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Related Experiment Video

Updated: May 15, 2026

Knotless Independent Double-Row Repair and Biceps Augmentation for Anterosuperior Rotator Cuff Tears
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Arthroscopic posterior bone block augmentation in posterior shoulder instability.

Daniel Grant Schwartz1, Sven Goebel, Kalman Piper

  • 1Alps Surgery Institute, Clinique Générale d'Annecy, 4 Chemin de la Tour la Reine, Annecy, France. daniel.g.schwartz@gmail.com

Journal of Shoulder and Elbow Surgery
|January 23, 2013
PubMed
Summary

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Arthroscopic posterior bone block augmentation effectively treats posterior shoulder instability, improving patient scores and achieving bone healing. This minimally invasive approach offers a reliable alternative to more extensive surgeries.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Shoulder Arthroscopy

Background:

  • Posterior shoulder instability is a rare and difficult condition to manage.
  • Traditional soft-tissue repairs often yield suboptimal outcomes.
  • Iliac crest bone grafting for posterior bone block augmentation is explored.

Purpose of the Study:

  • To evaluate the efficacy of arthroscopic posterior bone block augmentation for posterior shoulder instability.
  • To assess patient outcomes and radiographic healing after the procedure.

Main Methods:

  • Nineteen arthroscopic posterior bone blocks were performed on 18 patients (2008-2009).
  • Patients presented with painful, unstable shoulders due to various etiologies.
  • A minimum of 12 months' follow-up was conducted.
Keywords:
BankartCase SeriesLatarjetLevel IVPosterior glenohumeral instabilityTreatment Studyarthroscopic reconstructionbone lossglenoidshoulder

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Main Results:

  • Significant improvements were observed in Rowe (18.4 to 82.1) and Walch-Duplay (37.4 to 82.9) scores (P < .01).
  • Complete radiologic bone healing was achieved in all cases.
  • Excellent results with return to sport were noted in nine patients; three had persistent pain.

Conclusions:

  • Arthroscopic posterior bone block augmentation is a reliable technique for symptomatic posterior instability.
  • The minimally invasive nature and potential benefits outweigh risks compared to open procedures.