Posterior Instability

  • Salvatore J. Frangiamore
  • Prem N. Ramkumar
  • Erik M. Fritz
  • Sandeep Mannava
  • Peter J. Millett


Posterior glenohumeral instability has become more frequently recognized recently, but diagnosis remains challenging, owing to its variety of clinical presentations with the majority presenting with pain rather than instability. For the management of posterior instability without bone loss, arthroscopic posterior stabilization has been shown to be effective to address capsulolabral injury and posterior humeral avulsion of the glenohumeral ligament.


Posterior shoulder instability Posterior subluxation 

Recommended Literature

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    Millett PJ, Clavert P, Hatch GF 3rd, Warner JJ. Recurrent posterior shoulder instability. J Am Acad Orthop Surg. 2006;14(8):464–76.CrossRefGoogle Scholar
  2. 2.
    Martetschläger F, Padalecki JR, Millett PJ. Modified arthroscopic McLaughlin procedure for treatment of posterior instability of the shoulder with an associated reverse Hill-Sachs lesion. Knee Surg Sports Traumatol Arthrosc. 2013;21(7):1642–6. Epub 2012 Oct 7.CrossRefPubMedGoogle Scholar
  3. 3.
    Ames JB, Millett PJ. Combined posterior osseous Bankart lesion and posterior humeral avulsion of the glenohumeral ligaments: a case report and pathoanatomic subtyping of “floating” posterior inferior glenohumeral ligament lesions. J Bone Joint Surg Am. 2011;93(20):e118(1)–4. Scholar
  4. 4.
    Antoniou J, Duckworth DT, Harryman DT II. Capsulolabral augmentation for the management of posteroinferior instability of the shoulder. J Bone Joint Surg Am. 2000;82:1220–30.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Salvatore J. Frangiamore
    • 1
  • Prem N. Ramkumar
    • 2
  • Erik M. Fritz
    • 3
  • Sandeep Mannava
    • 4
  • Peter J. Millett
    • 5
  1. 1.Summa Health Orthopaedics and Sports MedicineAkronUSA
  2. 2.Department of OrthopedicsCleveland ClinicClevelandUSA
  3. 3.Department of Orthopaedic SurgeryUniversity of MinnesotaMinneapolisUSA
  4. 4.Department of Orthopedics and Rehabilitation, Division of Sports Medicine, Division of Shoulder and Elbow SurgeryUniversity of RochesterRochesterUSA
  5. 5.Shoulder, Knee, Elbow and Sports Medicine, Orthopaedic SurgeryThe Steadman ClinicVailUSA

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