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Current reviews in musculoskeletal medicine
Dec, 2017;10 (4): 411-424.

The Epidemiology and Natural History of Anterior Shoulder Instability.

Joseph W Galvin, Justin J Ernat, Brian R Waterman, Monica J Stadecker, Stephen A Parada
Author Information
  1. Joseph W Galvin: Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY, 42223, USA.
  2. Justin J Ernat: Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY, 42223, USA.
  3. Brian R Waterman: Bowman Gray Center for Medical Education, Wake Forest University School of Medicine, 475 Vine Street, Winston-Salem, NC, 27101, USA.
  4. Monica J Stadecker: Tufts University School of Medicine, 145 Harrison Ave, Boston, MA, 02111, USA.
  5. Stephen A Parada: Eisenhower Army Medical Center, 300 E Hospital Rd, Augusta, GA, 30905, USA. Stephen.a.parada@gmail.com.
PMID: 29038951 DOI: 10.1007/s12178-017-9432-5

Abstract

PURPOSE OF REVIEW: The purpose of this review is to outline the natural history and best clinical practices for nonoperative management of anterior shoulder instability.
RECENT FINDINGS: Recent studies continue to demonstrate a role for nonoperative treatment in the successful long-term management of anterior glenohumeral instability. The success of different positions of shoulder immobilization is reviewed as well. There are specific patients who may be best treated with nonoperative means after anterior glenohumeral instability. There are also patients who are not good nonoperative candidates based on a number of factors that are outlined in this review. There continues to be no definitive literature regarding the return to play of in-season athletes. Successful management requires a thorough understanding of the epidemiology, pathoanatomy, history, physical examination, diagnostic imaging modalities, and natural history of operative and nonoperative treatment.

Keywords

Anterior glenohumeral instability Anterior shoulder instability Natural history Nonoperative instability

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