Global Perspectives on Management of Shoulder Instability: Decision Making and Treatment

The Orthopedic Clinics of North America
Lisa G M FriedmanGrant E Garrigues

Abstract

The glenohumeral joint is prone to instability. Patients with instability should have a physical examination. Imaging studies can provide additional information. Classification schemes that into account soft tissue pathology, neuromuscular control, bone loss, and activity level. An arthroscopic Bankart repair is the mainstay for unidirectional instability. Bone block procedures are indicated for patients with bone loss or a failed attempt at stabilization surgery. The arthroscopic Latarjet is a promising option for these patients. For patients with multidirectional instability, prolonged rehabilitation is indicated, followed by capsular plication or inferior capsular shift if instability is unresponsive to physical therapy.

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Citations

Apr 26, 2021·Journal of Shoulder and Elbow Surgery·Lucas G TeskeEllen Shanley
May 15, 2021·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Betina B HinckelJack Farr
Feb 23, 2021·Journal of Shoulder and Elbow Surgery·Eoghan T HurleyLaith M Jazrawi
May 28, 2021·EFORT Open Reviews·Luciano A RossiMaximiliano Ranalletta
Aug 1, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Eoghan T HurleyUNKNOWN Anterior Shoulder Instability International Consensus Group
Sep 25, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Lukas N Muench, Andreas B Imhoff

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