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 ...

BACKGROUND The high demands to the glenohumeral joint and the violent shoulder blows experienced during martial arts (MA) could compromise return to sports and increase the recurrence rate after arthroscopic stabilization for anterior shoulder instability in these athletes. PURPOSE To report the functional outcomes, return to sports, and recurrences in a series of MA athletes with anterior sh...

BACKGROUND Shoulder instability is a common problem in young athletes and can lead to pain and decreased ability to participate in high-level activities. Little is known about the modifiable risk factors for glenohumeral joint instability. HYPOTHESIS Isometric shoulder strength at baseline would be a modifiable risk factor associated with subsequent first-time anterior instability events. S...

We analyzed the results of eleven shoulders in ten patients who had a bone block procedure for recurrent posterior shoulder instability after extensive conservative treatment had failed. Five patients had posterior instability with additional laxity in another direction (UPI+), and five patients had unidirectional posterior instability without additional laxity (UPI-). After a median follow-up ...

BACKGROUND Traumatic anterior instability of the shoulder is a common condition associated with a high recurrence rate in young adults. Operative treatment reduces the risk of recurrence. Several studies have compared arthroscopic and open shoulder instability repair. The purpose of this paper is to perform a review of the literature where both techniques are compared in the repair of the anter...

Patients: 60 patients (mean age, 26 y, 87% men) with traumatic anterior instability of the shoulder, no shoulder symptoms or surgery before the first traumatic dislocation, ≤4 episodes of anterior dislocation of the shoulder, no clinical evidence of multidirectional instability, and radiological evidence of ≤30% loss of substance of the humeral head. All patients underwent arthroscopy to confir...

Shoulder pain resulting from glenohumeral instability is common among competitive swimmers. The biomechanics inherent to swimming promote muscular imbalances that stress the capsuloligamentous structures and contribute to shoulder instability. Most swimmers respond favorably to conservative treatment of rest and rehabilitation, while a small percentage may ultimately require surgical interventi...

Multidirectional shoulder instability is defined as symptomatic instability in two or more directions. Instability occurs when static and dynamic shoulder stabilizers become incompetent due to congenital or acquired means. Nonspecific activity-related pain and decreased athletic performance are common presenting complaints. Clinical suspicion for instability is essential for timely diagnosis. S...

PURPOSE The purpose of this study was to evaluate the outcomes and identify predictors of success for arthroscopic posterior Bankart reconstruction with modern suture anchor repair and anterior capsulolabral plication in a well-defined patient population-recurrent, traumatic, involuntary, unidirectional posterior shoulder instability. METHODS Patients with recurrent, traumatic, involuntary, u...

BACKGROUND Muscles are important "sensors of the joint instability". The aim of this study was to identify the neuro-motor control strategies adopted by patients with anterior shoulder instability during overhead shoulder elevation in two planes. METHODS The onset, time of peak activation, and peak magnitude of seven shoulder muscles (posterior deltoid, bilateral upper trapezius, biceps brach...