Arthroscopic stabilization of anterior shoulder instability: a historical perspective

The role of arthroscopic procedures in the management of glenohumeral instability continues to evolve and represents an effective alternative for addressing the pathology associated with this condition. Patient selection criteria, operative techniques, and implants all continue to evolve and have resulted in improved rates of success. Arthroscopic procedures benefit patients by avoiding the common morbidities associated with the disruption of the anterior soft tissues, including a loss of external rotation associated with open procedures. Arthroscopic procedures remain technically demanding and require skills to address all of the existing pathology. The surgeon must be prepared to address many conditions beyond the Bankart lesions including glenoid bone lesions. capsular laxity, rotator interval lesions, and SLAP lesions. In addition to the documentation of recurrence, the success of this procedure must be evaluated within the context of retained ranges of motion, recovery time, proprioceptive control, and the return to prior levels of activity. Further studies are necessary to continue to validate the efficacy of arthroscopic stabilization.

The treatment of chronic anterior and posterior dislocations of the glenohumeral joint and associated articular surface defects

The diagnosis and management of locked dislocations of the glenohumeral joint remain a challenge for the treating physician. This article addresses challenges, evaluation and preoperative workup guidelines, and treatment strategies of chronic anterior and posterior dislocations of the glenohumeral joint and associated articular surface defects.