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Orthop Clin North Am. 2014 Oct;45(4):523-39. doi: 10.1016/j.ocl.2014.06.005. Epub 2014 Jul 24.

Management of bone loss in glenohumeral instability.

Author information

1
Sports Health, Department of Orthopaedic Surgery, Cleveland Clinic Foundation, 5555 Transportation Boulevard, Garfield Heights, Cleveland, OH 44125, USA. Electronic address: Rmpatel7@gmail.com.
2
Sports Health, Department of Orthopaedic Surgery, Cleveland Clinic Foundation, 5555 Transportation Boulevard, Garfield Heights, Cleveland, OH 44125, USA.

Abstract

This review discusses the evaluation and management of bone loss in glenohumeral instability. The glenohumeral joint may experience a dislocation or subluxation associated with traumatic injury or through repetitive atraumatic events. Nearly 62% of cases with recurrent dislocation have both Hill-Sachs and bony Bankart defects. Treatment of unstable bone defects may require soft-tissue repair, bone grafting, or both, depending on the size and nature of the defects. The most common treatment is isolated soft-tissue repair, leaving the bone defects untreated, although emerging evidence supports directly addressing these bony defects.

KEYWORDS:

Bankart lesion; Glenohumeral instability; Hill-Sachs; Latarjet

PMID:
25199423
DOI:
10.1016/j.ocl.2014.06.005
[Indexed for MEDLINE]

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