Naslov
Shoulder instability in athletes

Autori
Čičak, Nikola

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Zbornik 5. mednarodni simpozij o športnih poškodbah / Stražar, Klemen - Ljubljana : Zdravniška zbornica Slovenije, 2011, 13-13

Skup
Zbornik 5. mednarodni simpozij o športnih poškodbah

Mjesto i datum
Ljubljana, Slovenija, 27.05.2011. - 28.05.2011

Vrsta sudjelovanja
Plenarno

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
Shoulder; instability; athletes

Sažetak
Shoulder instability is a common problem in athletes. The shoulder can become unstable as a result of injury or repetitive movement. Shoulder instability includes frequent dislocation or subluxation or a subtle sensation of instability. It is usually difficult to recognize the severity of a shoulder sports injury. Early assessment is essential for appropriate treatment. Mechanism of injury is important to understand type of lesion. After history of injury has been taken, one can focus on the specific clinical examination. I strongly recommend ultrasound examination of the shoulder. In few minutes one can find correct diagnosis for most shoulder injuries. For example, if you find defect of the posterolateral part of the humeral head, Hill-Sachs lesion, that means anterior direction of the instability. Of course, you need standard x-rays and often specific x-rays view to see bone defect of the humeral head and of the glenoid. MRI is necessary to confirm suspicion to some specific lesions of the labrum and glenohumeral ligaments and CT scan for glenoid fracture. When you have correct diagnosis you must decide for type of treatment are you going perform. No operative treatment is directed at restoring strength, flexibility, and neuromuscular control to the entire kinetic chain. Operative treatment is indicated when no operative treatment fails. Over 50% of shoulder dislocation can recur, especially in young athletes. Repeated dislocations lead to more instability and stretching of the shoulder capsule. It is a reason for early surgical stabilization of the shoulder. The decision to do surgery or rehabilitation depends on the individual athlete, the time point of the injury during their sport season, type of instability (anterior, posterior or multidirectional), and severity of their injury. Nowadays, arthroscopic stabilization of the shoulder is standard procedure. The aim of the surgery is to make stable and functional shoulder. The choice of operative method is a arthroscopy. The only relative contraindication for arthroscopy is a huge fracture of the glenoid rim. The advantages of surgical treatment include a significantly decreased risk of recurrent instability episodes.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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