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Shoulder apprehension: A multifactorial approach.
Journal article

Shoulder apprehension: A multifactorial approach.

  • Lädermann A Division of Orthopaedics and Trauma Surgery, Department of Surgery, University Hospitals of Geneva, Switzerland.
  • Tirefort J Division of Orthopaedics and Trauma Surgery, La Tour Hospital, Switzerland.
  • Zanchi D Department of Psychiatry (UPK), University of Basel, Switzerland.
  • Haller S Faculty of Medicine, University of Geneva, Switzerland.
  • Charbonnier C Faculty of Medicine, University of Geneva, Switzerland.
  • Hoffmeyer P Division of Orthopaedics and Trauma Surgery, Department of Surgery, University Hospitals of Geneva, Switzerland.
  • Cunningham G Division of Orthopaedics and Trauma Surgery, Department of Surgery, University Hospitals of Geneva, Switzerland.
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  • 2019-01-22
Published in:
  • EFORT open reviews. - 2018
anteroinferior glenohumeral dislocation
apprehension
shoulder instability
English Shoulder apprehension is related to changes in functional cerebral networks induced by dislocations, peripheral neuromuscular lesions and persistent mechanical glenohumeral instability consisting of micro-motion.All the damage to the osseous and soft-tissue stabilizers of the shoulder, as well as neurologic impairment persisting even after stabilization, must be properly identified in order to offer the best possible treatment to the patient.There is growing evidence supporting the use of a global multimodal approach, involving, on the one hand, shoulder 'reafferentation', including proprioception, mirror therapy and even cognitive behavioural approaches, and, on the other hand, surgical stabilization techniques and traditional physical therapy in order to minimize persistent micro-motion, which may help brain healing. This combined management could improve return to sport and avoid dislocation arthropathy in the long term. Cite this article: EFORT Open Rev 2018;3:550-557. DOI: 10.1302/2058-5241.3.180007.
Language
  • English
Open access status
gold
Identifiers
Persistent URL
https://sonar.ch/global/documents/73771
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