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.

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Presentation transcript:

Adolescent Shoulder Injuries: Consensus and Controversies by Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am Volume 91(2): February 1, 2009 ©2009 by The Journal of Bone and Joint Surgery, Inc.

Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

Dean C. Taylor, and Kevin L. Krasinski J Bone Joint Surg Am 2009;91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

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: ©2009 by The Journal of Bone and Joint Surgery, Inc.

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: ©2009 by The Journal of Bone and Joint Surgery, Inc.

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: ©2009 by The Journal of Bone and Joint Surgery, Inc.