Keller Army Hospital, 900 Washington Rd., West Point, NY 10996, USA.
Phys Sportsmed. 2010 Oct;38(3):55-60. doi: 10.3810/psm.2010.10.1808.
Although shoulder instability is common in young athletes, there are limited prospective data to guide treatment for competitive athletes who sustain a dislocation mid-season. The management of athletes during their competitive season requires an understanding of the natural history of shoulder instability, the specific needs of the injured athlete (eg, specific sport, player position), and the duration of treatment. Rehabilitation can enable an athlete with a shoulder dislocation to return to play within 3 weeks of injury. Bracing is an option, but it can result in restricted glenohumeral motion and thereby possibly affect performance. Surgical stabilization should be considered for the athlete with recurrent instability or inability to perform; however, this frequently results in the termination of the player's season. In this article, we review the available literature to help guide physicians treating athletes with shoulder instability.
尽管肩部不稳定在年轻运动员中很常见，但对于在赛季中期遭受脱位的竞技运动员，目前可用于指导治疗的前瞻性数据有限。在竞技赛季中管理运动员需要了解肩部不稳定的自然病程、受伤运动员的具体需求（例如特定运动、运动员位置）以及治疗持续时间。康复可以使肩部脱位的运动员在受伤后 3 周内重返赛场。支具是一种选择，但可能会导致盂肱关节活动受限，从而可能影响运动表现。对于反复出现不稳定或无法运动的运动员，应考虑手术稳定，但这通常会导致运动员赛季的结束。在本文中，我们回顾了现有文献，以帮助指导治疗肩部不稳定的运动员的医生。
