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Journal of Orthopaedics and Traumatology

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Open Access 01-09-2016 | Review Article

Evaluation and treatment of failed shoulder instability procedures

Authors: Anthony G. Ho, Ashok L. Gowda, J. Michael Wiater

Published in: Journal of Orthopaedics and Traumatology | Issue 3/2016

Abstract

Management of the unstable shoulder after a failed stabilization procedure can be difficult and challenging. Detailed understanding of the native shoulder anatomy, including its static and dynamic restraints, is necessary for determining the patient’s primary pathology. In addition, evaluation of the patient’s history, physical exam, and imaging is important for identifying the cause for failure after the initial procedure. Common mistakes include under-appreciation of bony defects, failure to recognize capsular laxity, technical errors, and missed associated pathology. Many potential treatment options exist for revision surgery, including open or arthroscopic Bankart repair, bony augmentation procedures, and management of Hill Sachs defects. The aim of this narrative review is to discuss in-depth the common risk factors for post-surgical failure, components for appropriate evaluation, and the different surgical options available for revision stabilization.

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Title: Evaluation and treatment of failed shoulder instability procedures
Authors: Anthony G. Ho
Ashok L. Gowda
J. Michael Wiater
Publication date: 01-09-2016
Publisher: Springer International Publishing
Published in: Journal of Orthopaedics and Traumatology / Issue 3/2016
Print ISSN: 1590-9921
Electronic ISSN: 1590-9999
DOI: https://doi.org/10.1007/s10195-016-0409-8

At a glance: The STEP trials

Springer Medicine

Evaluation and treatment of failed shoulder instability procedures

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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