OBJECTIVE To evaluate the prevalence of lesions associated with traumatic anterior shoulder instability and the relationships between the prevalence of these lesions and the number of episodes and time since symptoms started. METHOD Fifty-seven patients aged 18 to 40 years, with traumatic anterior shoulder instability, more than one episode of shoulder dislocation and at least six months sinc...

OBJECTIVE To evaluate the clinical results from patients with traumatic anterior shoulder instability that was treated surgically through arthroscopic viewing, using bioabsorbable anchors and a technique for remove the cartilage of the anterior glenoid rim for repairing a Bankart lesion. METHOD Between March 2006 and October 2008, 27 shoulders in 27 patients with a diagnosis of traumatic ante...

The surgical treatment of recurrent posterior shoulder instability via a posterior approach has had a variable degree of success reported in the literature with recurrence rates ranging between 8% and 45%. The purpose of this study was to review the results of posterior capsulorrhaphy in a consecutive series of patients with recurrent posterior instability. Seventeen consecutive patients underw...

Background Bone defects of the glenoid are often found in patients with traumatic anterior glenohumeral instability. There is no consensus regarding which glenoid defects need to be treated surgically. The aim of this review is to describe the management of glenoid defects in anterior shoulder instability in patients with traumatic anterior glenohumeral instability. Methods We conducted a rev...

T he pathoanatomy of anterior shoulder dislocations has been well documented. Perthes described an anterior labral lesion as early as 1906, and Bankart wrote his classic article on recurrent anterior dislocations more than seventy years ago. Until recently, much less had been written about posterior shoulder instability; to our knowledge, the first case series was reported by Reeves in 1963. Re...

433 R arthrography is the preferred imaging technique for the investigation of patients with shoulder instability [1, 2]. MR arthrography reliably shows subtle lesions of the labroligamentous complex, providing information essential to the surgeon concerning the surgery or arthroscopic repair. Most patients presenting with shoulder instability have anterior instability; in these cases, evaluati...

A 16-year-old right-hand-dominant boy who is a competitive swimmer presents with dominant shoulder pain. He is referred by his family care doctor and another orthopaedic surgeon, who are concerned about shoulder instability based on radiographs that they interpret as a Hill-Sachs lesion. The patient reports that the injury occurred about a month before presentation, when he fell directly onto h...

BACKGROUND We aimed to establish values and parameters using multislice reconstruction in axial computerized tomography (CT) in order to quantify the erosion of the glenoid cavity in cases of shoulder instability. METHODS We studied two groups using CT. Group I had normal subjects and Group II had patients with shoulder instability. We measured values of the vertical segment, the superior hor...

CONTEXT Osseous injury to the glenoid is increasingly being recognized as one of the most important aspects in the successful management of recurrent shoulder instability. Proper early recognition of glenoid bone injury in the setting of recurrent instability will lead to successful nonoperative and operative decision making, particularly in the athletic patient. EVIDENCE ACQUISITION We condu...