Shoulder Instability in the Athlete

Shoulder Instability in the Athlete: Management and Surgical Techniques for Optimized Return to Play is a groundbreaking text that covers all aspects of care for athletes with shoulder instability—from on-the-field management and treatment to successful return to play.

Edited by Drs. Jonathan F. Dickens and Brett D. Owens and featuring the expertise of internationally recognized surgeons who specialize in shoulder instability in high-level athletes, Shoulder Instability in the Athlete is a unique collaboration applicable across a variety of professional areas. This will be the premiere reference for physicians, surgeons, therapists, trainers, and students involved in the care of athletes.

Each chapter of Shoulder Instability in the Athlete reviews cutting-edge clinical and surgical techniques, as well as outcomes and return to play criteria. In-depth analysis of appropriate literature and outcomes specific to the athlete population are also presented.

Important sections within the text include:

• Principles for the Team Physician
• Anterior Instability
• Posterior Instability
• Special Topics in Instability

By focusing specifically on the unique and challenging dilemma of caring for the athlete with shoulder instability, Shoulder Instability in the Athlete will be a valuable reference for all health professionals who manage athletes.

Contents

Dedication
Acknowledgments
About the Editors
Contributing Authors
Preface
Introduction

Section I    Principles for the Team Physician
Chapter 1    Team Physician Principles for the Management of Athletes
Jessica L. Brozek, MD and Bradley J. Nelson, MD

Chapter 2    Epidemiology of Shoulder Instability: Incidence, Risk Factors, and Prevention of Instability  in the Athlete
David J. Tennent, MD; Matthew A. Posner, MD; and Kenneth L. Cameron, PhD, MPH, ATC

Chapter 3    Evaluation of Shoulder Instability on the Field and in the Clinic
Francis P. Bustos, MD; Jeremy K. Rush, MD, FAAP; and Stephen F. Brockmeier, MD

Chapter 4    Clinical Anatomy and Biomechanics
David Eldringhoff, MD; Barry I. Shafer, PT, DPT, ATC; Gregory J. Adamson, MD; and Thay Q. Lee, PhD

Section II    Anterior Instability
Chapter 5    Management of In-Season Anterior Instability and Return­to­Play Outcomes
Jonathan F. Dickens, MD and Maj. Michael A. Donohue, MD

Chapter 6    Decision Making in Surgical Treatment of Athletes With First­-Time vs Recurrent  Shoulder Instability
Brian C. Lau, MD; Carolyn A. Hutyra, MMCi; and Dean C. Taylor, MD

Chapter 7    Radiographic and Advanced Imaging to Assess Anterior Glenohumeral Bone Loss
Lisa K. O’Brien, DO and Brian R. Waterman, MD

Chapter 8    Arthroscopic Anterior Shoulder Instability in the Athlete
Lauren A. Szolomayer, MD and Robert Arciero, MD

Chapter 9    Open Treatment of Anterior Instability
Michael J. Pagnani, MD and Jason A. Jones, MD

Chapter 10    Latarjet and Coracoid Transfer in Athletes
Alexander Beletsky, BA; Ian J. Dempsey, MD, MBA; Brandon J. Manderle, MD;  and Nikhil N. Verma, MD

Chapter 11    Glenoid Bone Loss Augmentation Variations
Matthew L. Vopat, MD; Liam A. Peebles, BA; Maj. Travis J. Dekker, MD, MC, USAF;  and Matthew T. Provencher, MD, MC, USNR

Chapter 12    Arthroscopic Latarjet
Laurent LaFosse, MD; Christian Moody, MD; and Leonard Achenbach, MD

Chapter 13    Hill-Sachs Management
Morad Chughtai, MD; Andrew Swiergosz, MD; Linsen T. Samuel, MD, MBA;  and Anthony Miniaci, MD

Chapter 14    Rehabilitation of the In­Season and Postoperative Athlete
Kevin E. Wilk, PT, DPT and Lenny Macrina, MSPT, SCS, CSCS

Chapter 15    Return-to­Play Evaluation in the Postoperative Athlete for Anterior Shoulder Instability
Brian Busconi, MD; Jonathon A. Hinz, DO; Benjamin J. Brill, DO;  and Vickie Dills, PT, DPT, OCS, ITPT, CSAC

Section III    Posterior Instability
Chapter 16    History and Examination of Posterior Instability
Trey Colantonio, MD, CPT and CDR Lance LeClere, MD

Chapter 17    Imaging of Posterior Shoulder Instability
Josef K. Eichinger, MD, FAOA and Joseph W. Galvin, DO, FAAOS

Chapter 18    Management of In-Season Athletes With Posterior Glenohumeral Instability
Mark Slabaugh, MD, FAAOS and Christopher Gaunder, MD

Chapter 19    Arthroscopic Management of Posterior Instability
Fotios Paul Tjoumakaris, MD and James P. Bradley, MD

Chapter 20    Bone Augmentation for Posterior Instability
Jaymeson R. Arthur, MD and John M. Tokish, MD

Chapter 21    Postsurgical Rehabilitation of Posterior Instability
Evan W. James, MD; Kenneth M. Lin, MD; Lawrence V. Gulotta, MD; and Samuel A. Taylor, MD

Chapter 22    Return to Play Following Posterior Stabilization
Tracey Didinger, MD; Jennifer Reed, NP; and Eric McCarty, MD

Section IV    Special Topics in Instability
Chapter 23    Revision Arthroscopic Stabilization
Craig R. Bottoni, MD and Zackary Johnson, MD

Chapter 24    Instability in the Throwing Athlete
Ashley J. Bassett, MD and Steven B. Cohen, MD

Chapter 25    Instability in the Pediatric and Adolescent Athlete
Joseph W. Galvin, DO, FAAOS and Xinning Li, MD

Chapter 26    Special Considerations for Multidirectional Instability
Mark E. Cinque, MD and Geoffrey D. Abrams, MD

Chapter 27    Special Considerations for Return to Play in Collision Athletes (Hockey, Football, and Rugby)
Bruce S. Miller, MD, MS; Asheesh Bedi, MD; and Jack W. Weick, MD

Chapter 28    Management of the Aging Athlete With the Sequelae of Shoulder Instability
Lucca Lacheta, MD; Maj. Travis J. Dekker, MD, MC, USAF; and Peter J. Millett, MD, MSc

Financial Disclosures
Index

About the Editors

Jonathan F. Dickens, MD is Chief of the Orthopaedic Sports Medicine and Shoulder Service at Walter Reed National Military Medical Center (WRNMMC) in Bethesda, Maryland; Vice-Chair of Research for the Uniformed Services University Department of Surgery; and Adjunct Faculty at the John A. Feagin Jr. Sports Medicine Fellowship at the US Military Academy in West Point, New York. He is an Associate Professor of Surgery at the Uniformed Services University of the Health Sciences.

Dr. Dickens earned his Bachelor of Science from Davidson College in North Carolina before entering the Army. He subsequently completed medical school at Indiana University in Bloomington, followed by Orthopaedic Surgery Residency at WRNMMC. He completed his Fellowship in Sports Medicine and Arthroscopy at the John A. Feagin Jr. Sports Medicine Fellowship at West Point. Dr. Dickens is a Lieutenant Colonel in the US Army and has served as a Consultant Physician for Special Operations Task Force–Afghanistan in 2015 and Commander of the Hamid Karzi International Airport NATO Role II Hospital in Kabul, Afghanistan in 2019.

Brett D. Owens, MD is a Board-certified orthopedic sports medicine surgeon. Dr. Owens is currently a Professor in the Department of Orthopaedic Surgery at the Brown University Alpert Medical School and practices in Providence, Rhode Island. He is a retired Colonel in the US Army and previously served as Chief of Orthopaedics and Sports Medicine at Keller Army Hospital, West Point, New York. He is currently Team Physician for Brown University Athletics and the Providence Bruins (AHL).

He attended the US Military Academy and Georgetown University School of Medicine. He completed his residency at the University of Massachusetts and the John A. Feagin Jr. Sports Medicine Fellowship at West Point. He was an AOA North American Traveling Fellow as well as an AOSSM-ESSKA Traveling Fellow.

Dr. Owens has published more than 250 articles in orthopedics and sports medicine. This is his fourth textbook. His research has garnered the O’Donoghue Research Award, Aircast Award, and NCAA Research Awards from the American Orthopaedic Society for Sports Medicine and the AAOS Kappa Delta Award. Dr. Owens is proud to serve as Associate Editor of the American Journal of Sports Medicine since 2012.