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Glenohumeral instability

Contents

  • 1 Background
  • 2 Evaluation
  • 3 Differential Diagnosis
    • 3.1 Shoulder and Upper Arm Diagnoses
  • 4 Management
  • 5 Disposition
  • 6 See Also

Background

  • Subluxation (separation) or shoulder dislocation (now reduced)

Evaluation

  • Patient holds arm close to body with unaffected hand

Differential Diagnosis

Shoulder and Upper Arm Diagnoses

Traumatic/Acute:

  • Shoulder Dislocation
    • Anterior shoulder dislocation
    • Posterior shoulder dislocation
    • Inferior shoulder dislocation
  • Clavicle fracture
  • Humerus fracture
  • Scapula fracture
  • Acromioclavicular joint injury
  • Glenohumeral instability
  • Rotator cuff tear
  • Biceps tendon rupture
  • Triceps tendon rupture
  • Septic joint

Nontraumatic/Chronic:

  • Rotator cuff tear
  • Impingement syndrome
  • Calcific tendinitis
  • Adhesive capsulitis
  • Biceps tendinitis
  • Subacromial bursitis
  • Cervical radiculopathy

Refered pain & non-orthopedic causes:

  • Referred pain from
    • Neck
    • Diaphragm (e.g. gallbladder disease)
  • Brachial plexus injury
    • Rucksack paralysis
  • Axillary artery thrombosis
  • Thoracic outlet syndrome
  • Subclavian steal syndrome
  • Pancoast tumor
  • Myocardial infarction
  • Pneumonia
  • Pulmonary embolism

Management

  • Follow up with ortho

Disposition

  • Outpatient

See Also

  • Shoulder diagnoses
Retrieved from "https://www.wikem.org/w/index.php?title=Glenohumeral_instability&oldid=214048"
Categories:
  • Orthopedics
  • Sports Medicine
Authors:
  • Ross Donaldson
  • Daniel Ostermayer
  • Neil Young
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This page was last edited 01:29, 10 May 2019 by Ross Donaldson. Donate