Abstract
Non-operative management following a shoulder dislocation or subluxation remains a challenging and complex task. Accurate diagnosis of the condition, and shared decision-making regarding operative and non-operative management, as well as timing of return to play is required. This clinical concept paper introduces a shoulder instability framework that addresses these fundamental clinical dilemmas. Valid clinical prognostic tools which can predict recurrent shoulder instability are reviewed. The process of shared decision-making within the realm of shoulder instability is also presented. Finally, a framework for progressive rehabilitation that addresses deficits in motor control, strength, and endurance in scapula and shoulder musculature is presented to guide patients from an initial instability event, through to return to play.
Document Type
Article
Publication Date
2023
Digital Object Identifier (DOI)
10.4085/1062-6050-0468.22
Repository Citation
Olds, Margie K. and Uhl, Timothy L., "Nonoperative Management of Shoulder Instability" (2023). Physical Therapy Faculty Publications. 137.
https://uknowledge.uky.edu/rehabsci_facpub/137
Notes/Citation Information
Olds M, Uhl T. Current Clinical Concepts: Nonoperative Management of Shoulder Instability. J Athl Train. 2023 Jun 21. doi: 10.4085/1062-6050-0468.22. Epub ahead of print. PMID: 37347138.