scispace - formally typeset
Journal ArticleDOI

Arthroscopic management of anterior shoulder instability with glenoid bone defects

Reads0
Chats0
TLDR
The role of glenoid bone deficiency in recurrent shoulder instability is underlined, an update on the current management regarding this pathology is provided, and the modern techniques for surgical treatment are highlighted.
Abstract
Bony deficiency of the anterior glenoid rim may significantly contribute to recurrent shoulder instability. Today, based on clinical and biomechanical data, a bony reconstruction is recommended in patients with bone loss of greater than 20-25 % of the glenoid surface area. Recent advances in arthroscopic instruments and techniques presently allow minimally invasive and arthroscopic reconstruction of glenoid bone defects and osteosynthesis of glenoid fractures. This article underlines the role of glenoid bone deficiency in recurrent shoulder instability, provides an update on the current management regarding this pathology and highlights the modern techniques for surgical treatment. Therefore, it can help orthopaedic surgeons in the treatment and decision-making when dealing with these difficult to treat patients in daily clinical practice.

read more

Citations
More filters
Journal ArticleDOI

Coracoid graft positioning in the Latarjet procedure

TL;DR: This standardized CT scan analysis after Latarjet procedure has shown to accurately describe graft positioning in the axial plane with both good intra-observer reproducibility and inter-ob server reproducible.
Journal ArticleDOI

CT-based quantitative assessment of the surface size and en-face position of the coracoid block post-Latarjet procedure.

TL;DR: The mean surface of the coracoid bone graft is smaller than expected from anatomical studies, but restores in defect situations bone stock in the potential defect areas at the anterior glenoid rim.
Journal ArticleDOI

Restoration of Articular Geometry Using Current Graft Options for Large Glenoid Bone Defects in Anterior Shoulder Instability.

TL;DR: Overall, glenoid allografts most accurately restored articular geometry, and Classic Latarjet performed well in axial and coronal curvature on average but exhibited large variability.
Journal ArticleDOI

Patients' expectations of shoulder instability repair.

TL;DR: Patient expectations for primary and revision shoulder instability repair are high and realistic patient expectations regarding the surgical procedure are necessary to avoid low patient satisfaction, especially in pre-operatively highly active and demanding athletes.
Journal ArticleDOI

Arthroscopic Knotless, Tensionable All-Suture Anchor Bankart Repair.

TL;DR: The purpose of this Technical Note is to describe the preferred surgical technique with a minimally invasive approach for the fixation of capsulolabral tears using a knotless all-suture anchor construct.
References
More filters
Journal ArticleDOI

Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion.

TL;DR: Arthroscopic Bankart repairs give results equal to open Bankart repair if there are no significant structural bone deficits (engaging Hill-Sachs or inverted-pear Bankart lesions).
Journal ArticleDOI

The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair: a cadaveric study.

TL;DR: The purposes of the present study were to create and quantify various sizes of osseous defects of the glenoid and to determine the effect of such defects on the stability and motion of the shoulder after Bankart repair.
Journal ArticleDOI

The instability severity index score: A SIMPLE PRE-OPERATIVE SCORE TO SELECT PATIENTS FOR ARTHROSCOPIC OR OPEN SHOULDER STABILISATION

TL;DR: It is believed that an arthroscopic Bankart repair is contraindicated in patients with recurrent anterior shoulder instability who underwent this procedure using suture anchors, and a Bristow-Latarjet procedure instead is suggested.
Journal ArticleDOI

Long-Term Results of the Latarjet Procedure for the Treatment of Anterior Instability of the Shoulder*

TL;DR: The purpose of the study was to determine the prevalence of glenohumeral osteoarthrosis and the factors related to its development after the Latarjet procedure and to review the clinical and radiographic results for fifty-six patients who had been followed for an average of 14.3 years.

A simple pre-operative score to select patients for arthroscopic or open shoulder stabilisation

TL;DR: In this paper, a prospective case-control study of 131 consecutive unselected patients with recurrent anterior shoulder instability who underwent this procedure using suture anchors was carried out and the following risk factors were identified: patient age under 20 years at the time of surgery, involvement in competitive or contact sports or those involving forced overhead activity; shoulder hyperlaxity; a Hill-Sachs lesion present on an anteroposterior radiograph of the shoulder in external rotation and/or loss of the sclerotic inferior glenoid contour.
Related Papers (5)