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Updated: Jul 10, 2026
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Posterior shoulder instability: a systematic review
Umile Giuseppe Longo1, Mauro Ciuffreda1, Joel Locher1
1Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, 00128 Trigoria, Rome, Italy.
Introduction:
This review aims to provide information on outcomes of surgical procedures for soft tissue or bony glenoid and/or humeral abnormalities in case of posterior shoulder instability.
Source Of Data:
A systematic review of the literature according to the PRISMA guidelines was performed. A comprehensive search of PubMed, Medline, CINAHL, Cochrane, Embase, Ovid and Google Scholar databases using various combinations of the keywords 'shoulder', 'posterior instability', 'dislocation', 'reversed bony bankart', 'reversed Hill Sachs', and 'capsulolabral' was performed.
Areas Of Agreement:
A total of 847 shoulders in 810 patients were included. A redislocation event occurred in 33 (8.7%) of 411 shoulders with soft tissue abnormalities and in 12 (9.1%) of 132 shoulders with bony abnormalities of the glenoid, humeral head or both.
Areas Of Controversy:
The optimal treatment modalities for posterior shoulder dislocation remain to be defined.
Growing Points:
Operative stabilization for posterior shoulder instability should be lesion-specific and should correct all components of the posterior instability.
Areas Timely For Developing Research:
Future prospective studies should aim to establish the optimal treatment modalities for posterior shoulder instability.
