PURPOSE The purpose of this study was to systematically review the evidence on the outcomes of arthroscopic repair for anterior shoulder instability in first-time dislocators when compared with patients with recurrent instability. METHODS We designed a systematic review with a specific methodology to investigate the outcomes of surgery for those with only a first-time dislocation versus those...

Between June 1983 and March 1992, we performed a capsular reconstruction procedure through an anterior approach in ten patients (ten shoulders) who had multidirectional laxity of the shoulder and symptomatic atraumatic posterior glenohumeral instability. The procedure included closure of the capsule in the rotator interval and imbrication of the anterior, inferior, and posteroinferior aspects o...

BACKGROUND The aims of this study were to investigate the clinical characteristics of patients with combined anterior instability and superior labrum from anterior to posterior (SLAP) lesions, and to analyze the effect of concomitant SLAP repair on surgical outcomes. METHODS We retrospectively reviewed patients who underwent arthroscopic stabilization for anterior shoulder instability between...

BACKGROUND The coracoacromial ligament (CAL) is an important restraint to superior shoulder translation. CAL release with the Latarjet procedure leads to increased superior humeral translation. Therefore, a surgical technique was developed to reconstruct the CAL during a modified Latarjet procedure. METHODS Between May 2010 and July 2011, six patients (five were male, one was female; age 23-4...

Anterior shoulder dislocations are commonly associated with humeral greater tuberosity fractures (w16% of cases), which include Hill-Sachs lesions. The second most common fracture associated with an anterior shoulder dislocation is a fracture of the anterior glenoid (i.e., bony Bankart lesion). By comparison, a coracoid fracture occurring in association with an anterior shoulder dislocation is ...