Posterior Shoulder Instability in Athletes.

JBJS Rev · Sep 01 2025 · Review

Song CB, Farooq H, Kirillov E, Saraf SM, Miller J, Mulcahey MK

Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, Illinois

Shoulder & Elbow Sports Medicine

SUMMARY — THE REDUCTIONPosterior shoulder instability in athletes presents with pain and instability, diagnosed clinically with imaging, managed nonoperatively initially, with shoulder arthroscopy and posterior labral repair for surgical candidates.
Abstract, as published

» Posterior shoulder instability (PSI) constitutes approximately 10% of all shoulder instability cases and is prevalent among contact sport athletes because of recurrent blunt trauma to the shoulder.» PSI presents as persistent pain and can be diagnosed using clinical tests such as the Kim test and the Jerk test.» Surgical intervention is recommended for athletes who have exhausted nonoperative treatment. Shoulder arthroscopy with posterior labral repair is the primary surgical treatment for PSI, with the goal of mitigating risk for recurrent instability and persistent pain.» The primary objective of this review was to discuss the relevant literature regarding the etiology, diagnosis, treatment, and rehabilitation for PSI.

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