Open Anterior Shoulder Stabilization

  • David Limb


  • Recurrent dislocation or symptoms of instability after dislocation.

  • In young people, the risk of recurrent dislocation after an index dislocation is very high, and some would consider stabilization after a single dislocation, particularly in those younger than 20 years of age.

  • However, there is some evidence that there may be an increased risk of degenerative change on long-term review if this protocol is followed, and this cannot be considered to be an absolute indication.

  • It should go without saying that anterior stabilization is for anterior instability, so care has to be taken to ensure that there is not a major posterior or inferior element to the instability pattern.


External Rotation Recurrent Dislocation Subscapularis Tendon Latarjet Procedure Hill Sachs Lesion 
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Further Reading

  1. Hobby J, Griffin D, Dunbar M, et al. Is arthroscopic surgery for stabilisation of chronic shoulder instability as effective as open surgery? A systematic review and meta-analysis of 62 studies including 3044 arthroscopic operations. J Bone Joint Surg Br. 2007;89(9):1188–96.PubMedCrossRefGoogle Scholar
  2. Khazzam M, Kane SM, Smith MJ. Open shoulder stabilization procedure using bone block technique for treatment of chronic glenohumeral instability associated with bony glenoid deficiency. Am J Orthop. 2009;38(7):329–35.PubMedGoogle Scholar
  3. Langford J, Bishop J, Lee E, et al. Outcomes following open repair of Bankart lesions for recurrent, traumatic anterior glenohumeral dislocations. Orthopedics. 2006;29(11):1008–13.PubMedGoogle Scholar
  4. Wolf BR, Strickland S, Williams RJ, et al. Open posterior stabilization for recurrent posterior glenohumeral instability. J Shoulder Elbow Surg. 2005;14(2):157–64.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  1. 1.Leeds General InfirmaryLeedsUK

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