Bony Versus Soft Tissue Reconstruction for Anterior Shoulder Instability

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Bony Versus Soft Tissue Reconstruction for Anterior Shoulder Instability

BACKGROUND One complication of anteroinferior glenohumeral shoulder dislocation is a critical bone defect that requires surgical repair to prevent recurrent instability. However, controversy exists regarding the surgical management because both open and arthroscopic surgeries have respective advantages and disadvantages. Moreover, it is difficult to determine the patient's preferred treatment, ...

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Arthroscopic Soft Tissue Procedures for Anterior Shoulder Instability

Background Arthroscopy has rapidly transformed the treatment of anterior shoulder instability over the past 30 years. Development of arthroscopic equipment has permitted the investigation and diagnosis of the unstable shoulder, and fixation methods have evolved to promote arthroscopy from an experimental procedure to one of first-line mainstream treatment. Methods Key research papers were rev...

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Failed anterior reconstruction for shoulder instability.

We report a retrospective study of 46 patients with continuing difficulties after anterior reconstruction of a shoulder for instability. In 31 patients instability was still present; in 12 of these, posterior or multidirectional instability had not been recognised and a further 11 had an uncorrected anatomical defect. In 20 patients with significant pain there was often more than one cause: imp...

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Open Anterior Capsular Reconstruction of the Shoulder for Chronic Instability Using a Tibialis Anterior Allograft

Stability of the shoulder comes from a complex interaction of various factors. Dynamic and static components are provided by soft tissue and bony structures creating joint stability. Recurrent anterior glenohumeral instability can be a difficult problem because there is a wide variety of possible pathologies. To address the problem, a precise analysis of the etiology of instability is necessary...

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Pathophysiology of anterior shoulder instability.

OBJECTIVE To review some of the important biomechanical factors that provide glenohumeral stability, along with the pathologic mechanisms involved in glenohumeral instability of the shoulder. DATA SOURCES Current English medical literature concerning the multiple pathologic factors involved in glenohumeral instability was reviewed. DATA SYNTHESIS Multiple dynamic and static factors control ...

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ژورنال

عنوان ژورنال: Orthopaedic Journal of Sports Medicine

سال: 2015

ISSN: 2325-9671,2325-9671

DOI: 10.1177/2325967115618161