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Scapular Dyskinesis and Glenohumeral Instability

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Disorders of the Scapula and Their Role in Shoulder Injury

Abstract

Alteration of scapular position and motion (scapular dyskinesis) is common in association with symptoms and dysfunction from many types of glenohumeral instability. In some types of instability, particularly multidirectional instability (MDI) and posterior instability, dyskinesis can be a major factor in the dysfunction. In all types of instability, the alterations increase the functional deficit associated with instability and increase the difficulty of rehabilitation unless they are recognized and treated as part of a comprehensive program. Evaluation of scapular position at rest and with arm motion should be an integral part of the clinical examination of the patient with instability, and scapular rehabilitation is important to restore glenohumeral kinematics, either in a nonoperative, preoperative, or postoperative program.

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Author information

Authors and Affiliations

  1. Department of Orthopedics, Lexington Clinic Orthopedics—Sports Medicine Center, The Shoulder Center of Kentucky, 1221 South Broadway, Lexington, KY, 40504, USA

    W. Ben Kibler MD

  2. Athletic Training Education Program, Eastern Kentucky University, 228 Moberly Building, 521 Lancaster Avenue, Richmond, KY, 40475, USA

    Aaron D. Sciascia PhD, ATC, PES (Assistant Professor)

Authors
  1. W. Ben Kibler MD
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  2. Aaron D. Sciascia PhD, ATC, PES
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Correspondence to W. Ben Kibler MD .

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Editors and Affiliations

  1. Lexington Clinic Orthopedics and Sports Medicine Center, Lexington, Kentucky, USA

    W. Ben Kibler

  2. Eastern Kentucky University, Richmond, Kentucky, USA

    Aaron D. Sciascia

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Ben Kibler, W., Sciascia, A.D. (2017). Scapular Dyskinesis and Glenohumeral Instability. In: Kibler, W., Sciascia, A. (eds) Disorders of the Scapula and Their Role in Shoulder Injury. Springer, Cham. https://doi.org/10.1007/978-3-319-53584-5_7

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  • DOI: https://doi.org/10.1007/978-3-319-53584-5_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-53582-1

  • Online ISBN: 978-3-319-53584-5

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