Patients undergoing stabilization surgery for recurrent, traumatic anterior shoulder instability commonly have restricted passive external rotation

Matthew D. Di Silvestro, Ian K.Y. Lo, Nicholas Mohtadi, Kristie Pletsch and Richard S. Boorman

An important component in the surgical treatment of recurrent anterior shoulder dislocations is the Bankart repair. This is often supplemented with ligament plication for perceived laxity. The glenohumeral ligaments define translational laxity and restrict glenohumeral range of motion. The purpose of this study was to measure the external rotation (ER) range of motion of patients under anesthesia for glenohumeral stabilization surgery. A blinded observer measured bilateral shoulder ER in 15 patients by use of a standardized torque and goniometry. ER in the unstable shoulder with the arm abducted 90° averaged 14° less than that in the uninjured shoulder, and this was statistically significant. There was a significant loss of 11° ER in the unstable shoulder with the arm at the side. The findings indicate that the glenohumeral joint in patients with a Bankart lesion is commonly rotationally stiff.

Journal of Shoulder and Elbow Surgery, 2007, 16, 3, 255-259

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Neck Pain

Out of all 291 conditions studied in the Global Burden of Disease 2010 Study, neck pain ranked 4th highest in terms of disability and 21st in terms of overall burden.
News article posted by: Rachael Lowe

Rachael Lowe is Co-Founder and Executive Director of Physiopedia. A physiotherapist and technology specialist Rachael has been working with Physiopedia since 2008 to create a resource that provides universal access to physiotherapy knowledge as well as a platform for connecting and educating the global physiotherapy profession.

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