Shoulder Multidirectional instability & surgical repair

A reflective blog describing the course of treatment over 12 months of a female patient with multidirectional instability, multiple dislocations and her decision to have a surgical repair and stabilisation.

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Scapula rehabilitation - which exercise to choose?

This blog compares different approaches for scapula rehabilitation. It has been interesting reading about the research which explores which exercises promote certain muscles around the scapula. This blog also introduces a contrasting approach, which focussing on retraining upward rotation rather than isolated muscle strengthening. While the focus has been on scapula dyskinesis relating to shoulder impingement, the principles in this blog are generalisable to some extent to many shoulder problems. 

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The role of the Scapula in Shoulder Impingement Syndrome: Part 1

Shoulder impingement has been described and researched for many years and some of the original work was described by Neer in the early 1980’s. As our understanding of impingement has expanded we have come to realise that there are many types of shoulder impingement i.e internal and external, and primary and secondary. For some the word can be daunting and if not clearly specified, it can leave the clinician and patient without knowledge of what structure is at fault, where it is occurring and why. This is the first of three blogs looking at shoulder impingement, the role of the scapula, and different approaches to the treatment of scapula dyskinesis in shoulder impingement syndrome. 

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