Open Anterior Shoulder Stabilization
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.
KeywordsExternal Rotation Recurrent Dislocation Subscapularis Tendon Latarjet Procedure Hill Sachs Lesion
- 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