Glenohumeral joint steroid injection

Shoulder instability surgery can help restore comfort and function to shoulders with dislocations, instability, or apprehension. In the hands of an experienced surgeon, shoulder instability surgery can be a most effective method for restoring comfort and function to a shoulder with recurrent instability, dislocations, or apprehension in a healthy and motivated patient. The best results are obtained when the surgery repairs a shoulder injury which resulted in a tear of the labrum and ligaments from the glenoid socket. In this situation, the surgeon has a good opportunity to restore the normal anatomy of the shoulder. Pre-planning and persistent rehabilitation efforts will help assure an optimal result for the patient.

Canale, S. Terry, and James H. Beaty, eds. "Acromioclavicular Joint." Campbell's Operative Orthopaedics. 11th ed. Philadelphia: Mosby Elsevier, 2008. 3586-3587. Clarke, H. D., and P. D. McCann. "Acromioclavicular Joint Injuries." Orthopedic Clinics of North America 31 2 (2000): 177-187. Dlaback, Jeffrey A. "Chapter 57 - Acute Dislocations." Campbell's Operative Orthopaedics. Eds. S. Terry Canale and James H. Beaty. 11th ed. Philadelphia: Mosby Elsevier, 2008. Malone, Terry R., Thomas Mcpoil, and Arthur J. Nitz, eds. Orthopedic and Sports Physical Therapy. St. Louis: Mosby-Year Book, Inc., 1997. Prybyla, David, et al. "Acromioclavicular Joint Separations." eMedicine . Eds. Lynn A. Crosby, et al. 7 Feb. 2012. Medscape. 3 Oct. 2013 <http:///article/1261906-overview>. Rizzo, Thomas, et al., eds. "Chapter 9 - Acromioclavicular Injuries." Essentials of Physical Medicine and Rehabilitation. 2nd ed. Philadelphia: Saunders, Elsevier, 2008. Rockwood, C. A., Gerald Williams, and Christopher Young. "Disorders of the Acromioclavicular Joint." The Shoulder. Eds. C. A. Rockwood and Frederick A. Matsen. 2nd ed. Philadelphia: . Saunders, 1998. 483-554. Salter, Robert, ed. Textbook of Disorders and Injuries of the Musculoskeletal System. 3rd ed. Philadelphia: Lippincott, Williams & Wilkins, 1999. Source: Medical Disability Advisor

Glenohumeral ligaments  (superior, middle and inferior) –  Consists of three bands, which runs with the joint capsule from the glenoid fossa to the anatomical neck of the humerus. They act to stabilise the anterior aspect of the joint.

  • Coracohumeral ligament – Attaches the base of the coracoid process to the greater tubercle of the humerus. It supports the superior part of the joint capsule.
  • Transverse humeral ligament – Spans the distance between the two tubercles of the humerus. It holds the tendon of the long head of the biceps in the intertubercular groove.
The other major ligament is the coracoacromial ligament. Unlike the others, it is not a thickening of the joint capsule. It runs between the acromion and coracoid process of the scapula, forming the coraco-acromial arch .  This structure overlies the shoulder joint, preventing superior displacement of the humeral head.

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