{"id":17683,"date":"2024-05-23T16:14:49","date_gmt":"2024-05-23T16:14:49","guid":{"rendered":"https:\/\/test.isokinetic.com\/shoulder-instability\/"},"modified":"2024-10-27T07:01:09","modified_gmt":"2024-10-27T07:01:09","slug":"shoulder-instability","status":"publish","type":"page","link":"https:\/\/isokinetic.com\/en\/shoulder-instability\/","title":{"rendered":"Shoulder instability"},"content":{"rendered":"\t\t
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Shoulder instability<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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The shoulder complex is one of the most elaborated joints of our body, as it is formed by several bones (clavicle, scapula, humerus and sternum) that constitute different joints (sternoclavicular, acromioclavicular, glenohumeral, scapulothoracic). The shoulder is the most mobile joint of our body, and its stability is maintained by passive (e.g.: capsule, ligaments, labrum, etc.) and active-dynamic (muscles) stabilisers. Due to its great degrees of freedom, the shoulder is among the most common joints afflicted by \u201cinstability\u201d. Shoulder instability can be defined as the loss of functioning and comfort of the shoulder joint due to an excessive translation of the humeral head in the joint socket. Based on its aetiology, shoulder instability is typically classified in one or more of the following categories: a) instability dictated by trauma with clear structural damages to the joint; b) structural deficit without specific trauma; c) absence of structural deficit, likely correlated to muscle patterning imbalance. Patients can report different directions of instability, including anterior, posterior, inferior, and multidirectional. Patients affected by this injury typically present pain localised around the shoulder that can radiate to other structures, instability, loss of confidence, clicking, catching, apprehension, weakness, and impacted shoulder-arm functioning. <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Management<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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The management of patients affected by shoulder instability is influenced by several factors, such as the presence of associated shoulder injuries (e.g., Bankart lesion, labrum tear, etc.), degree of laxity, reported instability, number of previous dislocations, and the characteristics of the affected patients (e.g.: age, activity level, etc). Conservative treatment typically consists of a period of extensive rehabilitation, which generally yields positive outcomes. In case surgical treatment is deemed necessary (e.g.: high degrees of instability, recurrent dislocation, associated injuries, etc.), many different procedures (e.g.: open capsular shift, labral repair, etc.) are available and always discussed between the patient and the medical-surgical staff. After surgery, a period of immobilisation\/protection with the use of a sling is typically recommended and rehabilitation should start as soon as indicated by the medical team. After being thoughtfully visited by one of our specialised doctors, your recovery process will be structured in different stages and take place in four different environments, the pool, the gym, the movement analysis and retraining room and the pitch. In the early stages, the main goals are to restore homeostasis by reducing pain and gradually restoring upper limb functioning. In the mid-stage of rehabilitation, shoulder strength, endurance and stability recovery become the priority, together with the optimisation of the general movement quality to learn how to integrate the shoulder back into activities of daily living and sports. Finally, to complete the recovery process, on-field rehabilitation plays a fundamental role in allowing our patients to safely and effectively return to participate in their favourite activities and sports that require the utilisation of the upper limb (e.g.: throwing-, rackets-, falling-, lifting- related sports), maximising the recovery outcomes and reducing the likelihood of complications. <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Shoulder instability The shoulder complex is one of the most elaborated joints of our body, as it is formed by several bones (clavicle, scapula, humerus and sternum) that constitute different joints (sternoclavicular, acromioclavicular, glenohumeral, scapulothoracic). The shoulder is the most mobile joint of our body, and its stability is maintained by passive (e.g.: capsule, ligaments, […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-17683","page","type-page","status-publish","hentry"],"aioseo_notices":[],"aioseo_head":"\n\t\t\n\t\n\t\n\t\n\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t\n\t\t