Abstract
A 17-year-old girl attends with her anxious parents with a history of recurrent subluxations of her shoulder for the past 2 years. There is no history of any significant traumatic event and no true dislocations, requiring relocation. Both the parents are busy TV “celebrities” and are busy professionals. The girl describes recurrent dislocations in different directions. On active forward flexion, she has a reproducible posterior subluxation of her shoulder in the midrange. Her Beighton score is 7/9, sulcus sign is positive, and one can see muscle patterning behaviour and scapular dyskinesia on arm elevation.
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References
McMullen J, Uhl T. A kinetic chain approach for shoulder rehabilitation. J Athl Train. 2000;35(3):329–37.
Lewis A, Kitamura T, Bayley JIL. The classification of shoulder instability: new light through old windows. Curr Orthop. 2004;18:97–108.
McFarland EG, Kim TK, Park HB, Neira CA, Gutierrez MI. The effect of variation in definition on the diagnosis of multidirectional instability of the shoulder. J Bone Joint Surg Am. 2003;85-A(11):2138–44.
Magee DJ. Orthopaedic physical assessment. 5th ed. St. Louis, MO: Saunders; 2008.
Hengeveld E, Banks K, Maitland GD. Maitland’s peripheral manipulation. 4th ed. Edinburgh: Elsevier Butterworth Heinemann; 2005.
Petty NJ, editor. Neuromusculoskeletal examination and assessment: a handbook for therapists. UK: Churchill Livingstone Elsevier Health Sciences; 2011. p. 466.
Timmons MK, Thigpen CA, Seitz AL, Karduna AR, Arnold BL, Mitchener LA. Scapular kinematics and subacromial impingement syndrome: meta-analysis. J Sport Rehabil. 2012;21(4):354–70.
Emery RJ, Mullaji AB. Glenohumeral joint instability in normal adolescents. Incidence and significance. J Bone Joint Surg. 1991;73-B:406–8.
Beighton PH, Solomon I, Soskolne CL. Articular mobility in an African population. Ann Rhem Dis. 1073;32(5):413–8.
McFarland EG, Neira CA, Gutierrez MI, Cosgarea AJ, Magee M. Clinical significance of the arthroscopic drive-through sign in shoulder surgery. Arthroscopy. 2001;17(1):38–43.
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Walton, J., Russell, S., Thomas, J. (2017). Atraumatic Instability. In: Monga, P., Funk, L. (eds) Diagnostic Clusters in Shoulder Conditions. Springer, Cham. https://doi.org/10.1007/978-3-319-57334-2_26
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DOI: https://doi.org/10.1007/978-3-319-57334-2_26
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