Abstract:
:The glenohumeral joint is an inherently unstable joint that relies on the interaction of the dynamic and static stabilizers to maintain stability. Disruption of this interplay or poor development of any of these factors may result in instability, pain, and a loss of function. Rehabilitation will vary based on the type of instability present and the key principles described. Whether a course of nonoperative rehabilitation is followed or the patient presents postoperatively, a comprehensive program designed to establish full ROM and balance capsular mobility, in addition to maximizing muscular strength, endurance, proprioception, dynamic stability, and neuromuscular control is essential. A functional approach to rehabilitation using movement patterns and sport-specific positions along with an interval sport program will allow a gradual return to athletics. The focus of the program should minimize the risk of recurrence and ensure that the patient can safely return to functional activities.
journal_name
Clin Sports Medjournal_title
Clinics in sports medicineauthors
Wilk KE,Macrina LCdoi
10.1016/j.csm.2013.07.017subject
Has Abstractpub_date
2013-10-01 00:00:00pages
865-914issue
4eissn
0278-5919issn
1556-228Xpii
S0278-5919(13)00075-6journal_volume
32pub_type
杂志文章,评审abstract::Presently there are no universally accepted definitions of the grades of concussion or criteria for when to allow the athlete to return to competition after a head injury. What is agreed upon is that in order to avoid cumulative brain damage and the second impact syndrome, no athlete still suffering post-concussion sy...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(05)70060-0
更新日期:1998-01-01 00:00:00
abstract::Traumatic injuries of the acromioclavicular and sternoclavicular joints are discussed. Treatment of acromioclavicular trauma is symptomatic, except for type III injuries with marked prominence of the clavicle, for which open reduction and internal fixation are recommended. Sternoclavicular injury with no instability r...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:
更新日期:1983-07-01 00:00:00
abstract::Distal femoral varus-producing osteotomy can be performed in the setting of lateral meniscal transplant to correct valgus malalignment of the knee and thus offload the lateral compartment. Advantages of a lateral opening wedge over medial closing wedge osteotomy include a single bone cut, avoidance of vascular structu...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2019.02.007
更新日期:2019-07-01 00:00:00
abstract::Although the immediate neurocognitive effects of sports-related concussion are well known, less is known about the intermediate or long-term effects of sports-related concussions. A sample of selected studies of high-school and collegiate athletes is reviewed and the intermediate effects of concussive injuries are dis...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2010.09.002
更新日期:2011-01-01 00:00:00
abstract::It is important to include psychological and physiologic rehabilitation in addition to rehabilitation of the injured area. Motion that does not stress repairs of either ligament or bone is not contraindicated. Exercises that aggravate patellofemoral problems should be modified to avoid areas in the range of motion tha...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:
更新日期:1982-07-01 00:00:00
abstract::An increased knowledge of the biomechanics of normal walking and running will improve our understanding of the possible mechanisms of pathology and ultimately improve the treatment of pathology and injury. Running, a natural extension of walking, involves increased velocities, joint range of motion, forces, muscle act...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1994-10-01 00:00:00
abstract::The specter of catastrophic cervical neurotrauma resulting from athletic participation, although infrequent, has been consistently associated with football, water sports, gymnastics, rugby, and ice hockey. Injury involving intracranial hemorrhage can result in death or permanent neurologic impairment, whereas certain ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:
更新日期:1987-01-01 00:00:00
abstract::In the previous discussion, emphasis has been placed on the detection of cardiac disorders that might lead to sudden death. Cardiac crises result from congenital structural defects in athletes aged 35 years or younger, and from acquired diseases in older individuals. Detection implies preparticipation screening, which...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1989-01-01 00:00:00
abstract::Because both the young and aging population are showing increasing interest in sports participation, the number of sports related injuries and in particular anterior cruciate ligament (ACL) injuries have been increasing. Because of these injuries much time and energy has been focused on ACL reconstruction in order to ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2007.06.002
更新日期:2007-10-01 00:00:00
abstract::Patellofemoral dysfunction is a common but not yet well-managed condition affecting a large number of athletes. It is important to perform a thorough evaluation of these athletes including soft-tissue imbalances and faulty movement patterns. It is also important to develop a comprehensive treatment plan that addresses...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1989-10-01 00:00:00
abstract::The practitioner need not be an expert in swimming but should understand the rudiments of the stroke and training techniques such patients are subjected to. This will aid in proper identification and analysis of the problem. The solution may require the resources of physician, therapist, coach, and parent as well as s...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1986-01-01 00:00:00
abstract::Ankle inversion injuries are the most common traumatic injuries in dancers. Ankle stability is integral to normal mobilization and to minimizing the risk for ankle sprain. The ability of the dynamic and static stabilizers of the ankle joint to maintain their structural integrity is a major component of the normal gait...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2007.12.006
更新日期:2008-04-01 00:00:00
abstract::Several reconstructive techniques exist to treat posterior cruciate ligament (PCL) deficiency. The purpose of this study is to report knee function and clinical stability after PCL reconstruction (PCLR) using an all-inside technique. Thirty-two patients with isolated or combined PCL injuries treated with all-inside PC...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:10.1016/j.csm.2018.11.005
更新日期:2019-04-01 00:00:00
abstract::Eye injuries in sports have an estimated incidence near 15%. These injuries can have a wide range of severity with a risk profile that is different for each individual sport. It is important to screen for and protect any functionally one-eyed athletes before athletic participation. Protective eyewear has been proposed...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2012.12.005
更新日期:2013-04-01 00:00:00
abstract::Handlebar problems are common among serious bicyclists. Compression neuropathy, more commonly ulnar than median, is frequent but seldom produces permanent injury or deficit if promptly recognized and managed by attending to bicycle fit, energy-absorbing gloves and handlebar treatments, and cycling technique. Overuse s...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1994-01-01 00:00:00
abstract::Rehabilitation of the dysfunction that is associated with rotator cuff tendinopathy should be based on the evidence known about the pathoetiology of the tendinopathy, what is known about the extent of the local anatomic injury, the local and distant physiological and biomechanical alterations, and on the knowledge dev...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(03)00048-6
更新日期:2003-10-01 00:00:00
abstract::Research during the past decade has elucidated the structure and function of the knee joint meniscus, and both clinical and experimental studies have demonstrated the importance of this structure. Recent advances, such as the use of an exogenous fibrin clot, have allowed preservation of an increasingly greater proport...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1996-07-01 00:00:00
abstract::The valued techniques and types of plain roentgenograms of the cervical spine and the lumbar spine in athletic injuries are discussed. A considerable number of injury types exist, as well as a large number of various roentgenographic views that the physician may order. In approaching the athlete with an injured spine,...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:
更新日期:1986-04-01 00:00:00
abstract::Since its introduction, unicompartmental knee arthroplasty has been controversial because of poor early clinical outcomes due to implant design, bony fixation, surgical instrumentation, and technique. Improvements in surgical technique and implant design have resulted in improved results and greater survivorship. The ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2013.08.007
更新日期:2014-01-01 00:00:00
abstract::Although limited literature exists on medial epicondylitis of the elbow, this disorder is an injury affecting many athletes at every level, especially throwing athletes. Care must be taken in diagnosing medial epicondylitis to distinguish it from other possible pathologies of the medial elbow, which may exist concurre...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2004.04.011
更新日期:2004-10-01 00:00:00
abstract::This review focuses on travel stress in athletes. An outline of the circadian system is presented, followed by an explanation of how disturbances to its regulation are related to jet lag. There are consequences of jet lag that affect exercise performance and health. Measures to ameliorate adverse effects of jet lag in...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2004.12.004
更新日期:2005-04-01 00:00:00
abstract::The operative technique and indications for shoulder arthroscopy have been reviewed, with a description of proper technique and instrumentation. Visualization within the joint is usually superior to visualization with arthrotomy. With the refinement of techniques and equipment, it is expected that the frequency of tra...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:
更新日期:1983-07-01 00:00:00
abstract::The article reviews the clinical features of the acutely torn anterior cruciate ligament. The alternatives and techniques of repair are discussed. Results of primary repair are presented. A rationale for therapeutic options is presented. ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1988-10-01 00:00:00
abstract::Stimulation of damaged sense receptors is essential to proper rehabilitation of the injured ankle. By performing exercises that induce movement and change tone and intra-articular pressure, especially in the weightbearing role, the ankle joint's periarticular structures are more likely to heal with functional strength...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1988-01-01 00:00:00
abstract::Cardiac magnetic resonance imaging and cardiac computed tomographic angiography have become important parts of the armamentarium for noninvasive diagnosis of cardiovascular disease. Emerging technologies have produced faster imaging, lower radiation dose, improved spatial and temporal resolution, as well as a wealth o...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2015.02.005
更新日期:2015-07-01 00:00:00
abstract::Ankle injuries occur frequently in an athletic population. Understanding the anatomy, biomechanics, pathomechanics, differential diagnosis, and special pediatric considerations allows an accurate diagnosis. Treatment with a nonoperative aggressive goal-oriented therapy program has been successful at the United States ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1989-07-01 00:00:00
abstract::Multidirectional instability of the shoulder is a condition defined by symptoms of shoulder instability in more than one direction. Patients typically have generalized ligamentous laxity and may be involved in repetitive overhead activities. Initial treatment is with a physical therapy program. Patients who fail non-o...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2008.07.002
更新日期:2008-10-01 00:00:00
abstract::The principles of rehabilitation after medial patellofemoral ligament reconstruction are similar to those guiding rehabilitation after other ligamentous reconstructions of the knee, such as anterior cruciate ligament (ACL). The key features are to address pain control, range of motion (ROM), quadriceps strengthening, ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2009.12.008
更新日期:2010-04-01 00:00:00
abstract::Concussion is one of the most hotly debated topics in sports medicine today. Research surrounding concussion has experienced significant growth recently, especially in the areas of incidence, assessment, and recovery. However, there is limited research on the most effective rehabilitation approaches for this injury. T...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2014.12.005
更新日期:2015-04-01 00:00:00
abstract::Groin injuries in athletes are being recognized as one of the most difficult problems in sport. The symptoms associated with chronic groin injuries are often diffuse and uncharacteristic. These injuries usually constitute a major diagnostic and therapeutic challenge, the success of which depends on a correct diagnosis...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1992-10-01 00:00:00