Shoulder Instability
Condition
Definition
Shoulder instability is when the upper end of the arm bone slides partly or fully out of the shoulder socket.
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Causes
Shoulder instability is often caused by repetitive trauma and overuse.
Risk Factors
Shoulder instability is more common in men between the ages of 18 and 25. It is also more common in baseball pitchers.
Symptoms
Problems may be:
- Pain in the shoulder
- Pain with throwing motion
- Shoulder may slip out of place
- Shoulder or arm weakness
- Shoulder may feel loose
Diagnosis
The doctor will ask about symptoms and past health. A physical exam will be done. It will focus on the shoulder.
Pictures of your shoulder may be taken. This can be done with x-rays.
Treatment
It may take 3 months to heal. The goals of treatment are to manage symptoms during that time. This may include:
- Medicine to ease pain and swelling
- A sling to prevent the shoulder from moving as it heals
- Exercises to help with strength, flexibility, and range of motion
Prevention
Strengthening the rotator cuff muscles may help prevent some injuries. This can be done with exercise.
Surgery
Some people may need surgery when other methods do not help. It may be done to repair torn or stretched ligaments so they can hold the shoulder joint in place.
Surgery
Some people may need surgery when other methods do not help. It may be done to repair torn or stretched ligaments so they can hold the shoulder joint in place.
Family Doctor—American Academy of Family Physicians
Ortho Info—American Academy of Orthopaedic Surgeons
CANADIAN RESOURCES:
Canadian Orthopaedic Association
Canadian Orthopaedic Foundation
Family Doctor—American Academy of Family Physicians
Ortho Info—American Academy of Orthopaedic Surgeons
CANADIAN RESOURCES:
Canadian Orthopaedic Association
Canadian Orthopaedic Foundation
References
- Chronic shoulder instability. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: https://orthoinfo.aaos.org/en/diseases--conditions/chronic-shoulder-instability.
- Lloyd G, Day J, et al. Postoperative Rehabilitation of Anterior Glenohumeral Joint Instability Surgery: A Systematic Review. Sports Med Arthroscopy Rev 2021;29(2):54-62.
- Recurrent subluxation of shoulder. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/recurrent-subluxation-of-shoulder.
Contributors
- Laura Lei-Rivera, PT, DPT
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