Abstract:
:The conservative management of shoulder instability depends on a well-defined program that emphasizes early diminution in the patient's symptoms, appropriate immobilization, and a well-defined precise rehabilitation program that can be individually tailored to meet the patient's needs. Immobilization should be considered in younger patients less than 20 years of age for between 3 to 4 weeks in order to enhance capsulolabral complex healing. Older patients may be immobilized for a shorter period of time. Analgesic medication and local physical therapeutic modalities may be used to decrease the patient's symptomatic complaints. Once the immobilization period has ended, a precise and specific rehabilitation program tailored for the individual needs of the patient should be undertaken. The rehabilitation program should emphasize early and safe regaining of normal ROM, strengthening of the dynamic stabilizers of the shoulder, and strengthening of the scapular stabilizing muscles of the shoulder. Finally, rehabilitation programs that enhance the patient's neuromuscular control over the glenohumeral joint should be considered in the conservative management of the unstable shoulder.
journal_name
Clin Sports Medjournal_title
Clinics in sports medicineauthors
Dines DM,Levinson Msubject
Has Abstractpub_date
1995-10-01 00:00:00pages
797-816issue
4eissn
0278-5919issn
1556-228Xjournal_volume
14pub_type
杂志文章,评审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::Stress fractures are common injuries, particularly in endurance athletes. Stress fracture management should take into consideration the injury site (low risk versus high risk), the grade (extent of microdamage accumulation), and the individual's competitive situation. The authors briefly discuss the pathophysiology an...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2005.08.012
更新日期:2006-01-01 00:00:00
abstract::Our understanding of the structure and function of the anterior cruciate ligament has progressed rapidly over the past decade. Arthroscope-assisted anterior cruciate ligament replacement is a new procedure that allows isometric placement of the anterior cruciate ligament graft. Postoperative rehabilitation is enhanced...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1987-07-01 00:00:00
abstract::This article provides a review of current important issues in the management of athletes who have sustained a concussion during athletic competition. Recent research in the area of concussion management is reviewed with specific reference to the side line evaluation of concussion and the follow-up of the athlete durin...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2004.04.001
更新日期:2004-07-01 00:00:00
abstract::To minimize the risk of subscapularis failure after shoulder replacement, a method of preserving the subscapularis while allowing access to the glenohumeral joint was developed. Only the inferior 30% to 50% of the subscapularis tendon is detached from the humerus, leaving the superior aspect attached to the lesser tub...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2018.05.006
更新日期:2018-10-01 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::Athletes consistently recruit or transfer high levels of repetitive force through the spine. Proper force transmission from the legs to the hips and pelvis and through the trunk is vital. Hip and pelvis joint restrictions and muscle strength deficits coupled with poor endurance of the trunk muscle will lead to spinal ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2012.03.003
更新日期:2012-07-01 00:00:00
abstract::Tennis is becoming increasingly popular, especially with young athletes. Despite recent advances in epidemiologic research of tennis injuries, there still is a need for more injury research in all of the racquet sports. The data that does exist show that the young athlete is susceptible to injury in these different sp...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(05)70237-4
更新日期:2000-10-01 00:00:00
abstract::Headache is one of the most common entities to affect mankind. In addition to headaches seen in the general population, there are numerous types of headaches that are related to physical activity and sports. This article discusses the mechanism, presentation, evaluation, treatment, and prevention of the most common ca...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1992-04-01 00:00:00
abstract::Athletes, like other patients, will adhere to their treatment more readily if they believe the physician really understands their needs and cares about them as individuals. The guidelines provided in this article are intended to help the practitioner respond more effectively to each individual patient because effectiv...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1991-04-01 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::The problem of the injured knee has attracted thoughtful discussion over the years. A current review of changes in thinking and treatment relative to the meniscus, ligament injuries, the extensor mechanism, prosthetic ligaments, and rehabilitation is presented. ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:
更新日期:1985-04-01 00:00:00
abstract::The profiling characteristics reported on include anthropometric data, cardiovascular fitness, flexibility, nutrition, and strength. This information can be useful to the coach and athlete in enhancing performance. Also discussed are the basic rules of wrestling. ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:
更新日期:1984-01-01 00:00:00
abstract::The etiologies of low back pain and the biomechanics and pathology of the lumbar spine as they relate to tennis stroke mechanics have been reviewed, and a treatment protocol has been presented. A recent survey of the Men's Professional Tennis Tour is the only article found that discusses low back pain in tennis player...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1988-04-01 00:00:00
abstract::Chest pain in the athlete may arise from any one of a number of diverse etiologies. Many of these entities are discussed using an organ system approach. The pathophysiology and clinical characteristics of these processes are described and imaging studies that may aid in establishing their diagnosis are discussed. ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1987-10-01 00:00:00
abstract::Diagnostic imaging plays a key role in the evaluation of adult hip pain. Cornerstone to the initial assessment of hip pain is the plain radiograph. The need for secondary imaging of the hip and choice of imaging modality depends on the clinical presentation, results of the plain radiograph series, and clinical questio...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(05)70278-7
更新日期:2001-10-01 00:00:00
abstract::Careful patient selection, accurate surgical technique, and careful postoperative rehabilitation are all equally important to success in lateral release surgery. Whether the surgery is performed by open or arthroscopic technique, one must release all layers of the retinaculum, spare the vastus lateralis, extend the re...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(05)70006-5
更新日期:1997-01-01 00:00:00
abstract::Boxers are not immune from the abuse of drugs. This article outlines the history of drug taking in boxing and sport in general. The current criteria that constitute doping, and prohibited substances and methods in and out of competition, according to guidelines issued by the World Anti-Doping Agency, are listed. Drugs...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2009.06.005
更新日期:2009-10-01 00:00:00
abstract::The spine plays an essential role in the contribution toward athletic performance. As the central pillar of the body, the structures of the spine are susceptible to injury related with sports participation. This article identifies many of the most commonly seen sports-related injuries to the spine, and discusses pract...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:10.1016/j.csm.2009.09.011
更新日期:2010-01-01 00:00:00
abstract::Certain topics and controversies involving young athletes are addressed, including unclear criteria for volume and intensity of training and acute and overuse injuries of the knee. Osteochondritis dissecans, tibial spine avulsions, peri-pelvic apophyseal avulsions, and back injuries are discussed. ...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1995-07-01 00:00:00
abstract::The use of radiofrequency or laser to treat lax anterior cruciate ligaments is at its infancy. The imaging results of such treated ligaments using MRI are undocumented in the literature. This article reviews the basic science behind thermal treatment of ligaments and previously published and unpublished data on this t...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(02)00021-2
更新日期:2002-10-01 00:00:00
abstract::For arthroscopy of the elbow to be safe and effective, the arthroscopist must develop a systematic and reproducible arthroscopic examination technique. We believe that the technique and the identification of anatomic structures described in this article provide a safe and reliable means of performing this procedure. A...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:
更新日期:1986-10-01 00:00:00
abstract::The war against substance abuse continues in today's society and the sports world often seems to be in the middle of all the attention, especially among the media. New recreational drugs arrive on the scene from time to time, much like GHB, but the predominant substances of abuse continue to be marijuana, cocaine, and...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(05)70079-x
更新日期:1998-04-01 00:00:00
abstract::Foot and ankle injuries are common in sport. Although many available imaging techniques can be useful in identifying and classifying injuries, magnetic resonance imaging (MRI) provides high levels of sensitivity and specificity for articular and soft-tissue injuries. Arthroscopic and minimally invasive treatment techn...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/j.csm.2013.03.007
更新日期:2013-07-01 00:00:00
abstract::There have been a growing number of participants in high school and collegiate athletics in recent years, placing ever-increasing demands on the sports medicine team. Building a winning sports medicine team is equally as important to the success of an athletic organization as fielding talented athletes. Acquisition of...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:10.1016/j.csm.2006.12.003
更新日期:2007-04-01 00:00:00
abstract::The lumbar spine is resistant to serious injury in normal athletic activity, but it can often be symptomatic. Although the symptoms are frequently musculotendinous in origin, it is important that structural causes be recognized early, particularly in the skeletally immature athlete. In the mature athlete, it is import...
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::A previously unpublished report of seven professional athletes who were treated for ulnar-sided wrist pain is presented in this article. This report is followed by an introduction to the anatomy, examination, and imaging of the ulnar side of the wrist. Specific sources of ulnar-sided wrist pain, including triangulofib...
journal_title:Clinics in sports medicine
pub_type: 杂志文章
doi:10.1016/s0278-5919(05)70102-2
更新日期:1998-07-01 00:00:00
abstract::Overuse syndromes of the upper extremity in the athletic population are a common and often difficult problem for physician and patient alike. Optimal function of the upper extremity is tied intimately to success in many sporting activities. Correct diagnosis and proper care require a thorough knowledge of the pertinen...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:
更新日期:1996-04-01 00:00:00
abstract::The classification system devised by Allman and Tossy, and revised by Rockwood, defines the extent of injury to the AC joint and helps to guide management of AC joint injuries [1,4,6]. In general, type I and II injuries may be treated nonoperatively with a sling, mainly for comfort, for a short period of time. Once th...
journal_title:Clinics in sports medicine
pub_type: 杂志文章,评审
doi:10.1016/s0278-5919(02)00098-4
更新日期:2003-04-01 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