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Management of Acute Anterior Shoulder Instability in Adolescents

Pensak, Michael; Nho, Shane J.; Alland, Jeremy; Bach, Bernard R.

doi: 10.1097/NOR.0b013e3181e517d9
Article

Traumatic anterior shoulder instability is a common orthopaedic problem encountered in adolescents. Approximately 90% of patients who experience their first traumatic instability event before the age of 20 will go on to have recurrent episodes if appropriate interventions are not pursued. Acute shoulder dislocations should be reduced promptly. Definitive management may be surgical or nonsurgical. Adequate assessment of concomitant pathology is essential in planning management and optimizing outcomes. Ultimately, the management algorithm will depend on the patient's age, type of sport, timing in season, and concomitant pathology.

Michael Pensak, MD, Resident, Department of Orthopedic Surgery, University of Connecticut Health Center, Farmington.

Shane J. Nho, MD, MS, Assistant Professor, Division of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, Rush Medical College of Rush University, Chicago, IL.

Jeremy Alland, BS, Division of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, Rush Medical College of Rush University, Chicago, IL.

Bernard R. Bach, MD, Professor, The Claude N. Lambert, Helen S. Thomson Endowed Chair of Orthopaedics & Head, Section of Sports Medicine, Sports Medicine Fellowship Program, Division of Sports Medicine, Department of Orthopedic Surgery, Rush University Medical Center, Rush Medical College of Rush University, Chicago, IL.

Authors Michael Pensak, and Jeremy Alland have disclosed that they have no financial relationships related to this article.

Authors Bernard R. Bach and Shane J. Nho have had grant/research support from the following companies: Arthrex, Inc; Linvatec; Smith & Nephew; DJ Orthopaedics; Miomed; Athletico. LWW has resolved any actual or potential conflicts of interest regarding this educational activity for these authors.

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© 2010 National Association of Orthopaedic Nurses