Advances in the management and treatment algorithms for anterior shoulder instability
Hurley, Eoghan
Hurley, Eoghan
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Publication Date
2022-04-28
Type
Thesis
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Abstract
Anterior shoulder instability is a common clinical problem, with a reported incidence ranging from 8 to 25 per 100,000 person years in the general population, with higher rates seen 1-3 in athletic populations. However, many aspects of the management of this pathology remain 4 controversial due to a relative lack of high-level evidence to guide treatment. Furthermore, there are often regional philosophical differences in how anterior shoulder instability is approached that result in a dichotomous treatment algorithm between surgeons, further adding 5, 6 to this controversy. in Chapter 1 via systematic reviews & meta-analyses to determine the optimal treatment algorithms in the management of anterior shoulder instability. Following on from this in Chapter 2, we sought to evaluate the evaluate pain control strategies as well as critically analyze the complications following shoulder stabilization, and then implement strategies to improve them. In Chapter 3, we evaluated the outcomes in athletes and looked at return-to-play specific metrics with a view to optimize the outcomes in this population. Additionally, in Chapter 4, we evaluated the clinical outcomes of those undergoing shoulder stabilization in the Sports Surgery Clinic, Dublin and NYU Langone Health, New York. Finally, in Chapter 5, 65 shoulder surgeons from 14 countries across 5 continents were brought together to participate in consensus statements on anterior shoulder instability utilizing the Delphi Method. Within each chapter the appropriate literature review was conducted in the form of a systematic review to address the question.
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NUI Galway