What is the best approach when evaluating GH joint integrity in cases of instability?

Combining multiple special tests is the best approach when evaluating glenohumeral (GH) joint integrity in cases of instability because this method allows for a more comprehensive assessment. Each special test targets different aspects of the joint's functionality and stability, making it possible to gather diverse information about the integrity of the GH joint. This comprehensive approach helps the clinician not only verify the presence of instability but also understand its nature and extent, leading to more effective treatment planning.

In cases of joint instability, relying on just one method may lead to incomplete or inaccurate conclusions. For example, if only imaging techniques or patient-reported outcomes were used, subtle issues might go undetected. Imaging can reveal structural changes but may not provide insight into functional stability. Similarly, focusing solely on patient-reported outcomes can provide subjective perspectives but lacks the objective evaluation necessary for a thorough assessment.

Using multiple special tests can highlight different instability patterns and help distinguish between various underlying causes, such as ligamentous laxity, muscular weakness, or neuromuscular control deficits. Therefore, the combination of these tests fosters a holistic view of the joint's condition, which is crucial for informed diagnosis and management in therapy.