This 2011 narrative review by Provencher et al. systematically covers the anatomy, biomechanics, diagnosis, and surgical management of recurrent posterior shoulder instability — a condition representing 2%–10% of all shoulder instability cases that disproportionately affects young athletes in contact and overhead sports.
When a young athlete — especially a football lineman, weight lifter, or rower.
Presents with vague posterior shoulder pain and reduced bench press capacity, put posterior instability at the top of your differential and perform both the jerk and Kim tests together; a combined positive has 97% sensitivity.
If the history is traumatic rather than atraumatic, counsel the patient early that rehab alone succeeds only ~16% of the time and that arthroscopic capsulolabral repair is likely in their future.
This 2011 narrative review by Provencher et al. systematically covers the anatomy, biomechanics, diagnosis, and surgical management of recurrent posterior shoulder instability — a condition representing 2%–10% of all shoulder instability cases that disproportionately affects young athletes in contact and overhead sports.
When a young athlete — especially a football lineman, weight lifter, or rower.
Presents with vague posterior shoulder pain and reduced bench press capacity, put posterior instability at the top of your differential and perform both the jerk and Kim tests together; a combined positive has 97% sensitivity.
If the history is traumatic rather than atraumatic, counsel the patient early that rehab alone succeeds only ~16% of the time and that arthroscopic capsulolabral repair is likely in their future.