Until relatively recently, discussion of shoulder instability referred only to traumatic and recurrent dislocations. Better clinical diagnosis and improved methods of investigation have now led to the recognition of subtle clinical lesions which present with no true dislocation, and show the increasing requirements of patients and sportsmen. Shoulder instability has become a fully-fledged syndr...

BACKGROUND The literature comparing open and arthroscopic repair for glenohumeral instability is conflicting. We performed a prospective, expertise-based, randomized clinical trial to compare open shoulder stabilization with arthroscopic shoulder stabilization by measuring quality-of-life outcomes and recurrence rates at two years among patients treated for traumatic anterior shoulder instabili...

management of first shoulder dislocation following reduction remains controversial. the two main options are immobilisation and arthroscopic stabilisation. the aim of this article is to highlight some of the issues that influence decision making when discussing management options with these patients, including natural history of the first time dislocation, outcomes of surgery and non-operative ...

The occurrence of lateral capsular disruption as a cause of anterior shoulder instability has been reported previously. 1 It was suggested that this injury be considered in patients with instability and no injury or a minimal injury to the glenoid labrum. We now report the occurrence of lateral capsular disruption of the posterior aspect of the shoulder as a cause of pain and weakness. This Les...

Background Recurrent instability following primary arthroscopic stabilization of the shoulder is a common complication. Young, athletic patients are at the greatest risk of recurring instability. To date, the literature contains insufficient description regarding whether return to sports is possible after revision arthroscopic Bankart repair. Hypothesis Patients presenting with recurrent inst...

Introduction Recurrent instability of the glenohumeral joint is usually associated with a Bankart tear—a soft-tissue injury of the glenoid labrum attachment. However, patients with recurrent shoulder instability often present with osseous injury to the glenoid and humeral head as well. Understanding and appropriately addressing irregularities in the osseous architecture of the glenohumeral join...

BACKGROUND The shoulder is the most frequently dislocated joint in the body. Multiple causes and pathologies account for the various types of shoulder instability. Multi-directional instability (MDI) and multi-directional laxity with antero-inferior instability (MDL-AII) are similar in pathology, less common and more difficult to treat. These instabilities are caused by ligamentous capsular red...

INTRODUCTION Shoulder dislocations can cause acute and chronic instabilities that need to be addressed in order to restore joint functioning. The transfer of the coracoid process has become a feasible surgical procedure in patients with shoulder instability. Several concomitant injuries after recurrent dislocations have been described. CASE PRESENTATION A 32-year-old German man presented to o...

CONTEXT It remains unknown if arthroscopic repair of recurrent anterior shoulder instability is as effective as open repair. OBJECTIVE The purpose of this study is to analyze the literature to provide clinical recommendations regarding the most appropriate therapeutic intervention for recurrent anterior shoulder instability. STUDY DESIGN Systematic review of level I and II studies. DATA S...

BACKGROUND Although increased retroversion of the glenoid has been shown to be an important factor in posterior instability of the shoulder, there are few studies reporting glenoid bone structure as a risk factor in anterior dislocation of the shoulder. This study aimed to compare glenoid version in patients with anterior dislocation of the shoulder and individuals in a control group with no sh...