Adolescent Shoulder Injuries: Consensus and Controversies by Dean C. Taylor, and Kevin L. Krasinski...
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Transcript of Adolescent Shoulder Injuries: Consensus and Controversies by Dean C. Taylor, and Kevin L. Krasinski...
![Page 1: Adolescent Shoulder Injuries: Consensus and Controversies by Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am Volume 91(2):462-473 February.](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649d0c5503460f949e00e3/html5/thumbnails/1.jpg)
Adolescent Shoulder Injuries: Consensus and Controversies
by Dean C. Taylor, and Kevin L. Krasinski
J Bone Joint Surg AmVolume 91(2):462-473
February 1, 2009
©2009 by The Journal of Bone and Joint Surgery, Inc.
![Page 2: Adolescent Shoulder Injuries: Consensus and Controversies by Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am Volume 91(2):462-473 February.](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649d0c5503460f949e00e3/html5/thumbnails/2.jpg)
Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am 2009;91:462-473
©2009 by The Journal of Bone and Joint Surgery, Inc.
![Page 3: Adolescent Shoulder Injuries: Consensus and Controversies by Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am Volume 91(2):462-473 February.](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649d0c5503460f949e00e3/html5/thumbnails/3.jpg)
Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am 2009;91:462-473
©2009 by The Journal of Bone and Joint Surgery, Inc.
![Page 4: Adolescent Shoulder Injuries: Consensus and Controversies by Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am Volume 91(2):462-473 February.](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649d0c5503460f949e00e3/html5/thumbnails/4.jpg)
Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am 2009;91:462-473
©2009 by The Journal of Bone and Joint Surgery, Inc.
![Page 5: Adolescent Shoulder Injuries: Consensus and Controversies by Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am Volume 91(2):462-473 February.](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649d0c5503460f949e00e3/html5/thumbnails/5.jpg)
Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am 2009;91:462-473
©2009 by The Journal of Bone and Joint Surgery, Inc.
![Page 6: Adolescent Shoulder Injuries: Consensus and Controversies by Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am Volume 91(2):462-473 February.](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649d0c5503460f949e00e3/html5/thumbnails/6.jpg)
Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am 2009;91:462-473
©2009 by The Journal of Bone and Joint Surgery, Inc.
![Page 7: Adolescent Shoulder Injuries: Consensus and Controversies by Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am Volume 91(2):462-473 February.](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649d0c5503460f949e00e3/html5/thumbnails/7.jpg)
Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am 2009;91:462-473
©2009 by The Journal of Bone and Joint Surgery, Inc.
![Page 8: Adolescent Shoulder Injuries: Consensus and Controversies by Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am Volume 91(2):462-473 February.](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649d0c5503460f949e00e3/html5/thumbnails/8.jpg)
Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am 2009;91:462-473
©2009 by The Journal of Bone and Joint Surgery, Inc.
![Page 9: Adolescent Shoulder Injuries: Consensus and Controversies by Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am Volume 91(2):462-473 February.](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649d0c5503460f949e00e3/html5/thumbnails/9.jpg)
External rotation (A and B) and internal rotation (C and D) comparison radiographs of a skeletally immature patient with Little Leaguer's shoulder.
Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am 2009;91:462-473
©2009 by The Journal of Bone and Joint Surgery, Inc.
![Page 10: Adolescent Shoulder Injuries: Consensus and Controversies by Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am Volume 91(2):462-473 February.](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649d0c5503460f949e00e3/html5/thumbnails/10.jpg)
With abduction and external rotation of a normal shoulder, tension develops reciprocally and equally in the anterior (AIGHL) and posterior (PIGHL) bands of the inferior glenohumeral
ligament.
Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am 2009;91:462-473
©2009 by The Journal of Bone and Joint Surgery, Inc.
![Page 11: Adolescent Shoulder Injuries: Consensus and Controversies by Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am Volume 91(2):462-473 February.](https://reader036.fdocuments.in/reader036/viewer/2022082612/56649d0c5503460f949e00e3/html5/thumbnails/11.jpg)
When there is contraction of the posterior aspect of the capsule, the posterior band of the inferior glenohumeral ligament (PIGHL) shortens, the glenohumeral contact point shifts
posteriorly, and the allowable arc of external rotation increases substantiall...
Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am 2009;91:462-473
©2009 by The Journal of Bone and Joint Surgery, Inc.