Die klinische Untersuchung der anterioren glenohumeralen Instabilität

Handballer, Speerwerfer und andere Sportler, die viele Wurf- und Schlagbewegungen ausführen, leiden oft an Schmerzen in der Schulter. Die Schmerzen können auf viele verschiedene klinische Muster zurückgeführt werden. Ein typisches klinisches Muster ist die anteriore glenohumerale Instabilität. Hierfür stehen dem Sportphysiotherapeuten valide Testverfahren zur Verfügung.

• Literatur

• 1 Berbig R, Weishaupt D, Prim J. et al. Primary anterior shoulder dislocation and rotator cuff tears. Journal of Shoulder and Elbow Surgery/American Shoulder and Elbow Surgeons [et al] 1999; 8: 220-225
• 2 Cavallo RJ, Speer KP. Shoulder instability and impingement in throwing athletes. Medicine and Science in Sports and Exercise 1998; 30: S18-25
• 3 Corpus KT, Camp CL, Dines DM. et al. Evaluation and treatment of internal impingement of the shoulder in overhead athletes. World Journal of Orthopedics 2016; 7: 776-784
• 4 Cotter EJ, Hannon CP, Christian D. et al. Comprehensive examination of the athlete’s shoulder. Sports Health 2018; 10: 366-375
• 5 Eshoj H, Ingwersen KG, Larsen CM. et al. Intertester reliability of clinical shoulder instability and laxity tests in subjects with and without self-reported shoulder problems. BMJ Open 2018; 8: e018472
• 6 Farrar NG, Malal JJ, Fischer J. et al. An overview of shoulder instability and its management. The Open Orthopaedics Journal 2013; 7: 338-346
• 7 Galvin JW, Ernat JJ, Waterman BR. et al. The epidemiology and natural history of anterior shoulder instability. Current Reviews in Musculoskeletal Medicine 2017; 10: 411-424
• 8 Gross ML, Distefano MC. Anterior release test. A new test for occult shoulder instability. Clinical Orthopaedics and Related Research. 1997
• 9 Hegedus EJ, Cook C, Lewis J. et al. Combining orthopedic special tests to improve diagnosis of shoulder pathology. Physical Therapy in Sport: Official Journal of the Association of Chartered Physiotherapists in Sports Medicine 2015; 16: 87-92
• 10 Hegedus EJ, Goode AP, Cook CE. et al. Which physical examination tests provide clinicians with the most value when examining the shoulder? Update of a systematic review with meta-analysis of individual tests. British Journal of Sports Medicine 2012; 46: 964-978
• 11 Jaggi A, Lambert S. Rehabilitation for shoulder instability. British Journal of Sports Medicine 2010; 44: 333-340
• 12 Kim SH, Park JC, Park JS. et al. Painful jerk test: A predictor of success in nonoperative treatment of posteroinferior instability of the shoulder. The American Journal of Sports Medicine 2004; 32: 1849-1855
• 13 Leroux T, Wasserstein D, Veillette C. et al. Epidemiology of primary anterior shoulder dislocation requiring closed reduction in Ontario, Canada. The American Journal of Sports Medicine 2014; 42: 442-450
• 14 Lewis JS, McCreesh K, Barratt E. et al. Inter-rater reliability of the Shoulder Symptom Modification Procedure in people with shoulder pain. BMJ Open Sport & Exercise Medicine 2016; 2: e000181
• 15 Lizzio VA, Meta F, Fidai M. et al. Clinical evaluation and physical exam findings in patients with anterior shoulder instability. Current Reviews in Musculoskeletal Medicine 2017; 10: 434-441
• 16 Lo IK, Nonweiler B, Woolfrey M. et al. An evaluation of the apprehension, relocation, and surprise tests for anterior shoulder instability. The American Journal of Sports Medicine 2004; 32: 301-307
• 17 Manske R, Ellenbecker T. Current concepts in shoulder examination of the overhead athlete. International Journal of Sports Physical Therapy 2013; 8: 554-578
• 18 McFarland EG, Campbell G, McDowell J. Posterior shoulder laxity in asymptomatic athletes. The American Journal of Sports Medicine 1996; 24: 468-471
• 19 McFarland EG, Garzon-Muvdi J, Jia X. et al. Clinical and diagnostic tests for shoulder disorders: A critical review. British Journal of Sports Medicine 2010; 44: 328-332
• 20 Owens BD. CORR Insights((R)): External rotation immobilization for primary shoulder dislocation: A randomized controlled trial. Clinical Orthopaedics and Related Research 2014; 472: 2387-2388
• 21 Reinold MM, Curtis AS. Microinstability of the shoulder in the overhead athlete. International Journal of Sports Physical Therapy 2013; 8: 601-616
• 22 Ren H, Bicknell RT. From the unstable painful shoulder to multidirectional instability in the young athlete. Clinics in Sports Medicine 2013; 32: 815-823
• 23 Speer KP, Hannafin JA, Altchek DW. et al. An evaluation of the shoulder relocation test. The American Journal of Sports Medicine 1994; 22: 177-183
• 24 Tzannes A, Paxinos A, Callanan M. et al. An assessment of the interexaminer reliability of tests for shoulder instability. Journal of Shoulder and Elbow Surgery/American Shoulder and Elbow Surgeons [et al] 2004; 13: 18-23
• 25 Valencia Mora M, Iban MAR, Heredia JD. et al. Physical exam and evaluation of the unstable shoulder. The Open Orthopaedics Journal 2017; 11: 946-956
• 26 van Kampen DA, van den Berg T, van der Woude HJ. et al. Diagnostic value of patient characteristics, history, and six clinical tests for traumatic anterior shoulder instability. Journal of Shoulder and Elbow Surgery/American Shoulder and Elbow Surgeons [et al] 2013; 22: 1310-1319