The Journal of Bone and Joint Surgery, Vol 74, Issue 6 890-896, Copyright © 1992 by Journal of Bone and Joint Surgery, Inc

JOURNAL CONTENTS

Treatment of instability of the shoulder with an exercise program

WZ Burkhead and CA Rockwood
Department of Orthopaedics, University of Texas Health Science Center, San Antonio 78284.

One hundred and forty shoulders in 115 patients that had a diagnosis of traumatic or atraumatic recurrent anterior, posterior, or multidirectional subluxation were treated with a specific set of muscle-strengthening exercises. Only twelve (16 per cent) of the seventy-four shoulders (sixty-eight patients) that had traumatic subluxation had a good or excellent result from the exercises, compared with fifty-three (80 per cent) of the sixty-six shoulders that had atraumatic subluxation. For this reason, each patient who has instability of the shoulder should be thoroughly evaluated if a successful result from conservative treatment is to be expected. Every effort must be made to identify the etiology of the instability through careful history-taking, physical examination, and radiographic evaluation.
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