Microinstability of Major Joints in Movement Disorders: The Hidden Challenge.

Abstract

Microinstability, characterized by subtle and often painful disturbances in joint stability, significantly impacts individuals engaged in activities requiring extensive ranges of motion, such as dancing or gymnastics, and is particularly prevalent in young female athletes. This condition, resulting from progressive microtrauma, architectural and functional abnormalities, or iatrogenic factors, is challenging to diagnose and often underreported. Understanding the biomechanical nuances of microinstability is essential for accurate diagnosis and effective management. Upper limb joints, including the shoulder, elbow, wrist, and hand, each exhibit unique anatomical and functional characteristics that contribute to their susceptibility to microinstability. Movement disorders, such as Parkinson's disease, essential tremor, dystonia, and cerebral palsy, exacerbate joint instability due to impaired proprioception, altered muscle tone, and uncoordinated muscle contractions. Effective diagnosis involves physical examination techniques and advanced imaging modalities. Therapeutic interventions encompass physical therapy, pharmacological treatments, surgical procedures, and assistive devices, tailored to enhance joint stability and improve the quality of life for affected individuals.