Rockwood Adults CH34

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CHAPTER 34 • Glenohumeral Instability

Figure 34-12.  Disposable paper shorts have been modified to allow female patients to wear it in the style of a tube-top ( A ), allowing the clinician to observe shoulder and scapular motion both from the front and the back ( B ).

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Figure 34-13.  A: This patient presents with symptoms of shoul- der pain and diagnosis of multidi- rectional instability. The Beighton hypermobility score was measured. Passive dorsiflexion of the bilat- eral thumbs touched his forearm. B: Hyperextension of the elbow was also observed with more than 10 degrees of hyperextension.

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Figure 34-14.  A: Patient with MDI and hyperlaxity with increased external rotation of > 90 degrees with the arm at the side. B: Hyperabduction of 130 degrees and more than 20 degrees more than the contralat- eral side is a positive Gagey sign.