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Current Reviews in Musculoskeletal Medicine

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01-12-2017 | Management of Anterior Shoulder Instability (X Li, section editor)

Clinical Evaluation and Physical Exam Findings in Patients with Anterior Shoulder Instability

Authors: Vincent A. Lizzio, Fabien Meta, Mohsin Fidai, Eric C. Makhni

Published in: Current Reviews in Musculoskeletal Medicine | Issue 4/2017

Abstract

Purpose of review

The goal of this paper is to provide an overview in evaluating the patient with suspected or known anteroinferior glenohumeral instability.

Recent findings

There is a high rate of recurrent subluxations or dislocations in young patients with history of anterior shoulder dislocation, and recurrent instability will increase likelihood of further damage to the glenohumeral joint. Proper identification and treatment of anterior shoulder instability can dramatically reduce the rate of recurrent dislocation and prevent subsequent complications. Overall, the anterior release or surprise test demonstrates the best sensitivity and specificity for clinically diagnosing anterior shoulder instability, although other tests also have favorable sensitivities, specificities, positive likelihood ratios, negative likelihood ratios, and inter-rater reliabilities.

Summary

Anterior shoulder instability is a relatively common injury in the young and athletic population. The combination of history and performing apprehension, relocation, release or surprise, anterior load, and anterior drawer exam maneuvers will optimize sensitivity and specificity for accurately diagnosing anterior shoulder instability in clinical practice.

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Title: Clinical Evaluation and Physical Exam Findings in Patients with Anterior Shoulder Instability
Authors: Vincent A. Lizzio
Fabien Meta
Mohsin Fidai
Eric C. Makhni
Publication date: 01-12-2017
Publisher: Springer US
Published in: Current Reviews in Musculoskeletal Medicine / Issue 4/2017
Electronic ISSN: 1935-9748
DOI: https://doi.org/10.1007/s12178-017-9434-3

At a glance: The STEP trials

Springer Medicine

Clinical Evaluation and Physical Exam Findings in Patients with Anterior Shoulder Instability

Abstract

Purpose of review

Recent findings

Summary

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose of review

Recent findings

Summary

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