Skip to main content
SpringerLink
Log in
Book cover

Shoulder Arthroscopy pp 181–199Cite as

Recurrent Anterior Shoulder Instability

  • Chapter
  • First Online:

  • 3013 Accesses

Abstract

The shoulder is the most commonly dislocating joint in the human body, often occurring in the anterior direction. Stability of the shoulder joint is provided by three primary mechanisms: (1) concavity compression, (2) compression of the humeral head onto the glenoid by the rotator cuff muscles, and (3) glenohumeral ligaments and capsule. With regard to instability, however, the more relevant anatomy includes the static and dynamic stabilizers of the glenohumeral joint. The static stabilizers consist of the bony anatomy, glenoid labrum, capsular ligaments, and the rotator interval, whereas the rotator cuff and the scapular stabilizers comprise the dynamic stabilizers. The glenoid labrum contributes to shoulder stability in several ways. It serves as an attachment point for the capsule and the surrounding ligamentous structures, effectively anchoring them to the glenoid. The labrum also contributes to the concavity-compression mechanism by increasing the concavity of the glenoid. Glenohumeral dislocation often results in soft tissue (e.g., labral tear, capsular stretching) or bony injuries (e.g., glenoid or humeral head bone loss) and is therefore frequently associated with persistent deficits of shoulder function and a high risk of subsequent instability episodes in young, active patients.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   239.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Arciero RA, Taylor DC. Primary anterior dislocation of the shoulder in young patients. A ten-year prospective study. J Bone Joint Surg. 1998;80A:299–300.

    Google Scholar 

  2. Van Thiel GS, Romeo AA, Provencher MT. Arthroscopic treatment of antero-inferior shoulder instability. Minerva Ortop Traumatol. 2010;61:393–414.

    Google Scholar 

  3. McLaughlin HL, Cavallaro WU. Primary anterior dislocation of the shoulder. Am J Surg. 1950;80:615–21.

    Article  CAS  PubMed  Google Scholar 

  4. Rowe CR. Prognosis in dislocations of the shoulder. J Bone Joint Surg. 1956;38A:957–77.

    Google Scholar 

  5. Simonet WT, Cofield RH. Prognosis in anterior shoulder dislocation. Am J Sports Med. 1984;12:19–24.

    Article  CAS  PubMed  Google Scholar 

  6. te Slaa RL, Wijffels MP, Brand R, Marti RK. The prognosis following acute primary glenohumeral dislocation. J Bone Joint Surg. 2004;86B:58–64.

    Google Scholar 

  7. Hovelius L, Augustini BG, Fredin H, Johansson O, Norlin R, Thorling J. Primary anterior dislocation of the shoulder in young patients. A ten-year prospective study. J Bone Joint Surg. 1996;78A:1677–84.

    Google Scholar 

  8. Kralinger FS, Golser K, Wischatta R, Wambacher M, Sperner G. Predicting recurrence after primary anterior shoulder dislocation. Am J Sports Med. 2002;30:116–20.

    PubMed  Google Scholar 

  9. Robinson CM, Dobson RJ. Anterior instability of the shoulder after trauma. J Bone Joint Surg. 2004;86B:469–79.

    Article  Google Scholar 

  10. Robinson CM, Howes J, Murdoch H, Will E, Graham C. Functional outcome and risk of recurrent instability after primary traumatic anterior shoulder dislocation in young patients. J Bone Joint Surg. 2006;88A:2326–36.

    Article  Google Scholar 

  11. Boileau P, Richou J, Lisai A, Chuinard C, Bicknell RT. The role of arthroscopy in revision of failed open anterior stabilization of the shoulder. Arthroscopy. 2009;25:1075–84.

    Article  PubMed  Google Scholar 

  12. Kim SH, Ha KI, Kim YM. Arthroscopic revision Bankart repair: a prospective outcome study. Arthroscopy. 2002;18:469–82.

    Article  PubMed  Google Scholar 

  13. Walch G, Mole D. Instabilite et luxations de l’epaule (articulation gleno-humerale). Encycl Med Chir. 1991;A10:1–14.

    Google Scholar 

  14. Boileau P, Zumstein M, Balg F, Penington S, Bicknell RT. The unstable painful shoulder (UPS) as a cause of pain from unrecognized anteroinferior shoulder instability in the young athlete. J Shoulder Elbow Surg. 2011;20:98–106.

    Article  PubMed  Google Scholar 

  15. Boileau P, Villalba M, Hery JY, Balg F, Ahrens P, Neyton L. Risk factors for recurrence of shoulder instability after arthroscopic Bankart repair. J Bone Joint Surg. 2006;88A:1755–63.

    Article  Google Scholar 

  16. Bottoni CR, Smith EL, Berkowitz MJ, Towle RB, Moore JH. Arthroscopic versus open shoulder stabilization for recurrent anterior instability: a prospective randomized clinical trial. Am J Sports Med. 2006;34:1730–7.

    Article  PubMed  Google Scholar 

  17. Carreira DS, Mazzocca AD, Oryhon J, Brown FM, Hayden JK, Romeo AA. A prospective outcome evaluation of arthroscopic Bankart repairs: minimum 2-year follow-up. Am J Sports Med. 2006;34:771–7.

    Article  PubMed  Google Scholar 

  18. Fabbriciani C, Milano G, Demontis A, Fadda S, Ziranu F, Mulas PD. Arthroscopic versus open treatment of Bankart lesion of the shoulder: a prospective randomized study. Arthroscopy. 2004;20:456–62.

    Article  PubMed  Google Scholar 

  19. Kim SH, Ha KI, Park JH, Cho YB, Ryu BD, Oh I. Arthroscopic anterior stabilization of the shoulder: two to six-year follow-up. J Bone Joint Surg. 2003;85A:1511–8.

    Google Scholar 

  20. Voos JE, Livermore RW, Feeley BT, Altchek DW, Williams RJ, Warren RF, et al. Prospective evaluation of arthroscopic Bankart repairs for anterior instability. Am J Sports Med. 2010;38:302–7.

    Article  PubMed  Google Scholar 

  21. Balg F, Boileau P. The instability severity index score. A simple pre-operative score to select patients for arthroscopic or open shoulder stabilization. J Bone Joint Surg. 2007;89B:1470–7.

    Article  Google Scholar 

  22. Bigliani LU, Newton PM, Steinmann SP, Connor PM, McLlveen SJ. Glenoid rim lesions associated with recurrent anterior dislocation of the shoulder. Am J Sports Med. 1998;26:41–5.

    CAS  PubMed  Google Scholar 

  23. Burkhart SS, De Beer JF. Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the engaging Hill-Sachs lesion. Arthroscopy. 2000;16:677–94.

    Article  CAS  PubMed  Google Scholar 

  24. Burkhart SS, Danaceau SM. Articular arc length mismatch as a cause of failed bankart repair. Arthroscopy. 2000;16:740–4.

    Article  CAS  PubMed  Google Scholar 

  25. Imhoff AB, Ansah P, Tischer T, Reiter C, Bartl C, Hench M, et al. Arthroscopic repair of anterior-inferior glenohumeral instability using a portal at the 5:30-o’clock position: analysis of the effects of age, fixation method, and concomitant shoulder injury on surgical outcomes. Am J Sports Med. 2010;38:1795–803.

    Article  PubMed  Google Scholar 

  26. Rowe CR, Zarins B, Ciullo JV. Recurrent anterior dislocation of the shoulder after surgical repair. Apparent causes of failure and treatment. J Bone Joint Surg. 1984;66A:159–68.

    Google Scholar 

  27. Itoi E, Lee SB, Berglund LJ, Berge LL, An KN. The effect of a glenoid defect on anteroinferior shoulder instability of the shoulder after Bankart repair: a cadaveric study. J Bone Joint Surg. 2000;82A:35–46.

    Google Scholar 

  28. Cho NS, Hwang JC, Rhee YG. Arthroscopic stabilization in anterior shoulder instability: collision athletes versus noncollision athletes. Arthroscopy. 2006;22:947–53.

    Article  PubMed  Google Scholar 

  29. Pagnani MJ, Dome DC. Surgical treatment of traumatic anterior shoulder instability in American football players. J Bone Joint Surg. 2002;84A:711–5.

    Google Scholar 

  30. Rhee YG, Ha JH, Cho NS. Anterior shoulder stabilization in collision athletes: arthroscopic versus open Bankart repair. Am J Sports Med. 2006;34:979–85.

    Article  PubMed  Google Scholar 

  31. Owens BD, Nelson BJ, Duffey ML, Mountcastle SB, Taylor DC, Cameron KL, et al. Pathoanatomy of first-time traumatic anterior glenohumeral subluxation events. J Bone Joint Surg. 2010;92A:1605–11.

    Article  Google Scholar 

  32. Tauber M, Resch H, Forstner R, Raffl M, Schauer J. Reasons for failure after surgical repair of anterior shoulder instability. J Shoulder Elbow Surg. 2004;13:279–85.

    Article  PubMed  Google Scholar 

  33. Creighton RA, Romeo AA, Brown FM, Hayden JK, Verma NN. Revision arthroscopic shoulder instability repair. Arthroscopy. 2007;23:703–9.

    Article  PubMed  Google Scholar 

  34. Neri BR, Tuckman DV, Bravman JT, Yim D, Sahajpal DT, Rokito AS. Arthroscopic revision of Bankart repair. J Shoulder Elbow Surg. 2007;16:419–24.

    Article  PubMed  Google Scholar 

  35. Sisto DJ. Revision of failed arthroscopic Bankart repairs. Am J Sports Med. 2007;35:537–41.

    Article  PubMed  Google Scholar 

  36. Hintermann B, Gachter A. Arthroscopic findings after shoulder dislocation. Am J Sports Med. 1995;23:545–51.

    Article  CAS  PubMed  Google Scholar 

  37. Matsen 3rd FA, Harryman 2nd DT, Sidles JA. Mechanics of glenohumeral instability. Clin Sports Med. 1991;10:783–8.

    PubMed  Google Scholar 

  38. Neviaser TJ. The anterior labroligamentous periosteal sleeve avulsion lesion: a cause of anterior instability of the shoulder. Arthroscopy. 1993;9:17–21.

    Article  CAS  PubMed  Google Scholar 

  39. Habermeyer P, Gleyze P, Rickert M. Evolution of lesions of the labrum-ligament complex in posttraumatic anterior shoulder instability. J Shoulder Elbow Surg. 1999;8:66–74.

    Article  CAS  PubMed  Google Scholar 

  40. Yiannakopoulos CK, Mataragas E, Antonogiannakis E. A comparison of the spectrum of intra-articular lesions in acute and chronic anterior shoulder instability. Arthroscopy. 2007;23:985–90.

    Article  PubMed  Google Scholar 

  41. Neviaser TJ. The GLAD lesion: another cause of anterior shoulder pain. Arthroscopy. 1993;9:22–3.

    Article  CAS  PubMed  Google Scholar 

  42. Sanders TG, Tirman PF, Linares R, Feller JF, Richardson R. The glenolabral articular disruption lesion. MR arthrography with arthroscopic correlation. AJR Am J Roentgenol. 1999;172:171–5.

    Article  CAS  PubMed  Google Scholar 

  43. Bach BR, Warren RF, Fronek J. Disruption of the lateral capsule of the shoulder. A cause of recurrent dislocation. J Bone Joint Surg. 1988;70B:274–6.

    Google Scholar 

  44. Bigliani LU, Pollock RG, Soslowsky LJ, Flatow EL, Pawluk RJ, Mow VC. Tensile properties of the inferior glenohumeral ligament. J Orthop Res. 1992;10:187–97.

    Article  CAS  PubMed  Google Scholar 

  45. Wolf EM, Cheng JC, Dickson K. Humeral avulsion of glenohumeral ligaments as a cause of anterior shoulder instability. Arthroscopy. 1995;11:600–7.

    Article  CAS  PubMed  Google Scholar 

  46. Greiwe RM, Levine WN. Chapter 6: Findings and pathology associated with anterior shoulder instability. In: Provencher MT, Romeo AA, editors. Shoulder instability: a comprehensive approach. Philadelphia: Saunders Elsevier; 2012. p. 67–78.

    Google Scholar 

  47. Flatow EL, Warner JI. Instability of the shoulder: complex problems and failed repairs. Part I. Relevant biomechanics, multidirectional instability, and severe glenoid loss. Instr Course Lect. 1998;47:97–112.

    CAS  PubMed  Google Scholar 

  48. Kim DS, Yoon YS, Yi CH. Prevalence comparison of accompanying lesions between primary and recurrent anterior dislocation of the shoulder. Am J Sports Med. 2010;38:2071–6.

    Article  PubMed  Google Scholar 

  49. Provencher MT, Frank RM, Leclere LE, Metzger PD, Ryu JJ, Bernhardson A, et al. The Hill-Sachs lesion: diagnosis, classification, and management. J Am Acad Orthop Surg. 2012;20:242–52.

    Article  PubMed  Google Scholar 

  50. Calandra JJ, Baker CL, Uribe J. The incidence of Hill-Sachs lesions in initial anterior shoulder dislocations. Arthroscopy. 1989;5:254–7.

    Article  CAS  PubMed  Google Scholar 

  51. Rowe CR, Patel D, Southmayd WW. The Bankart procedure: a long-term end-result study. J Bone Joint Surg. 1978;60A:1–16.

    Google Scholar 

  52. Saupe N, White LM, Bleakney R, Schweitzer ME, Recht MP, Jost B, et al. Acute traumatic posterior shoulder dislocations: MR findings. Radiology. 2008;248:185–93.

    Article  PubMed  Google Scholar 

  53. Taylor DC, Arciero RA. Pathologic changes associated with shoulder dislocations: arthroscopic and physical examination findings for first-time, traumatic anterior dislocations. Am J Sports Med. 1997;25:306–11.

    Article  CAS  PubMed  Google Scholar 

  54. Lynch JR, Clinton JM, Dewing CB, Warme WJ, Matsen III FA. Treatment of osseous defects associated with anterior shoulder instability. J Shoulder Elbow Surg. 2009;18:317–28.

    Article  PubMed  Google Scholar 

  55. Richards RD, Sartoris DJ, Pathria MN, Resnick D. Hill-Sachs lesion and normal humeral groove: MR imaging features allowing their differentiation. Radiology. 1994;190:665–8.

    CAS  PubMed  Google Scholar 

  56. Francheschi F, Longo UG, Ruzzini L, Rizzello G, Maffulli N, Denaro V. Arthroscopic salvage of failed arthroscopic Bankart repair: a prospective study with a minimum follow-up of 4 years. Am J Sports Med. 2008;36:1330–6.

    Article  Google Scholar 

  57. Armitage MS, Faber KJ, Drosdowech DS, Litchfield RB, Athwal GS. Humeral head bone defects: remplissage, allograft, and arthroplasty. Orthop Clin North Am. 2010;41:417–25.

    Article  PubMed  Google Scholar 

  58. Yamamato N, Itoi E, Abe H, Minagawa H, Seki N, Shimada Y, et al. Contact between the glenoid and the humeral head in abduction, external rotation, and horizontal extension: a new concept of glenoid track. J Shoulder Elbow Surg. 2007;16:649–56.

    Article  Google Scholar 

  59. Matsen 3rd FA, Chebli CM, Lippitt SB. Chapter 4: Principles for the evaluation and management of shoulder instability. In: Ahmad CS, editor. Instructional course lectures sports medicine 2. Rosemont: American Academy of Orthopaedic Surgeons; 2011. p. 39–50.

    Google Scholar 

  60. Provencher MT, Ghodadra N, Romeo AA. Arthroscopic management of anterior instability: pearls, pitfalls, and lessons learned. Orthop Clin North Am. 2010;41:325–37.

    Article  PubMed  Google Scholar 

  61. Bigliani LU, Kelkar R, Flatow EL, Pollock RG, Mow VC. Glenohumeral stability. Biomechanical properties of passive and active stabilizers. Clin Orthop Relat Res. 1996;330:13–30.

    Article  PubMed  Google Scholar 

  62. Ikeda H. “Rotator interval” lesion. Part 1: clinical study. Nippon Seikeigeka Gakkai Zasshi. 1986;60:1261–73.

    CAS  PubMed  Google Scholar 

  63. Ovesen J, Nielsen S. Stability of the shoulder joint. Cadaver study of stabilizing structures. Acta Orthop Scand. 1985;56:149–51.

    Article  CAS  PubMed  Google Scholar 

  64. Garth WP, Slappey CE, Ochs CW. Roentgenographic demonstration of instability of the shoulder: the apical oblique projection. J Bone Joint Surg. 1984;66A:1450–3.

    Google Scholar 

  65. Kornguth PJ, Salazar AM. The apical oblique view of the shoulder: its usefulness in acute trauma. AJR Am J Roentgenol. 1987;149:113–6.

    Article  CAS  PubMed  Google Scholar 

  66. Roukos JR, Feagin JA. Modified axillary roentgenogram: a useful adjunct in the diagnosis of recurrent instability of the shoulder. Clin Orthop Relat Res. 1972;82:84–6.

    Google Scholar 

  67. Pavlov H, Warren RF, Weiss Jr CB, Dines DM. The roentgenographic evaluation of anterior shoulder instability. Clin Orthop Relat Res. 1985;194:153–8.

    PubMed  Google Scholar 

  68. Thakur AJ. Chapter 1: Shoulder. In: Thakur AJ, Gundavda KC, editors. Strategic radiographic positioning for orthopaedicians and radiologists. New Delhi: Wolters Kluwer Health; 2010. p. 3–36.

    Google Scholar 

  69. Castro W, Jerosch J, Grossman Jr T. Chapter 1: Shoulder. In: Castro W, Jerosch J, Grossman Jr T, editors. Examination and diagnosis of musculoskeletal disorders. New York: Georg Thieme Verlag; 2001. p. 32–6.

    Google Scholar 

  70. McCarty 3rd LP, Buss DD. Chapter 9: Nonoperative treatment of anterior shoulder instability. In: Provencher MT, Romeo AA, editors. Shoulder instability: a comprehensive approach. Philadelphia: Saunders Elsevier; 2012. p. 101–7.

    Chapter  Google Scholar 

  71. DeBerardino TM, Arcieor RA, Taylor DC, Uhorchak JM. Prospective evaluation of arthroscopic stabilization of acute, initial anterior shoulder dislocations in young athletes. Two- to five-year follow-up. Am J Sports Med. 2001;29:586–92.

    CAS  PubMed  Google Scholar 

  72. Bottoni CR, Wilckens JH, DeBerardino TM, D’Alleyrand JC, Rooney RC, Harpstrite JK, et al. A prospective, randomized evaluation of arthroscopic stabilization dislocations. Am J Sports Med. 2002;30:576–80.

    PubMed  Google Scholar 

  73. Barber FA, Ryu RKN, Tauro JC. Should first time anterior shoulder dislocations be surgically stabilized? Arthroscopy. 2003;19:305–9.

    Article  PubMed  Google Scholar 

  74. Kirkley A, Griffin S, Richards C, Miniaci A, Mohtadi N. Prospective randomized clinical trial comparing the effectiveness of immediate arthroscopic stabilization versus immobilization and rehabilitation in first traumatic anterior dislocations of the shoulder. Arthroscopy. 1999;15:507–14.

    Article  CAS  PubMed  Google Scholar 

  75. Baker CL. Arthroscopic evaluation of acute initial shoulder dislocations. Instr Course Lect. 1996;45:83–9.

    PubMed  Google Scholar 

  76. Kirkley A, Werstine R, Ratjek A, Griffin S. Prospective randomized clinical trial comparing the effectiveness of immediate arthroscopic stabilization versus immobilization and rehabilitation in first traumatic anterior dislocations of the shoulder: long-term evaluation. Arthroscopy. 2005;21:55–63.

    Article  PubMed  Google Scholar 

  77. Hobby J, Griffin D, Dunbar M, Boileau P. Is arthroscopic surgery for stabilisation of chronic shoulder instability as effective as open surgery? A systematic review and meta-analysis of 62 studies including 3044 arthroscopic operations. J Bone Joint Surg. 2007;89B:1188–96.

    Article  Google Scholar 

  78. Arciero RA, Mazzocca AD. Chapter 11: Arthroscopic treatment of anterior instability—arthroscopic technique. In: Provencher MT, Romeo AA, editors. Shoulder instability: a comprehensive approach. Philadelphia: Saunders Elsevier; 2012. p. 126–46.

    Chapter  Google Scholar 

  79. Gartsman GM. Chapter 3: Diagnostic arthroscopy and normal anatomy. In: Gartsman GM, editor. Shoulder arthroscopy. 2nd ed. Philadelphia: Saunders Elsevier; 2009. p. 64–98.

    Chapter  Google Scholar 

  80. Ahmed I, Ashton F, Robinson CM. Arthroscopic Bankart repair and capsular shift for recurrent anterior shoulder instability: functional outcomes and identification of risk factors for recurrence. J Bone Joint Surg. 2012;94A:1308–15.

    Article  Google Scholar 

  81. Zaffagnini S, Marcheggiani Muccioli GM, Giordano G, Bonanzinga T, Grassi A, Nitri M, et al. Long-term outcomes after repair of recurrent post-traumatic anterior shoulder instability: comparison of arthroscopic transglenoid suture and open Bankart reconstruction. Knee Surg Sports Traumatol Arthrosc. 2012;20:816–21.

    Article  PubMed  Google Scholar 

  82. Boileau P, O’Shea K, Vargas P, Pinedo M, Old J, Zumstein M. Anatomical and functional results after arthroscopic Hill-Sachs remplissage. J Bone Joint Surg. 2012;94A:618–26.

    Google Scholar 

  83. Netto NA, Tamaoki MJ, Lenza M, dos Santos JB, Matsumoto MH, Faloppa F, et al. Treatment of Bankart lesions in traumatic anterior instability of the shoulder: a randomized controlled trial comparing arthroscopy and open techniques. Arthroscopy. 2012;28:900–8.

    Article  Google Scholar 

  84. Mahirogullari M, Huseyin O, Akyuz M, Ugras AA, Guney A, Kuskucu M. Comparison between the results of open and arthroscopic repair of isolated traumatic anterior instability of the shoulder. Acta Orthop Traumatol Turc. 2010;44:180–5.

    Article  PubMed  Google Scholar 

  85. Porcellini G, Campi F, Pegreffi F, Castagna A, Paladini P. Predisposing factors for recurrent shoulder dislocation after arthroscopic treatment. J Bone Joint Surg. 2009;91A:2537–42.

    Article  Google Scholar 

  86. Robinson CM, Jenkins PJ, White TO, Ker A, Will E. Primary arthroscopic stabilization for a first-time anterior dislocation of the shoulder. J Bone Joint Surg. 2008;90A:708–21.

    Article  Google Scholar 

  87. Emami MJ, Solooki S, Meshksari Z, Vosoughi AR. The effect of open Bristow-Latarjet procedure for anterior shoulder instability: a 10-year study. Musculoskelet Surg. 2011;95:231–5.

    Article  PubMed  Google Scholar 

  88. Rahme H, Vikerfors O, Ludvigsson L, Elven M, Michaelsson K. Loss of external rotation after open Bankart repair: an important prognostic factor for patient satisfaction. Knee Surg Sports Traumatol Arthrosc. 2010;18:404–8.

    Article  PubMed  Google Scholar 

  89. Ogawa K, Yoshida A, Matsumoto H, Takeda T. Outcome of the open Bankart procedure for shoulder instability and development of osteoarthritis: a 5- to 20-year follow-up study. Am J Sports Med. 2010;38:1549–57.

    Article  PubMed  Google Scholar 

  90. Uchiyama Y, Hamada K, Miyazaki S, Handa A, Fukuda H. Neer modified inferior capsular shift procedure for recurrent anterior instability for the shoulder in judokas. Am J Sports Med. 2009;37:995–1002.

    Article  PubMed  Google Scholar 

  91. Pagnani MJ. Open capsular repair without bone block for recurrent anterior shoulder instability in patients with and without bony defects of the glenoid and/or humeral head. Am J Sports Med. 2008;36:1805–12.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. San Diego Arthroscopy and Sports Medicine, 6719 Alvarado Road, Suite 200, San Diego, 92120, CA, USA

    Mary K. Mulcahey MD

  2. Department of Orthopaedics, Naval Medical Center, San Diego, 34800 Bob Wilson Drive, Suite 112, San Diego, 92134, CA, USA

    John W. McNeil II BA

  3. Department of Orthopaedics, Sports Medicine Service, Massachusetts General Hospital, 175 Cambridge Street, Boston, 02114-2723, MA, USA

    Matthew T. Provencher MD, MC, USN

Authors
  1. Mary K. Mulcahey MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. John W. McNeil II BA
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Matthew T. Provencher MD, MC, USN
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mary K. Mulcahey MD .

Editor information

Editors and Affiliations

  1. Department of Orthopaedics, Catholic University of Rome, Rome, Roma, Italy

    Giuseppe Milano

  2. Department of Orthopaedics and Traumatology, Casa di Cura Villa Valeria, Rome, Roma, Italy

    Andrea Grasso

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer-Verlag London

About this chapter

Cite this chapter

Mulcahey, M.K., McNeil, J.W., Provencher, M.T. (2014). Recurrent Anterior Shoulder Instability. In: Milano, G., Grasso, A. (eds) Shoulder Arthroscopy. Springer, London. https://doi.org/10.1007/978-1-4471-5427-3_16

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-5427-3_16

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-5426-6

  • Online ISBN: 978-1-4471-5427-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation