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Updated: Mar 28, 2026

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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
44.2K
History of shoulder instability surgery
Pietro Randelli1,2, Davide Cucchi3,4, Usman Butt5
1Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Via Mangiagalli 31, 20133, Milan, Italy. pietro.randelli@unimi.it.
Summary
Surgical management of shoulder instability has evolved significantly, with arthroscopic techniques advancing treatment. Open surgery remains crucial for complex cases, highlighting the need for further research in evidence-based management.
Area of Science:
- Orthopaedics
- Sports Medicine
Background:
- Shoulder instability surgery is a complex and evolving field.
- This review examines the historical progression and current state of surgical interventions for shoulder instability.
Observation:
- The article reviews anterior, posterior, and multidirectional shoulder instability.
- It focuses on the historical surgical management, current concepts, and outcomes of interventions.
Findings:
- Advancements from open to arthroscopic surgery have revealed new pathologies and techniques.
- Open surgery remains effective for complex or revision cases, especially with bone loss.
Implications:
- Further high-quality research is needed to develop evidence-based management algorithms.
- Understanding and characterizing shoulder instability spectrum is crucial for optimal patient care.

