Causes of Chronic Shoulder Instability
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As an orthopaedic surgeon with Aurora Advanced Orthopaedics, Dr. Mark Wichman draws on particular expertise in surgical shoulder stabilization. Dr. Mark Wichman stands out as the author of a chapter in the textbook Management of the Unstable Shoulder and for his teaching of techniques for shoulder stabilization.
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PATHOPHYSIOLOGY ANTERIOR CRUCIATE LIGAMENT INJURY
PREPARED BY: MUHAMMAD ARIFF B. MAHDZUB
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Medial epicondyle apophyseal injuries most commonly occur in baseball pitchers aged 9-14 years old during periods of rapid growth. Over 50% are associated with elbow dislocation. Signs include sudden elbow pain following forceful pitching. Treatment is usually 4-6 weeks of casting, though surgery may be needed for incarcerated fragments or those with ulnar nerve dysfunction. Proper evaluation with imaging can help detect fracture displacement and incarceration.
Management of chronic elbow instability 13
This document discusses the management of chronic elbow instability. It begins by defining the anatomy and stabilizers of the elbow joint. It then describes the different types of elbow instability, including traumatic causes like acute dislocation and chronic lateral/medial instability, as well as non-traumatic causes. Diagnosis involves special tests to assess varus and valgus instability. Treatment depends on the type and chronicity of instability, and may include closed reduction, ligament repair/reconstruction, and external fixation. The goal of treatment is to restore the functional integrity of the medial and lateral collateral ligaments.
Sprengel deformity presentation by doctor
Sprengel's deformity and congenital muscular torticollis are congenital musculoskeletal conditions. Sprengel's deformity involves an elevated scapula due to interrupted migration during development. It causes limited shoulder movement and deformity. Congenital muscular torticollis is caused by sternocleidomastoid muscle shortening, resulting in head tilt and facial asymmetry. Both are typically noticed at birth and can be treated conservatively or with surgery depending on severity. Physiotherapy focuses on improving range of motion and muscle strength.
Shoulder dislocation.pptx
A shoulder dislocation occurs when the ball-shaped head of the upper arm bone pops out of the socket in the shoulder blade. There are three types of dislocations - anterior (forward), posterior (backward), and inferior (downward). The most common is an anterior dislocation caused by excessive arm abduction and external rotation. Treatment involves closed reduction to relocate the bone manually or surgery to repair torn tissues. Rehabilitation focuses on range of motion and strengthening exercises and lasts several weeks with the arm immobilized initially in external rotation.
shoulder dislocation orthopedics + glenohumeral dislocation and mangment
The shoulder is a ball-and-socket joint formed by the humerus fitting into the scapula. The shoulder is the most commonly dislocated joint, occurring most often in males aged 20-30 and females aged 61-80. There are three main types of shoulder dislocations: anterior (98%), posterior (2%), and inferior (<1%). Anterior dislocations involve the humerus moving forward, while posterior dislocations move the humerus backward. Treatment involves closed reduction using traction techniques, and sometimes surgery is needed for recurrent dislocations or injuries preventing reduction.
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Recurrent Posterior Shoulder Instability | Orthopaedic Surgeon | Vail Colorado
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Regional conditions of upper limb BY MIN^ED ACADEMY
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Apophyseal injuries of elbow , medial epicondyle avulsion fractures
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shoulder dislocation orthopedics + glenohumeral dislocation and mangment
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Causes of Chronic Shoulder Instability
- 1. CAUSES OF CHRONIC SHOULDER INSTABILITY Dr. Mark Wichman
- 2. Introduction As an orthopaedic surgeon with Aurora Advanced Orthopaedics, Dr. Mark Wichman draws on particular expertise in surgical shoulder stabilization. Dr. Mark Wichman stands out as the author of a chapter in the textbook Management of the Unstable Shoulder and for his teaching of techniques for shoulder stabilization. In a healthy shoulder, the upper ball of the humerus rotates in a shallow socket known as the glenoid. A strong ligament system keeps the humerus contained within this socket, while tendons and muscles provide additional stabilization. Occasionally, however, injury to or disease of the connective tissue can cause the shoulder to slip out of position. If this occurs on more than one or two occasions, it may mean that the ligaments are no longer able to hold the shoulder in place reliably. This condition is known as chronic shoulder instability.
- 3. Shoulder Instability Certain individuals develop chronic shoulder instability following a traumatic dislocation, in which the head of the humerus comes completely out of the glenoid socket. If the resultant ligament tear does not heal well enough and tightly, the shoulder may slip out of position more easily. Some patients develop overly loose ligaments not as a result of dislocation but as a side effect of repetitive use. This process is particularly common in swimmers, volleyball players, and other athletes who engage in frequent overhead arm motion. Others have congenitally loose ligaments, which can cause the shoulder to dislocate easily in one or more directions. Through physical examination and imaging, a physician can assess whether a patient is facing chronic shoulder instability. If so, the condition may be treatable using either nonsurgical or surgical interventions.