Abstract
A 26-year-old rugby player describes pain and a loss of confidence in his shoulder. This follows an injury 1 month earlier when he was tackled from behind and fell forward onto a flexed elbow while holding the ball. He felt immediate pain and a tearing sensation followed by a feeling of a ‘dead arm’. He was unable to continue playing and had not returned to contact since then, despite rehabilitation. He has pain at the back of his shoulder with any pressing or pushing exercises, with painful clunking from the joint. Examination reveals a full range of movement and no external signs of injury. The Jerk test and Wrightington Posterior instability test are positive.
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References
McLaughlin HI. Follow-up notes on articles previously published in the journal: posterior dislocation of the shoulder. J Bone Joint Surg Am. 1972;44:1477.
Boyd HB, Sisk TD. Recurrent posterior dislocation of the shoulder. J Bone Joint Surg Am. 1972;54(4):779–86.
Antoniou J, Duckworth DT, Harryman DT 2nd. 2nd Capsulolabral augmentation for the management of posteroinferior instability of the shoulder. J Bone Joint Surg Am. 2000;82(9):1220–30.
Sekiya JK, Cole BJ, Cohen SB. Arthroscopic treatment of multidirectional shoulder instability. In:Surgical techniques of the shoulder, elbow, and knee in sports medicine. Portland, OR: WB Saunders Co; 2008. p. 816.
Abrams JS, Savoie FH, Tauro JC, Bradley JP. Recent advances in the evaluation and treatment of shoulder instability: anterior, posterior, and multidirectional. Arthroscopy. 2002;18(9 Suppl 2):1–13.
Edelson JG. Localized glenoid hypoplasia: an anatomic variation of possible clinical significance. Clin Orthop Relat Res. 1995;321:189–95.
Lynch JR, Clinton JM, Dewing CB, Warme WJ, Matsen FA III. J treatment of osseous defects associated with anterior shoulder instability. Shoulder Elbow Surg. 2009;18(2):317–28.
Pagnani MJ, Warren RF. Stabilizers of the glenohumeral joint. J Shoulder Elb Surg. 1994;3(3):173–90.
Harryman DT 2nd, Sidles JA, Harris SL, Matsen FA 3rd. The role of the rotator interval capsule in passive motion and stability of the shoulder. J Bone Joint Surg Am. 1992;74(1):53–66.
Wang VM, Flatow EL. Pathomechanics of acquired shoulder instability: a basic science perspective. J Shoulder Elbow Surg. 2005;14(1 Suppl S):2S–11S.
Tibone JE, Bradley JP. The treatment of posterior subluxation in athletes. Clin Orthop Relat Res. 1993;291:124–37.
Rowe CR, Pierce DS, Clark JG. Voluntary dislocation of the shoulder: a preliminary report on a clinical, electromyographic, and psychiatric study of twenty-six patients. J Bone Joint Surg Am. 1973;55(3):445–60.
Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports Med. 2006;36:189–98.
Kibler WB. The role of the scapula in athletic shoulder function. Am J Sports Med. 1998;26:325–37.
Magarey ME, Jones MA. Specific evaluation of the function of force couples relevant for stabilization of the glenohumeral joint. Man Ther. 2003;8:247–53.
Beighton PH, Solomon L, Soskolne CL. Articular mobility in an African population. Ann Rheum Dis. 1973;32:413–7.
Neer CS 2nd, Foster CR. Inferior capsular shift for involuntary inferior and multidirectional instability of the shoulder. A preliminary report. J Bone Joint Surg Am. 1980;62(6):897–908.
Tzannes A, Murrell GA. Clinical examination of the unstable shoulder. Sports Med. 2002;32(7):447–57.
Gerber C, Ganz R. Clinical assessment of instability of the shoulder. With special reference to anterior and posterior drawer tests. J Bone Joint Surg Br. 1984;66(4):551–6.
Kim SH, Park JS, Jeong WK, Shin SK. The Kim test: a novel test for posteroinferior labral lesion of the shoulder--a comparison to the jerk test. Am J Sports Med. 2005;33(8):1188–92.
Tannenbaum E, Sekiya JK. Evaluation and management of posterior shoulder instability.Sports. Health. 2011;3(3):253–63.
Funk L, Owen JM, Bonner C. Clinical assessment of posterior shoulder joint instability. J Arthrosc Joint Surg. 2014;1(2):53–8.
Owen JM, Boulter T, Walton M, Funk L, Mackenzie TA. Reinterpretation of O’Brien test in posterior labral tears of the shoulder. Int J Shoulder Surg. 2015;9(1):6.
Itoi E, Lee SB, Amrami KK, Wenger DE, An KN. Quantitative assessment of classic anteroinferior bony Bankart lesions by radiography and computed tomography. Am J Sports Med. 2003;31(1):112–8.
Gusmer PB, Potter HG. Imaging of shoulder instability. Clin Sports Med. 1995;14(4):777–95.
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Rashid, A. (2017). Posterior Instability. In: Monga, P., Funk, L. (eds) Diagnostic Clusters in Shoulder Conditions. Springer, Cham. https://doi.org/10.1007/978-3-319-57334-2_28
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DOI: https://doi.org/10.1007/978-3-319-57334-2_28
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