Multidirectional instability of the shoulder: biomechanics, clinical presentation, and treatment strategies
Multidirectional instability (MDI) of the shoulder is a condition where the dislocation occurs in more than one direction with minimal or no causative trauma. Its pathoanatomy is complex and characterized by a redundant capsule, resulting in increased glenohumeral joint volume. The fact that several...
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| Veröffentlicht in: | European journal of orthopaedic surgery & traumatology 2015-08, Vol.25 (6), p.975-985 |
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| container_title | European journal of orthopaedic surgery & traumatology |
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| creator | Merolla, Giovanni Cerciello, Simone Chillemi, Claudio Paladini, Paolo De Santis, Elisa Porcellini, Giuseppe |
| description | Multidirectional instability (MDI) of the shoulder is a condition where the dislocation occurs in more than one direction with minimal or no causative trauma. Its pathoanatomy is complex and characterized by a redundant capsule, resulting in increased glenohumeral joint volume. The fact that several further factors may contribute to symptom onset complicates the diagnosis and hampers the identification of a therapeutic approach suitable for all cases. There is general agreement that the initial treatment should be conservative and that surgery should be reserved for patients who have not responded to an ad hoc rehabilitation program. We review the biomechanics, clinical presentation, and treatment strategies of shoulder MDI. |
| doi_str_mv | 10.1007/s00590-015-1606-5 |
| format | Article |
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Its pathoanatomy is complex and characterized by a redundant capsule, resulting in increased glenohumeral joint volume. The fact that several further factors may contribute to symptom onset complicates the diagnosis and hampers the identification of a therapeutic approach suitable for all cases. There is general agreement that the initial treatment should be conservative and that surgery should be reserved for patients who have not responded to an ad hoc rehabilitation program. 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| subjects | Adult Biomechanical Phenomena - physiology Diagnostic Imaging - methods General Review • SHOULDER - INSTABILITY Humans Joint Instability - diagnosis Joint Instability - physiopathology Joint Instability - therapy Medicine Medicine & Public Health Physical Examination - methods Recurrence Shoulder Dislocation - diagnosis Shoulder Dislocation - physiopathology Shoulder Dislocation - therapy Shoulder Joint - physiology Surgical Orthopedics Traumatic Surgery Treatment Outcome Young Adult |
| title | Multidirectional instability of the shoulder: biomechanics, clinical presentation, and treatment strategies |
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