Anterior shoulder instability: A review of pathoanatomy, diagnosis and treatment

Guillaume D. Dumont, Robert D. Russell, William J. Robertson

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

The glenohumeral joint is inherently predisposed to instability by its bony architecture. The incidence of traumatic shoulder instability is 1.7% in the general population. Associated injuries to the capsulolabral structures of the glenohumeral joint have been described and may play a role in predicting recurrent instability. Advanced imaging, computed tomography or MRI may be necessary to adequately evaluate for associated glenohumeral pathology. Treatment algorithms have traditionally included a period of non-operative management in all patients, however young athletic patients may often benefit from early operative treatment. Various open and arthroscopic surgical options exist to address anterior glenohumeral instability. Bony injuries including bony Bankart lesions and Hills Sachs lesion have been implicated in failed surgical management using techniques that address only the soft tissues. An individualized treatment approach, based upon the patient's injury pattern and expectations, will likely lead to the most successful outcome.

Original languageEnglish (US)
Pages (from-to)200-207
Number of pages8
JournalCurrent Reviews in Musculoskeletal Medicine
Volume4
Issue number4
DOIs
StatePublished - Dec 2011

Fingerprint

Shoulder Joint
Wounds and Injuries
Sports
Therapeutics
Tomography
Pathology
Incidence
Population
Bankart Lesions

Keywords

  • ALPSA
  • Bankart lesion
  • Glenohumeral instability
  • HAGL
  • Labrum
  • Latarjet
  • Shoulder dislocation

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Anterior shoulder instability : A review of pathoanatomy, diagnosis and treatment. / Dumont, Guillaume D.; Russell, Robert D.; Robertson, William J.

In: Current Reviews in Musculoskeletal Medicine, Vol. 4, No. 4, 12.2011, p. 200-207.

Research output: Contribution to journalArticle

@article{f12f3883fe44497c9daf323629d1975f,
title = "Anterior shoulder instability: A review of pathoanatomy, diagnosis and treatment",
abstract = "The glenohumeral joint is inherently predisposed to instability by its bony architecture. The incidence of traumatic shoulder instability is 1.7{\%} in the general population. Associated injuries to the capsulolabral structures of the glenohumeral joint have been described and may play a role in predicting recurrent instability. Advanced imaging, computed tomography or MRI may be necessary to adequately evaluate for associated glenohumeral pathology. Treatment algorithms have traditionally included a period of non-operative management in all patients, however young athletic patients may often benefit from early operative treatment. Various open and arthroscopic surgical options exist to address anterior glenohumeral instability. Bony injuries including bony Bankart lesions and Hills Sachs lesion have been implicated in failed surgical management using techniques that address only the soft tissues. An individualized treatment approach, based upon the patient's injury pattern and expectations, will likely lead to the most successful outcome.",
keywords = "ALPSA, Bankart lesion, Glenohumeral instability, HAGL, Labrum, Latarjet, Shoulder dislocation",
author = "Dumont, {Guillaume D.} and Russell, {Robert D.} and Robertson, {William J.}",
year = "2011",
month = "12",
doi = "10.1007/s12178-011-9092-9",
language = "English (US)",
volume = "4",
pages = "200--207",
journal = "Current Reviews in Musculoskeletal Medicine",
issn = "1935-9748",
publisher = "Humana Press",
number = "4",

}

TY - JOUR

T1 - Anterior shoulder instability

T2 - A review of pathoanatomy, diagnosis and treatment

AU - Dumont, Guillaume D.

AU - Russell, Robert D.

AU - Robertson, William J.

PY - 2011/12

Y1 - 2011/12

N2 - The glenohumeral joint is inherently predisposed to instability by its bony architecture. The incidence of traumatic shoulder instability is 1.7% in the general population. Associated injuries to the capsulolabral structures of the glenohumeral joint have been described and may play a role in predicting recurrent instability. Advanced imaging, computed tomography or MRI may be necessary to adequately evaluate for associated glenohumeral pathology. Treatment algorithms have traditionally included a period of non-operative management in all patients, however young athletic patients may often benefit from early operative treatment. Various open and arthroscopic surgical options exist to address anterior glenohumeral instability. Bony injuries including bony Bankart lesions and Hills Sachs lesion have been implicated in failed surgical management using techniques that address only the soft tissues. An individualized treatment approach, based upon the patient's injury pattern and expectations, will likely lead to the most successful outcome.

AB - The glenohumeral joint is inherently predisposed to instability by its bony architecture. The incidence of traumatic shoulder instability is 1.7% in the general population. Associated injuries to the capsulolabral structures of the glenohumeral joint have been described and may play a role in predicting recurrent instability. Advanced imaging, computed tomography or MRI may be necessary to adequately evaluate for associated glenohumeral pathology. Treatment algorithms have traditionally included a period of non-operative management in all patients, however young athletic patients may often benefit from early operative treatment. Various open and arthroscopic surgical options exist to address anterior glenohumeral instability. Bony injuries including bony Bankart lesions and Hills Sachs lesion have been implicated in failed surgical management using techniques that address only the soft tissues. An individualized treatment approach, based upon the patient's injury pattern and expectations, will likely lead to the most successful outcome.

KW - ALPSA

KW - Bankart lesion

KW - Glenohumeral instability

KW - HAGL

KW - Labrum

KW - Latarjet

KW - Shoulder dislocation

UR - http://www.scopus.com/inward/record.url?scp=82155167662&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=82155167662&partnerID=8YFLogxK

U2 - 10.1007/s12178-011-9092-9

DO - 10.1007/s12178-011-9092-9

M3 - Article

C2 - 21808996

AN - SCOPUS:82155167662

VL - 4

SP - 200

EP - 207

JO - Current Reviews in Musculoskeletal Medicine

JF - Current Reviews in Musculoskeletal Medicine

SN - 1935-9748

IS - 4

ER -