What is Ambri and tubs?

TUBS, characterized by Traumatic, Unidirectional instability and Bankart lesion which often requires Surgery. The second group AMBRI, is characterized by Atraumatic, Multidirectional, Bilateral instability that often responds to Rehabilitation, but in case of surgery Inferior capsular shift is indicated.

What are the 3 types of shoulder dislocations?

There are 3 different types of shoulder dislocation:

• Anterior (forward). The head of the arm bone (humerus) is moved forward, in front of the socket (glenoid).
• Posterior (behind). The head of the arm bone is moved behind and above the socket.
• Inferior (bottom).

What is Ambri shoulder instability?

Historically, clinicians used the acronyms TUBS and AMBRI to classify shoulder instability into two broad, etiologic categories: Traumatic, Unilateral, Bankart lesion, Surgery (TUBS) Atraumatic, Multidirectional, Bilateral, Rehabilitation, Inferior capsular shift (AMBRI)

Are there different types of dislocated shoulder?

The anterior dislocation is the most frequently encountered shoulder dislocation, comprising approximately 95% to 97% of cases. Posterior dislocations (Figure 2) occur in 2% to 4% of cases, and inferior dislocations (Figure 3) are rare.

What is a tubs injury?

Traumatic instability (TUBS) is instability that arises from an force large enough to injure some of the major supporting structures of the joint, such as the glenohumeral capsule, ligaments, rotator cuff, or the bone of the humerus or glenoid.

What is Remplissage procedure?

Remplissage is an arthroscopic procedure that insets the posterior shoulder capsule and infraspinatus tendon into the Hill-Sachs defect, converting the intra-articular location of the defect to an extra-articular one.

What are the types of dislocation?

Shoulder dislocations (along with finger dislocations) are the most common type of dislocations orthopedic specialists treat, however any ball and socket joint can experience dislocation. Other types of dislocations include dislocated knee, hip dislocation and elbow dislocation.

What is the most common type of shoulder dislocation?

The shoulder joint is the most frequently dislocated joint of the body. Because it moves in several directions, your shoulder can dislocate forward, backward or downward. The most common variety is a forward (anterior) dislocation.

What is the putti Platt procedure?

Putti-Platt is one of the surgical treatment options for anterior shoulder instability. In this procedure, the flexible cord (tendon) of the subscapularis muscle is cut and then reattached to the head of the upper arm bone (humerus).

What is the difference between laxity and instability?

Repetitive trauma and microdamage of the soft tissues can lead to laxity, which in turn results in instability. These two terms represent a phenomenon that exists on a continuum from mild (laxity) to severe (instability).

What is a Remplissage?

Remplissage is a French term that means “To Fill the Defect”. Thus in this procedure an additional pair of anchors are placed into the Hill-Sachs lesion and the infraspinatus rotator cuff tendon is repaired into the defect to fill the defect. This serves as a checkrein to prevent any further anterior instability.

What is a shoulder Remplissage?

What is anterior shoulder dislocation?

In an anterior dislocation, the arm is an abducted and externally rotated position. In the externally rotated position, the posterosuperior aspect of the humeral head abuts and drives through the anteroinferior aspect of the glenoid rim. This can damage the humeral head, glenoid labrum, or both.

What is Subscap?

The subscapularis is the largest, strongest muscle of the rotator cuff. The rotator cuff muscles are important in shoulder movement and help maintain glenohumeral joint stability. The subscapularis muscle lies at the anterior surface of the scapula.

What is a Capsulorrhaphy?

A capsulorrhaphy is a surgical procedure that repairs and tightens the shoulder capsule, (the connective tissue around the shoulder) to help stabilize the ball and socket. The procedure tightens the essential ligaments that provide stability to the shoulder joint.

What is a lax shoulder?

Shoulder laxity is the physiological presence of asymptomatic translation of the shoulder joint. There is a wide spectrum of asymptomatic laxity in the anterior, posterior and inferior planes (11).

What is Frank joint instability?

Although joint instability would represent the lack of this ability, the definition used by investigators and clinicians within studies is inconsistent, with three main definitions: (1) excessive and occasionally uncontrolled range of motion resulting in frank joint dislocation; (2) small, abnormal movement in an …

What are the types of dislocation of the shoulder?

Anterior Shoulder Dislocation This anterior dislocation accounts for 95 percent of shoulder dislocations. It has four sub-types named according to how the dislocated head is positioned: subclavicular, sub-glenoid, sub-coracoid and the rare intrathoracic.

What are the treatment options for bilateral shoulder dislocation/subluxation?

AMBRI: Atraumatic multidirectional bilateral shoulder dislocation/subluxation often responds to rehabilitation, and sometimes an inferior capsular shift or plication is required.

What causes anterior shoulder dislocations?

Many anterior shoulder dislocations are a result of extension, abduction or rotating the shoulder externally. This happens in activities such as spiking in volleyball and overhead ball throws.

What are the different types of shoulder instability?

If you have read about shoulder instability, you have run into some of these terms, if not all! Let’s try to simplify. There are basically two major categories of unstable shoulders. In the first category, an injury tears the labrum and stretches the capsule either in the front of the shoulder or –less commonly– the back of the shoulder.