin Roentgenol. 2000;  35 277-285
• 27 Wolf E M, Cheng J C, Dickson K. Humeral avulsion of glenohumeral ligaments as a cause of anterior shoulder instability.  Arthroscopy. 1995;  11 600-607
• 28 Oberlander M A, Morgan B E, Visotsky J L. The BHAGL lesion: a new variant of anterior shoulder instability.  Arthroscopy. 1996;  12 627-633
• 29 Burkhead W Z, Rockwood C A. Treatment of instability of the shoulder with an exercise program.  J Bone Joint Surg Am. 1992;  74 890-896
• 30 Arciero R A, Wheeler J H, Ryan J B, McBride J T. Arthroscopic bankart repair versus nonoperative treatment for acute, initial anterior shoulder dislocations.  Am J Sports Med. 1994;  22 589-594
• 31 Kirkley A, Griffin S, Richards C, Miniaci A, Mohtadi N. Prospective randomized clinical trial comparing the effectiveness of immediate arthroscopic stabilization versus immobilization and rehabilitation in first traumatic anterior dislocations of the shoulder.  Arthroscopy. 1999;  15 507-514
• 32 Wall M S, Deng X H, Torzilli P A, Doty S B, O'Brien S, Warren R F. Thermal modification of collagen.  J Shoulder Elbow Surg. 1999;  8 339-344
• 33 Gerber A, Warner J J. Thermal capsulorrhaphy to treat shoulder instability.  Clin Orthop. 2002;  400 105-116
• 34 Vangsness C T. Thermal Capsulorrhaphy. In: Norris TR Orthopaedic Knowledge Update: Shoulder and Elbow 2 Rosemont, IL; AAOS 2002: 501-506
• 35 Bacilla P, Field L D, Savoie 3rd F H. Arthroscopic Bankart repair in a high demand patient population.  Arthoscopy. 1997;  13 51-60
• 36 Sekiya J K, Ong B C, Bradley J P. Thermal capsulorraphy for shoulder instability.  Instr Course Lect. 2003;  52 65-80
• 37 Abrams J S. Thermal capsulorraphy for instability of the shoulder: concerns and applications of the heat probe.  Instr Course Lect. 2001;  50 29-36
• 38 Brillhart A T. Complications of thermal energy.  Oper Tech Sports Med. 1998;  6 182-184