Format

Send to

Choose Destination
Arthroscopy. 2015 Jan;31(1):154-66. doi: 10.1016/j.arthro.2014.06.014. Epub 2014 Sep 8.

Identification and treatment of existing copathology in anterior shoulder instability repair.

Author information

1
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.. Electronic address: brian.forsythe@rushortho.com.
2
Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A.
3
Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, Massachusetts, U.S.A.

Abstract

Recurrent anterior instability is a common finding after traumatic glenohumeral dislocation in the young, athletic patient population. A variety of concomitant pathologies may be present in addition to the classic Bankart lesion, including glenoid bone loss; humeral head bone loss; rotator interval pathology; complex/large capsular injuries including humeral avulsions of the glenohumeral ligaments (HAGL lesions), SLAP tears, near circumferential labral tears, and anterior labral periosteal sleeve avulsions (ALPSA lesions); and rotator cuff tears. Normal anatomic variations masquerading as pathology also may be present. Recognition and treatment of these associated pathologies are necessary to improve function and symptoms of pain and to confer anterior shoulder stability. This review will focus on the history, physical examination findings, imaging findings, and recommended treatment options for common sources of copathology in anterior shoulder instability repair.

PMID:
25200942
DOI:
10.1016/j.arthro.2014.06.014
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center