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J Bone Joint Surg Am. 1992 Jul;74(6):890-6.

Treatment of instability of the shoulder with an exercise program.

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  • 1Department of Orthopaedics, University of Texas Health Science Center, San Antonio 78284.

Abstract

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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PMID:
1634579
[PubMed - indexed for MEDLINE]
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