Current concepts in anterior glenohumeral instability: diagnosis and treatment

The glenohumeral joint is the most dislocated articulation, accounting for more than 50% of all joint dislocations. The reason behind shoulder instability should be investigated in detail for successful management, and the treatment plan should be individualized for all patients. Several classificat...

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Bibliographic Details
Published in:SICOT-J 2021, Vol.7, p.48
Main Authors: Moya, Daniel, Aydin, Nuri, Yamamoto, Nobuyuki, Simone, Juan Pablo, Robles, Paul Patiño, Tytherleigh-Strong, Graham, Gobbato, Bruno, Kholinne, Erica, Jeon, In-Ho
Format: Article
Language:English
Subjects:
bankart
Classification
Clinical outcomes
Decision making
glenohumeral
instability
latarjet
Pathology
Patients
Range of motion
Rehabilitation
Review
Risk factors
Shoulder
Skin & tissue grafts
Special Issue: "SICOT Education Academy Collection" Guest Editor: H. Said
Surgery
Trauma
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Summary:The glenohumeral joint is the most dislocated articulation, accounting for more than 50% of all joint dislocations. The reason behind shoulder instability should be investigated in detail for successful management, and the treatment plan should be individualized for all patients. Several classification systems have been proposed for glenohumeral instability. A physical exam is mandatory no matter what classification system is used. When treating patients with anterior shoulder instability, surgeons need to be aware of the critical size of the bone loss, which is commonly seen. The glenoid track concept was clinically adopted, and the measurement of the glenoid track for surgical decision-making is recommended. Detailed assessment of existing soft tissue injury to the labrum, capsule, glenohumeral ligaments, and rotator cuff is also mandatory as their presence influences the surgical outcome. Rehabilitation, arthroscopic repair techniques, open Bankart procedure, capsular plication, remplissage, Latarjet technique, iliac crest, and other bone grafts offer the surgeon different treatment options according to the type of patient and the lesions to be treated. Three-dimensional (3D) technologies can help to evaluate glenoid and humeral defects. Patient-specific guides are low-cost surgical instruments and can be used in shoulder instability surgery. 3D printing will undoubtedly become an essential tool to achieve the best results in glenohumeral instability surgery.
ISSN:2426-8887
2426-8887
DOI:10.1051/sicotj/2021048