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Anterior shoulder instability. Current review

S H Liu1, M H Henry

  • 1Department of Orthopaedic Surgery, UCLA School of Medicine, Los Angeles, CA 90024-1795, USA.

Clinical Orthopaedics and Related Research
|February 1, 1996
PubMed
Summary
This summary is machine-generated.

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Treatment for anterior shoulder instability has evolved from conservative methods to open and arthroscopic repairs. This review examines data to help clinicians choose the best approach for shoulder instability.

Area of Science:

  • Orthopaedic Surgery
  • Sports Medicine
  • Biomechanics

Background:

  • Anterior shoulder instability treatment has evolved over decades, from conservative rehabilitation to surgical interventions.
  • Early open repair strategies yielded positive results but had notable complications.
  • Advancements in arthroscopic techniques offer less invasive options but present challenges like a steep learning curve and higher redislocation rates.

Purpose of the Study:

  • To critically review the anatomy and pathology of anterior shoulder dislocations.
  • To examine laboratory and clinical data supporting various treatment options for anterior shoulder instability.
  • To guide clinicians in developing evidence-based treatment protocols for symptomatic shoulder instability.

Main Methods:

  • Literature review of scientific studies on anterior shoulder instability.

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  • Analysis of anatomical and pathological factors.
  • Critical evaluation of clinical and laboratory data for surgical and conservative treatments.

    • Main Results:

    • Conservative management is insufficient for all patients with disabling instability.
    • Open repair techniques have improved, reducing complications over time.
    • Arthroscopic techniques, while less invasive, require a significant learning curve and may have higher redislocation rates compared to open procedures.

    Conclusions:

    • The evolution of treatment reflects a shift towards less invasive methods.
    • Careful consideration of scientific evidence is crucial for selecting optimal treatment for anterior shoulder instability.
    • Clinicians must weigh the benefits and drawbacks of each approach based on robust data.