PURPOSE The purpose of this study was to systematically review the evidence on the outcomes of arthroscopic repair for anterior shoulder instability in first-time dislocators when compared with patients with recurrent instability. METHODS We designed a systematic review with a specific methodology to investigate the outcomes of surgery for those with only a first-time dislocation versus those...

OBJECTIVES SLAP (superior labrum anterior and posterior) lesions are a recognised cause of shoulder pain and instability. They can occur following a direct blow, biceps traction and compression injuries, and are commonly seen in overhead athletes. Military personnel are physically active and often subjected to trauma. We assessed the incidence of SLAP lesions within a military population presen...

Recurrent anterior shoulder dislocation often leads to the presence of a Hill-Sachs lesion. A large Hill-Sachs lesion compromises shoulder stability and should be addressed with bone augmentation when it is too deep. Here, we introduce a method of arthroscopic bone grafting of the humeral head for the treatment of a deep Hill-Sachs lesion in patients with anterior shoulder instability. Our indi...

Shoulder instability is a major complaint in overhead athletes. The shoulder joint stability is provided mainly by rotator cuff muscles. The Electromechanical Delay (EMD) may be an important parameter in the responsiveness of a muscle. The aim of this study was to measure and compare the infraspinatus EMD in healthy and unstable shoulders and in dominant and non-dominant shoulders. We did not f...

INTRODUCTION What is the rate of injecting patients with shoulder corticosteroid injections to alleviate excessive stiffness and pain within 6 months after shoulder surgery? METHODS Retrospective 10-year review of a shoulder surgeon's practice. Participants included 754 patients who had 945 non-arthroplasty shoulder surgeries. Outcome measures included the rate of injections, diagnoses, patie...

BACKGROUND Recurrence of anterior shoulder instability after operative repair is an uncommon but disabling condition for which treatment options have been insufficiently studied. Coracoid transfer as described by Latarjet is a highly successful primary operation for recurrent anterior shoulder instability. The purpose of this study was to verify the hypothesis that this procedure is also effect...

1 Measurement properties of the Western Ontario Shoulder Instability Index 1 in Dutch patients with shoulder instability 2 3 Just A. van der Linde, MD*, W. Jaap Willems, MD, PhD¶, Derk A. van Kampen, MD, PhD^, 4 Loes W.A.H. van Beers, MSc*, Derek F.P. van Deurzen, MD*, Caroline B. Terwee, PhD§ 5 6 * Department of Orthopaedic Surgery and Traumatology, Onze Lieve Vrouwe Gasthuis, 7 Amsterdam, the...

The "floating" posterior inferior glenohumeral ligament (floating PIGHL) is an uncommon cause of posterior shoulder instability. This pathologic lesion, defined as detachment of both the origin of the PIGHL (posterior Bankart lesion) and insertion of the of the PIGHL from its humeral head insertion site, often results in significant and persistent shoulder instability symptoms. An effective sur...

PURPOSE To document outcomes after anterior capsulolabral reconstruction for recurrent shoulder instability in 15 patients (20 shoulders) who have had multiple failed stabilizations or collagen disorders. METHODS Twenty shoulders with recurrent instability underwent revision stabilization with allograft reconstruction of anterior capsulolabral structures, which re-creates the labrum and capsu...