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Current Reviews in Musculoskeletal Medicine
Published in: Current Reviews in Musculoskeletal Medicine 4/2017

01-12-2017 | Management of Anterior Shoulder Instability (X Li, section editor)

Applying the Glenoid Track Concept in the Management of Patients with Anterior Shoulder Instability

Authors: Amit M. Momaya, John M. Tokish

Published in: Current Reviews in Musculoskeletal Medicine | Issue 4/2017

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Abstract

Purpose of Review

The purpose of this paper is to evaluate the recent evolution in the treatment of anterior shoulder instability and the dynamic interaction between the glenoid and Hill-Sachs lesion.

Recent Findings

Through the glenoid track concept, glenoid- and humeral-sided bone loss are evolving away from being approached as separate entities. Recent cadaveric studies have validated the glenoid track concept. Moreover, a recent clinical study has demonstrated a much higher rate of failure after arthroscopic Bankart repair for shoulders that were off track.

Summary

The glenoid track concept is a useful tool in evaluating patients with anterior shoulder instability. Shoulders that are off track may require more than a simple arthroscopic Bankart, and the addition of a remplissage or bony transfer may be considered.
Literature
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Metadata
Title
Applying the Glenoid Track Concept in the Management of Patients with Anterior Shoulder Instability
Authors
Amit M. Momaya
John M. Tokish
Publication date
01-12-2017
Publisher
Springer US
Published in
Current Reviews in Musculoskeletal Medicine / Issue 4/2017
Electronic ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-017-9436-1

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