Editorial Comment: Symposium: Complex Issues in Glenohumeral Instability

Excerpt

In the past several years, our understanding of shoulder instability has evolved and our surgical approaches have correspondingly developed. Our contemporary approaches seek to marry the benefits of a minimally invasive, arthroscopic approach with long-term restoration of shoulder function and a low-risk of recurrence. Despite this evolution, the rate of failure after arthroscopic surgery for shoulder instability remains substantial, and new challenges in the management of failed arthroscopic stabilization surgeries have ascended, including glenohumeral bone loss. Additionally, the expectations regarding out surgical treatments have grown to not just achieve stability for the joint, but to also restore normal or near-normal kinematics and contact mechanics of the shoulder joint. In this regard, understanding the subjective and objective efficacy and complications of both our nonoperative and surgical approaches for primary and revision instability surgery is critical. …