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Shoulder Instability Repair: Why It Fails

  • Emilio CalvoEmail author
  • Gia Rodriguez-Vaquero
  • David Haeni
Chapter

Abstract

Management of the unstable shoulder after a failed stabilization procedure can be difficult and challenging. We need a deep and detailed understanding of the shoulder anatomy and its restraints to determine the origin of the patient’s primary pathology. Key factors for shoulder stabilization surgery are an adequate patient selection, precise surgical technique selection and fulfillment, identification and correction of anatomy abnormalities, and integration of patient and surgeon expectation. When any of these requirements fail, our surgery can fail too. It is important to identify why the initial procedure failed and perform a meticulous evaluation of the patient: background of trauma and detailed patient’s history, a complete physical exam, and imaging.

In this chapter, we will analyze common risk factors and causes for failure of primary shoulder instability repair, components for appropriate evaluation, and the different surgical options available for revision stabilization.

Keywords

Shoulder Anterior instability Arthroscopy Stabilization Failure 

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Copyright information

© ESSKA 2018

Authors and Affiliations

  • Emilio Calvo
    • 1
    Email author
  • Gia Rodriguez-Vaquero
    • 2
  • David Haeni
    • 3
  1. 1.Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Fundacion Jimenez DiazUniversidad AutónomaMadridSpain
  2. 2.Upper Extremity Surgery Unit, Department of Orthopedic Surgery and TraumatologyHospital General de VillalbaMadridSpain
  3. 3.Shoulder and Elbow Surgery Unit, LEONARDOHirslanden Klinik BirshofBaselSwitzerland

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