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The Epidemiology and Natural History of Anterior Shoulder Instability

  • Management of Anterior Shoulder Instability (X Li, section editor)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

Abstract

Purpose of Review

The purpose of this review is to outline the natural history and best clinical practices for nonoperative management of anterior shoulder instability.

Recent Findings

Recent studies continue to demonstrate a role for nonoperative treatment in the successful long-term management of anterior glenohumeral instability. The success of different positions of shoulder immobilization is reviewed as well.

Summary

There are specific patients who may be best treated with nonoperative means after anterior glenohumeral instability. There are also patients who are not good nonoperative candidates based on a number of factors that are outlined in this review. There continues to be no definitive literature regarding the return to play of in-season athletes. Successful management requires a thorough understanding of the epidemiology, pathoanatomy, history, physical examination, diagnostic imaging modalities, and natural history of operative and nonoperative treatment.

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Authors and Affiliations

  1. Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY, 42223, USA

    Joseph W. Galvin & Justin J. Ernat

  2. Bowman Gray Center for Medical Education, Wake Forest University School of Medicine, 475 Vine Street, Winston-Salem, NC, 27101, USA

    Brian R. Waterman

  3. Tufts University School of Medicine, 145 Harrison Ave, Boston, MA, 02111, USA

    Monica J. Stadecker

  4. Eisenhower Army Medical Center, 300 E Hospital Rd, Augusta, GA, 30905, USA

    Stephen A. Parada

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  1. Joseph W. Galvin
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  2. Justin J. Ernat
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  4. Monica J. Stadecker
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  5. Stephen A. Parada
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Correspondence to Stephen A. Parada.

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This article is part of the Topical Collection on Management of Anterior Shoulder Instability

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Galvin, J.W., Ernat, J.J., Waterman, B.R. et al. The Epidemiology and Natural History of Anterior Shoulder Instability. Curr Rev Musculoskelet Med 10, 411–424 (2017). https://doi.org/10.1007/s12178-017-9432-5

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