OVERVIEW Chapter synopsis Glenoid bone loss is frequently present in patients with recurrent anterior shoulder instability. Key factors indicative of significant glenoid bone loss of more than 20% are instability at midranges of abduction (20–60 degrees) and progressive ease of…
OVERVIEW Chapter synopsis Bipolar bone loss or failure of Bankart repair has led many surgeons to perform a Latarjet procedure for recurrent instability. Open Latarjet repair has shown good long-term results. The arthroscopic Latarjet procedure combines the advantages of an…
OVERVIEW Chapter synopsis The majority of anterior instability cases requiring surgery can be successfully managed with arthroscopic soft tissue repair or reconstruction. In the setting of significant bone defects, however, recurrence is high with isolated arthroscopic Bankart repair. The Latarjet…
OVERVIEW Chapter synopsis The glenoid track concept is useful in evaluating the risk of engagement between a Hill-Sachs lesion and the glenoid. There are direct and/or indirect methods of surgical treatment. The direct method includes (1) filling of the humeral…
OVERVIEW Chapter synopsis Arthroscopic Hill-Sachs remplissage (AHSR) is indicated for patients who are at high risk for recurrence or failure after isolated arthroscopic anterior soft tissue repair, and in whom large humeral head defects are contributing significantly to the instability…
OVERVIEW Chapter synopsis Multidirectional instability (MDI) of the shoulder is a typically atraumatic condition resulting in the ability to dislocate or subluxate the glenohumeral joint anteriorly, posteriorly, and inferiorly. Patients with atraumatic MDI generally have pathologic laxity contributing to their…
OVERVIEW Chapter synopsis This chapter describes the background, etiology, diagnosis, treatment, rehabilitation, and outcomes for posterior instability of the glenohumeral joint treated with open surgical repair. Important points Differentiate from other shoulder pathology using exam and imaging Open procedure best…
OVERVIEW Chapter synopsis While arthroscopic shoulder stabilization techniques have become increasingly popular, their popularity is tempered by high failure rates in high-risk groups. Open capsular repair is an often-neglected technique for patients at risk for postoperative instability with success rates…
OVERVIEW Chapter synopsis Multidirectional instability (MDI) is a complex condition that involves symptomatic subluxations or dislocations of the glenohumeral joint in two or more directions. A thorough clinical history and detailed physical examination are necessary for proper diagnosis, while a…
OVERVIEW Chapter synopsis Although increasingly recognized, posterior shoulder instability is relatively uncommon when compared with anterior shoulder instability. A thorough history and physical examination are imperative, with most patients having no specific traumatic event but rather repetitive microtrauma being the…