Evolution of arthroscopic shoulder stabilization: do we still need open techniques?

For citation purposes: Sedeek S, Gerard E, Andrew H. Evolution of arthroscopic shoulder stabilization: do we still need open techniques? OA Orthopaedics 2013 May 01;1(1):1. Abstract Introduction Traumatic anterior instability of the shoulder is a common condition associated with a high recurrence rate in young adults. Clinicians, therefore, have been trying to find a technically simple, highly effective, reproducible procedure for recurrent anterior shoulder instability. The arthroscopic treatment of glenohumeral instability is becoming increasingly accepted as a viable treatment option. The purpose of this paper is to evaluate the accuracy of arthroscopic techniques comparing them with the open surgical procedures, and to find out whether there are absolute contraindications for arthroscopic techniques. We conducted a critical review of recently published relevant literature. Discussion Arthroscopic stabilization has become the panacea for traumatic shoulder instability due to the escalating advances in surgical techniques and technology. In comparison with open techniques, arthroscopic procedures have the advantages of decreased morbidity rate, early functional rehabilitation and improved range of motion. Conclusion The absolute contraindications to arthroscopic shoulder stabilization are decreasing every day. We believe that significant humeral head defects and sizable glenoid bone loss remain the only definitive indications for open surgery.