BACKGROUND Isolated atraumatic posterior glenohumeral instability is rare. Use of thermal capsulorraphy for glenohumeral instability is considered controversial. This case study describes a modified rehabilitation protocol for a patient who underwent a multistep arthroscopic procedure for isolated posterior glenohumeral instability with a postoperative complication of adhesive capsulitis. CAS...

433 R arthrography is the preferred imaging technique for the investigation of patients with shoulder instability [1, 2]. MR arthrography reliably shows subtle lesions of the labroligamentous complex, providing information essential to the surgeon concerning the surgery or arthroscopic repair. Most patients presenting with shoulder instability have anterior instability; in these cases, evaluati...

BACKGROUND Shoulder injuries in golf are related to the biomechanics of the golf swing and typically occur in the lead arm at the top of the back swing. PURPOSE We report a newly recognized entity in a series of elite golfers: posterior glenohumeral instability associated with subacromial impingement. STUDY DESIGN Retrospective review. METHODS Eight elite golfers were treated between Marc...

Patients with unstable, malaligned knees often present a challenging management scenario, and careful attention must be paid to the clinical history and examination to determine the priorities of treatment.Isolated knee instability treated with ligament reconstruction and isolated knee malalignment treated with periarticular osteotomy have both been well studied in the past. More recently, the ...

Glenohumeral instability following seizures is usually of the posterior type. Rarely patients can have anterior dislocation of the shoulder following an epileptic seizure. Although these are treated similar to usual anterior dislocations of the shoulder they need regular follow up to detect any recurrent shoulder instability for which the treatment will involve skeletal reconstruction. We repor...

INTRODUCTION Posterior dislocation of the elbow is usually associated with trauma to the joint with a reported incidence of 3%to 6%. Chronic instability is usually symptomatic following the initial injury. CASE PRESENTATION We report a case of posterior dislocation of the elbow occurring in a patient while using her arm to lift herself using a monkey pole on the second day following a total h...

BACKGROUND Although some investigators believe that the rate of postoperative instability is low after lumbar spinal stenosis surgery, the majority believe that postoperative instability usually develops. Decompression alone and decompression with fusion have been widely used for years in the surgical treatment of lumbar spinal stenosis. Nevertheless, in recent years several biomechanical studi...

Posterior instability of the glenohumeral joint is being recognized with increasing frequency. The clinical manifestations of this problem most often begin insidiously, as the result of repetitive microtrauma and can be particularly disabling. Although many patients are able to reproduce their instability, diagnosis can be difficult. A detailed physical examination, plain radiographs, and appro...

BACKGROUND To determine if tibial positioning affects the external rotation of the tibia in a dial test for posterolateral rotatory instability combined with posterior cruciate ligament (PCL) injuries. METHODS Between April 2007 and October 2007, 16 patients with a PCL tear and posterolateral rotatory instability were diagnosed using a dial test. The thigh-foot angle was measured at both 30 d...