Evaluation and management of recurrent anterior shoulder instability
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Updated: Aug 9, 2026
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
1The Hughston Clinic, PC, Lawrenceville, GA.
Objective:
To present an organized approach to the assessment and treatment of symptomatic recurrent anterior shoulder instability.
Background:
Knowledge of the relevant pathology and pathomechanics serves as an excellent foundation for the clinical examination, rehabilitation, and if necessary, surgical intervention for shoulder instability.
Description:
An algorithm is presented for the initial evaluation of shoulder instability, ie, history, physical examination, and diagnostic studies, followed by modes of treatment such as rehabilitation, modification of biomechanics, and surgical treatment (arthroscopic versus open).
Clinical Advantages:
Early identification of shoulder instability allows for the timely introduction of treatment principles that may obviate more invasive operative procedures.
