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Physical examination findings in young athletes correlate with history of shoulder instability
Authors:Owens Brett D  Duffey Michele L  Deberardino Thomas M  Cameron Kenneth L
Institution:Keller Army Hospital, West Point, New York 10996, USA. b.owens@us.army.mil
Abstract:The goal of this study was to evaluate physical examination findings in a healthy cohort and determine potential correlations with a history of shoulder instability. A cross-sectional analysis was performed using the baseline data for an ongoing prospective cohort study to examine the risk factors for shoulder instability. A complete history of shoulder instability events was obtained, and a blinded physical examination was performed. The cohort comprised 711 patients (627 men, 84 women) with a mean age of 18.8 years. A total of 100 patients had a history of shoulder instability. Patients with a history of instability were more likely to have increased posterior translation (P=.010), positive apprehension sign (P=.003), positive relocation sign (P=.007), and sulcus sign (P=.017).
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