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Anterior Shoulder Instability

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The Resident's Guide to Shoulder and Elbow Surgery

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Abstract

Anterior instability is the most common kind of shoulder instability, resulting from traumatic abduction and external rotation. Initial treatment is nonoperative in the general population. This consists of closed reduction, immobilization, and physical therapy. Special considerations in contact/collision athletes and military personnel include early return to activity and early operative intervention. Arthroscopic Bankart repair is most commonly selected for initial stabilization in the United States. Risk factors for recurrent instability include generalized laxity, young age, bone loss, collision sports, and frequent instability events. Open Bankart repair may be the more successful initial management in these cases. Latarjet coracoid transfer is performed following failed stabilization surgery or for large glenoid bone loss.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of Southern California Keck School of Medicine, Los Angeles, CA, USA

    Caroline Vonck

  2. Orthopaedic Athletic Medicine, Clinical Orthopaedic Surgery, Keck Medicine of USC, University of Southern California, Los Angeles, CA, USA

    Seth Gamradt

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  1. Caroline Vonck
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  2. Seth Gamradt
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Correspondence to Seth Gamradt .

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Editors and Affiliations

  1. James A. Haley Medical Center, Tampa, FL, USA

    Caroline M. Chebli

  2. MedStar Union Memorial Hospital, Baltimore, MD, USA

    Anand M. Murthi

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Vonck, C., Gamradt, S. (2022). Anterior Shoulder Instability. In: Chebli, C.M., Murthi, A.M. (eds) The Resident's Guide to Shoulder and Elbow Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-12255-2_5

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  • DOI: https://doi.org/10.1007/978-3-031-12255-2_5

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-031-12255-2

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