From the Research
The retropulsion test is not a recommended assessment tool for shoulder instability, as the most recent and highest quality studies focus on other diagnostic methods and rehabilitation techniques for shoulder instability. When evaluating shoulder instability, it is essential to consider the patient's symptoms, medical history, and physical examination findings. The diagnosis of shoulder instability can be challenging, and imaging studies such as X-rays, CT scans, and MRI may be necessary to confirm the diagnosis and guide treatment decisions 1. According to recent studies, the primary goal of rehabilitation for shoulder instability is to restore pain-free mobility, strength, and functioning, with a focus on range of motion and strengthening exercises to restore proprioceptive control and scapular kinematics 2. In cases of traumatic anterior shoulder instability, careful patient selection is key to a favorable outcome, and primary shoulder stabilization should be considered for patients with high risk of recurrence or for elite athletes 3. Some key points to consider when evaluating and treating shoulder instability include:
- The type and severity of the instability, such as anterior or posterior dislocation of the humeral head
- The presence of any concomitant injuries, such as labral tears or fractures
- The patient's overall health and medical history, including any previous injuries or surgeries
- The use of imaging studies to guide diagnosis and treatment decisions
- The importance of rehabilitation and physical therapy in restoring strength and function to the affected shoulder. It is crucial to prioritize patient safety and well-being when evaluating and treating shoulder instability, and to consider the most recent and highest quality evidence when making treatment decisions 2, 3, 1.