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Orthop Clin North Am. 2020 Apr;51(2):241-258. doi: 10.1016/j.ocl.2019.11.008. Epub 2020 Jan 31.

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

Author information

1
Midwest Orthopaedics at Rush, Rush University Medical Center, 1611 West Harrison Street, Chicago, IL 60612, USA. Electronic address: Lisa.Friedman@rushortho.com.
2
Clinique Générale, Alps Surgery Institute, 4 Chemin de la Tour la Reine, 74000 Annecy, France.
3
Midwest Orthopaedics at Rush, Rush University Medical Center, 1611 West Harrison Street, Chicago, IL 60612, USA. Electronic address: https://twitter.com/Grant_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.

KEYWORDS:

Arthroscopy; Bankart; Dislocation; Instability; Latarjet; Shoulder; Subluxation

PMID:
32138862
DOI:
10.1016/j.ocl.2019.11.008
[Indexed for MEDLINE]

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