153. Posterior shoulder instability assessment, surgery & rehab. Physio Edge Shoulder Success podcast with Jo Gibson

Posterior shoulder instability can occur after a fall onto an outstretched arm, or diving and hitting the ground with your arm (like diving to score a try in rugby), injuring the posterior labrum and/or the glenohumeral joint. Unlike anterior shoulder instability, patients with posterior shoulder instability may not have a feeling of instability, but may just experience pain, fatigue and weakness.

How can you identify posterior shoulder instability in your shoulder pain patients? What does your rehab for posterior shoulder instability need to include?

Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio).

The handout for this podcast consists of a transcript, a summary and articles referenced in the podcast.

Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”. 

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Articles associated with this episode:

• Download the podcast handout to receive the articles associated with this podcast.

• Brelin A, Dickens JF. Posterior shoulder instability. Sports Medicine and Arthroscopy Review. 2017 Sep 1;25(3):136-43.

• Gutkowska O, Martynkiewicz J, Urban M, Gosk J. Brachial plexus injury after shoulder dislocation: a literature review. Neurosurgical review. 2020 Apr;43:407-23.

• Longo UG, Ciuffreda M, Locher J, Casciaro C, Mannering N, Maffulli N, Denaro V. Posterior shoulder instability: a systematic review. British Medical Bulletin. 2020 Jul 9.

• Sadi J, Torchia E, Faber KJ, MacDermid J, Lalonde C, Watson L, Weber M, Wu N. Posterior shoulder instability classification, assessment, and management: an international Delphi study. Journal of Orthopaedic & Sports Physical Therapy. 2020 Jul;50(7):373-80.

Chapters:

• 03:17 - Case study
• 06:57 - Assessment tests
• 13:17 - Rehab
• 15:32 - Other treatment options
• 16:10 - Recovery
• 17:43 - Scapular dyskinesis
• 21:59 - Barriers to recovery