Skip to main content
SpringerLink
Log in

Management of Recurrent Dislocation of the Hypermobile Shoulder

  • Chapter
  • First Online:
Sports Injuries

  • 397 Accesses

Abstract

Hypermobility of the shoulder is common, and a pre-requisiite for some sports. The hypermobile shoulder is at greater risk of instability than is the case for the normal population. Managing instability in the hypermobile patient is a complex problem that requires a multidisciplinary approach. Surgical options are available but should be only used once vigorous expert conservative measures have been undertaken, and is for the subspecialist only. Recurrnce of instability os an even more complex situation and the chapter discusses the investigation and appropriate management options.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 219.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Alpert, J.M., Verma, N., Wysocki, R., Yanke, A.B., Romeo, A.A.: Arthroscopic treatment of multidirectional shoulder instability with minimum 270 degrees labral repair: minimum 2-year follow-up. Arthroscopy 24(6), 704–711 (2008)

    Article  PubMed  Google Scholar 

  2. Baker III, C.L., Mascarenhas, R., Kline, A.J., Chhabra, A., Pombo, M.W., Bradley, J.P.: Arthroscopic treatment of multidirectional shoulder instability in athletes: a retrospective analysis of 2- to 5-year clinical outcomes. Am. J. Sports Med. 37(9), 1712–1720 (2009)

    Article  PubMed  Google Scholar 

  3. Bayley I.: Presentation to British Elbow and Shoulder Society, London (2009)

    Google Scholar 

  4. Beighton, P., Grahame, R., Bird, H.: Hypermobility of Joints, 2nd edn. Springer, Berlin, Heidelberg, New York (1989)

    Book  Google Scholar 

  5. Blasier, R.B., Carpenter, J.E., Huston, L.J.: Shoulder proprioception. Effect of joint laxity, joint position and direction of motion. Orthop. Rev. 23(1), 45–50 (1994)

    PubMed  CAS  Google Scholar 

  6. Boileau, P., Richou, J., Lisai, A., Chuinard, C., Bicknell, R.T.: The role of arthroscopy in revision of failed open anterior stabilization of the shoulder. Arthroscopy 25(10), 1075–1084 (2009)

    Article  PubMed  Google Scholar 

  7. Bulbena, A., Duro, J.C., Porta, M.: Clinical assessment of ­hypermobility of joints; assembling criteria. J. Rheumatol. 19(1), 115–122 (1992)

    PubMed  CAS  Google Scholar 

  8. Burkhart, S.S., De Beer, J.F.: Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion. Arthroscopy 16(7), 677–694 (2000)

    Article  PubMed  CAS  Google Scholar 

  9. Dewing, C.B., McCormick, F., Bell, S.J., Solomon, D.J., Stanley, M., Rooney, T.B., Provencher, M.T.: An analysis of capsular area in patients with anterior, posterior, and multidirectional shoulder instability. Am. J. Sports Med. 36(3), 515–522 (2008)

    Article  PubMed  Google Scholar 

  10. Emery, R.J., Mullaji, A.B.: Glenohumeral joint instability in normal adolescents. Incidence and significance. J. Bone Joint Surg. Br. 73(3), 406–408 (1991)

    PubMed  CAS  Google Scholar 

  11. Hawkins, R.J., Krishnan, S.G., Karas, S.G., Noonan, T.J., Horan, M.P.: Electrothermal arthroscopic shoulder capsulorrhaphy: a minimum 2-year follow-up. Am. J. Sports Med. 35(9), 1484–1488 (2007)

    Article  PubMed  Google Scholar 

  12. Jia, X., Ji, J.H., Petersen, S.A., Freehill, M.T., McFarland, E.G.: An analysis of shoulder laxity in patients undergoing shoulder surgery. J. Bone Joint Surg. Am. 91(9), 2144–2150 (2009)

    Article  PubMed  Google Scholar 

  13. Kim, S.H., Kim, H.K., Sun, J.I., Park, J.S., Oh, I.: Arthroscopic capsulolabroplasty for posteroinferior multidirectional instability of the shoulder. Am. J. Sports Med. 32(3), 594–607 (2004)

    Article  PubMed  Google Scholar 

  14. Larrain, M.V., Montenegro, H.J., Mauas, D.M., Collazo, C.C., Pavon, F.: Arthroscopic management of traumatic anterior shoulder instability in collision athletes: analysis of 204 cases with a 4- to 9-year follow -up and results with the suture anchor technique. Arthroscopy 22(12), 123–129 (2006)

    Article  Google Scholar 

  15. McFarland, E.G., Kim, T.K., Park, H.B., Neira, C.A., Gutierrez, M.I.: The effect of variation in definition on the diagnosis of multidirectional instability of the shoulder. J. Bone Joint Surg. Am. 85-A(11), 2138–2144 (2003)

    PubMed  Google Scholar 

  16. Neer II, C.S., Foster, C.R.: Inferior capsular shift for involuntary inferior and multidirectional instability of the shoulder. A preliminary report. J. Bone Joint Surg. Am. 62(6), 897–908 (1980)

    PubMed  Google Scholar 

  17. Purchase, R.J., Wolf, E.M., Hobgood, E.R., Pollock, M.E., Smalley, C.C.: Hill-sachs “remplissage”: an arthroscopic solution for the engaging hill-sachs lesion. Arthroscopy 24(6), 723–726 (2008)

    Article  PubMed  Google Scholar 

  18. Remvig, L., Jensen, D.V., Ward, R.C.: Epidemiology of general joint hypermobility and basis for the proposed criteria for benign joint hypermobility syndrome; review of the literature. J. Rheumatol. 34(4), 804–809 (2007)

    PubMed  Google Scholar 

  19. Takwale, V.J., Calvert, P., Rattue, H.: Involuntary positional instability of the shoulder in adolescents and young adults. Is there any benefit from treatment? J. Bone Joint Surg. Br. 82(5), 719–723 (2000)

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Trauma and Orthopaedics, Leeds General Infirmary, LS1 3DL, Leeds, UK

    Roger G. Hackney

Authors
  1. Roger G. Hackney
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Roger G. Hackney .

Editor information

Editors and Affiliations

  1. Fac. Medicine, Dept. Orthopedics & Traumatology, Hacettepe University, Hasyrcylar Caddesi, Ankara, 94110, Turkey

    Mahmut Nedim Doral

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Hackney, R.G. (2012). Management of Recurrent Dislocation of the Hypermobile Shoulder. In: Doral, M. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-15630-4_21

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-15630-4_21

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-15629-8

  • Online ISBN: 978-3-642-15630-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation