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Management of Shoulder Instability in Basketball Players

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Basketball Sports Medicine and Science

Abstract

The anatomy of the glenohumeral joint allows for a wide range of motion at the expense of stability. It is the most commonly dislocated joint of the human body. The risk for instability is greatest in overhead sports and collision sports, especially football, rugby, and wrestling. While not a true collision or overhead sport, basketball necessitates physical contact and frequent overhead movements, which can lead to an increased risk of shoulder instability. After an instability event, the treating physician must help the patient decide between nonoperative and operative management. Many variables contribute to this decision, including the age of the patient, duration of symptoms, type of instability, number of instability events, radiological findings, and timing of the injury (i.e., in season or out of season). In general, operative treatment reduces recurrence rates while increasing successful return to play compared to conservative treatment. Therefore, operative management tends to be the preferred approach, especially in young athletes. The following chapter will provide a comprehensive review on shoulder instability in the basketball athlete with a special focus on diagnosis, management, and rehabilitation for successful return to play.

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Altchek, D.W., Carr, J.B., Cirdi, Y.U., Ergün, S., Karahan, M. (2020). Management of Shoulder Instability in Basketball Players. In: Laver, L., Kocaoglu, B., Cole, B., Arundale, A.J.H., Bytomski, J., Amendola, A. (eds) Basketball Sports Medicine and Science. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61070-1_24

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