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Does surgery followed by physiotherapy improve short and long term outcome for patients with atraumatic shoulder instability compared with physiotherapy alone? - protocol for a randomized controlled clinical trial
Background Shoulder instability is a common problem affecting young adults. Stabilization surgery followed by physiotherapy rehabilitation has been shown to reduce the chance of further episodes of shoulder dislocation and to improve quality of life in patients who sustain a shoulder dislocation ...
Instability, Arthroscopy, Rehabilitation - Shoulder

Effects of a synovial fluid substitute on early recovery after arthroscopic subacromial decompression of the shoulder
PURPOSE: The purpose of this pilot study was to determine whether the use of a synovial fluid substitute (Viscoseal) after arthroscopic subacromial decompression (ASD) of the shoulder was safe (primary outcome) and effective in reducing the postsurgical pain on the day of surgery and the time ...
Surgery, Arthroscopy, Pain - Shoulder

Clinical assessment of posterior shoulder joint instability
Posterior shoulder instability is less common than anterior and is not as readily recognised. There are numerous clinical tests for posterior instability. They all have benefits and disadvantages, depending on the type of instability and strength of the patient. In this article we describe the most ...
Instability, Clinical - Shoulder

Arthroscopic stabilization for traumatic posterior shoulder instability with glenoid dysplasia
Introduction:  ?Glenoid dysplasia is present in about 14% of the population. They are at risk for posterior instability and treatment options are not well defined. Aim : This study aimed to assess the outcomes of arthroscopic soft tissue posterior labrum reconstruction for traumatic ...
Instability, Arthroscopy - Shoulder

AC joint reconstruction with an anatomical PET synthetic ligament in athletes and non-athletes. Clinical and radiological outcomes at 2-year minimum follow-up.
Aims: To prospectively evaluate the outcomes of ACJ reconstruction of an anatomical Polyethylenetetraphalate (PET) synthetic ligament and compare elite/professional athletes with non-athletes. Methods: Fourty-three patients (mean age 30, with range 19-54 years) with Rockwood type 3 to 5 ACJ ...
AC Joint - Shoulder

The role of extrinsic factors in subacromial impingement syndrome
Subacromial impingement syndrome has been linked to a decrease in acromio-humeral distance. A relationship between pectoralis minor length and scapular upward rotation to the acromio-humeral distance has been theorised but not supported by evidence. Scapular position, pectoralis minor length and ...
Impingement, Sports - Shoulder

Adolescent Shoulder Injuries in Rugby
Background: Rugby is a high intensity contact sport, frequently causing shoulder injuries. In the adolescent years, academy and county level players are being selected for professional contracts, so this is a critical stage of their career. There are currently a limited number of studies on this ...
Sports, Instability, Surgery - Shoulder

Validation of a clinical test for subtle posterior instability of the shoulder
Injuries to the posterior labrum are less common and more difficult to diagnose compared to anterior labral pathology. This may be in part due to difficulties in preoperative diagnosis. Posterior labral injuries cause abnormal loading of the rotator cuff with subsequent weakness. Examination ...
Instability, Clinical - Shoulder

Incidence and management of shoulder injuries in premier league professional football players
Shoulder injuries in football are less common than lower limb injuries, but are often more serious than many other injuries and result in a longer time off play. No study has looked at the types of injuries and their interventions in professional footballers thus far. The aim was to review the ...
Sports, Instability, Pain - Shoulder

Anterior dislocation of the shoulder in skeletally immature patients: comparison between non-operative treatment versus open Latarjet's procedure
The ideal treatment for traumatic anterior dislocation of the shoulder in the skeletally immature patient is controversial. The aim of this study is to evaluate the outcomes after either conservative and/or surgical treatment using the Latarjet technique. A retrospective series ...
Instability - Shoulder

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