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Shoulder to shoulder: stabilising instability, re-establishing rhythm, and rescuing the rotators!
  1. B M Pluim1,
  2. R E H van Cingel2,
  3. W B Kibler3
  1. 1Royal Netherlands Lawn Tennis Association, Amersfoort, The Netherlands
  2. 2Sport Medisch Centrum Papendal, The Netherlands
  3. 3Lexington Clinic, The Netherlands
  1. Correspondence to Dr B M Pluim, Royal Netherlands Lawn Tennis Association, PO Box 1617, Amersfoort 3800 BP, The Netherlands; bpluim{at}

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There have been tremendous advances in the diagnosis and management of shoulder injuries. For this issue of the BJSM, we target the world’s leading shoulder clinicians to share their insights. We outline the concept of scapular dyskinesis, simplify the classification and management of shoulder instability, and clarify the essentials of office shoulder examination. Are you at all confused as to how to diagnose whether shoulder pain is due to a superior labrum anterior posterior (SLAP) lesion? Do young pitchers with shoulder pain scare you? Then this issue is for you!

Kibler on scapular dyskinesis

Good scapular stability and a normal scapulo-humeral rhythm are essential for good shoulder function. Being able to recognise an abnormal rhythm is the key to managing shoulder injuries. Kibler and Sciascia1 identify the causes of an altered scapular resting position and explain the concept of scapular dyskinesis (see page 300). Note the step-by-step guide to the examination of a shoulder with scapular dyskinesis and the …

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