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Decision-Making in Anterior Shoulder Instability

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Abstract

The choice of operative treatment after shoulder instability depends highly on the risk of recurrent instability. Although Balg et al. has developed the instability severity index score (ISIS) to aid in the surgical decision making, including the factors contributing to a high risk of recurrent dislocation such as younger age (≤ 20 years old), participation in competitive or contact/forced overhead sport, shoulder hyperlaxity and presence of a Hill-Sachs lesion or glenoid bone loss on anteroposterior radiographs, there are still many other factors to be accounted for. The surgical decision making thus proves to be a challenging process with many factors of influence.

The original version of this book was revised. An erratum to this book can be found at https://doi.org/10.1007/978-3-662-56127-0_24

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Conflict of Interest

Pietro Randelli is consultant for Johnson & Johnson Medical, DePuy and Arthrex. Michel van den Bekerom and Derek van Deurzen receive institutional research support from Smith and Nephew. Klaus Bak is a consultant for Arthrex. The other authors declare no commercial associations (e.g. consultancies, stock ownership, equity interest, patent/licencing arrangements, etc.) that might pose a conflict of interest in connection with the submitted manuscript.

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Authors and Affiliations

  1. Orthopaedic Department, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands

    Michel P. J. van den Bekerom, Derek F. P. van Deurzen & Hassanin Alkaduhimi

  2. Orthopaedic Department, Jan van Goyen Medical Centre, Amsterdam, The Netherlands

    Michel P. J. van den Bekerom, Derek F. P. van Deurzen & Karin M. C. Hekman

  3. Interdisciplinary Center For Shoulder Rehabilitation, IBC Amstelland, Amstelveen, The Netherlands

    Karin M. C. Hekman

  4. Orthopedic Department, AZ Monica, Deurne, Belgium

    Olivier Verborgt

  5. Aleris Hamlet Parken, Copenhagen, Denmark

    Klaus Bak

  6. 1st Department, Azienda Socio Sanitaria Territoriale Centro Specialistico Ortopedico Traumatologico Gaetano Pini-CTO, Milan, Italy

    Marco Brioschi, Chiara Fossati, Riccardo Compagnoni, Alessandra Menon & Pietro Randelli

  7. Department of Biomedical Sciences for Health, University of Milan, Milan, Italy

    Marco Brioschi, Chiara Fossati, Riccardo Compagnoni, Alessandra Menon & Pietro Randelli

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  1. Michel P. J. van den Bekerom
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  10. Hassanin Alkaduhimi
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  11. Pietro Randelli
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Corresponding author

Correspondence to Michel P. J. van den Bekerom .

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Editors and Affiliations

  1. Orthopaedic Surgery, Academic Medical Center, AZ Amsterdam, The Netherlands

    Gino M. M. J. Kerkhoffs

  2. Orthopaedics and Trauma, University College London Hospitals, London, UK

    Fares Haddad

  3. Kantonsspital Baselland , Bruderholz, Switzerland

    Michael T. Hirschmann

  4. Department of Orthopaedics, Sahlgrenska University Hospital, Mölndal, Sweden

    Jón Karlsson

  5. Clinique d’Eich, Centre Hospitalier de Luxembourg Clinique d’Eich, Luxembourg, Luxembourg

    Romain Seil

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van den Bekerom, M.P.J. et al. (2018). Decision-Making in Anterior Shoulder Instability. In: Kerkhoffs, G.M.M.J., Haddad, F., Hirschmann, M.T., Karlsson, J., Seil, R. (eds) ESSKA Instructional Course Lecture Book. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-56127-0_16

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