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Treatment of glenohumeral instability in rugby players

Funk, L 2016, 'Treatment of glenohumeral instability in rugby players' , Knee Surgery, Sports Traumatology, Arthroscopy, 24 (2) , pp. 430-439.

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Abstract

Rugby is a high-impact collision sport, with impact forces. Shoulder injuries are common and result in the longest time off sport for any joint injury in rugby. The most common injuries are to the glenohumeral joint with varying degrees of instability. The degree of instability can guide management. The three main types of instability presentations are: (1) frank dislocation, (2) subluxations and (3) subclinical instability with pain and clicking. Understanding the exact mechanism of injury can guide diagnosis with classical patterns of structural injuries. The standard clinical examination in a large, muscular athlete may be normal, so specific tests and techniques are needed to unearth signs of pathology. Taking these factors into consideration, along with the imaging, allows a treatment strategy. However, patient and sport factors need to be also considered, particularly the time of the season and stage of sporting career. Surgery to repair the structural damage should include all lesions found. In chronic, recurrent dislocations with major structural lesions, reconstruction procedures such as the Latarjet procedure yields better outcomes. Rehabilitation should be safe, goal-driven and athlete- specific. Return to sport is dependent on a number of factors, driven by the healing process, sport requirements and extrinsic pressures.

Item Type: Article
Schools: Schools > School of Health Sciences
Journal or Publication Title: Knee Surgery, Sports Traumatology, Arthroscopy
Publisher: Springer Verlag
ISSN: 0942-2056
Related URLs:
Funders: Non funded research
Depositing User: WM Taylor
Date Deposited: 12 Jan 2016 11:20
Last Modified: 25 Apr 2016 13:58
URI: http://usir.salford.ac.uk/id/eprint/37768

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