Abstract
Acute shoulder instability refers to acute loss of integrity of glenohumeral joint. Degree of displacement may vary from subtle subluxation to occult dislocation. Most of the acute shoulder instability cases are secondary to trauma. First-time acute shoulder instability requires immediate and appropriate first-line treatment and future step-by-step diagnostic algorithm to address associated capsulolabral damage. The aim of the treatment is to prevent a recurrence. Various open and arthroscopic procedures were described to restore glenohumeral joint function. This chapter explains management of acute setting of shoulder instability by means of diagnosis, initial treatment, appropriate imaging, decision-making process, and postoperative rehabilitation.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Rowe CR. Prognosis in dislocations of the shoulder. J Bone Joint Surg Am. 1956;38-a(5):957–77.
Boone JL, Arciero RA. Management of failed instability surgery: how to get it right the next time. Orthop Clin North Am. 2010;41(3):367–79.
Simonet WT, et al. Incidence of anterior shoulder dislocation in Olmsted County, Minnesota. Clin Orthop Relat Res. 1984;186:186–91.
Greis PE, et al. Glenohumeral articular contact areas and pressures following labral and osseous injury to the anteroinferior quadrant of the glenoid. J Shoulder Elb Surg. 2002;11(5):442–51.
Miura K, et al. Can arthroscopic Bankart repairs using suture anchors restore equivalent stability to open repairs in the management of traumatic anterior shoulder dislocation? A meta-analysis. J Orthop Sci. 2018;23(6):935–41.
Harris JD, et al. Long-term outcomes after Bankart shoulder stabilization. Arthroscopy. 2013;29(5):920–33.
Bozzo A, et al. Humeral avulsion of the glenohumeral ligament: indications for surgical treatment and outcomes-a systematic review. Orthop J Sports Med. 2017;5(8):2325967117723329.
Speer KP, et al. Biomechanical evaluation of a simulated Bankart lesion. J Bone Joint Surg Am. 1994;76(12):1819–26.
Edwards TB, Boulahia A, Walch G. Radiographic analysis of bone defects in chronic anterior shoulder instability. Arthroscopy. 2003;19(7):732–9.
Itoi E, et al. Quantitative assessment of classic anteroinferior bony Bankart lesions by radiography and computed tomography. Am J Sports Med. 2003;31(1):112–8.
Wintzell G, et al. MRI examination of the glenohumeral joint after traumatic primary anterior dislocation. Knee Surg Sports Traumatol Arthrosc. 1996;4(4):232–6.
Wasserstein DN, et al. The true recurrence rate and factors predicting recurrent instability after nonsurgical management of traumatic primary anterior shoulder dislocation: a systematic review. Arthroscopy. 2016;32(12):2616–25.
Olds M, et al. Risk factors which predispose first-time traumatic anterior shoulder dislocations to recurrent instability in adults: a systematic review and meta-analysis. Br J Sports Med. 2015;49(14):913–22.
Kraeutler MJ, et al. Descriptive Epidemiology of the MOON shoulder instability cohort. Am J Sports Med. 2018;46(5):1064–9.
Porcellini G, et al. Predisposing factors for recurrent shoulder dislocation after arthroscopic treatment. J Bone Joint Surg Am. 2009;91(11):2537–42.
Lee SH, Lim KH, Kim JW. Risk factors for recurrence of anterior-inferior instability of the shoulder after arthroscopic Bankart repair in patients younger than 30 years. Arthroscopy. 2018;34(9):2530–6.
Henry JH, Genung JA. Natural history of glenohumeral dislocation--revisited. Am J Sports Med. 1982;10(3):135–7.
Saper MG, et al. Outcomes after arthroscopic Bankart repair in adolescent athletes participating in collision and contact sports. Orthop J Sports Med. 2017;5(3):–2325967117697950.
Owens BD, et al. Management of mid-season traumatic anterior shoulder instability in athletes. J Am Acad Orthop Surg. 2012;20(8):518–26.
Buss DD, et al. Nonoperative management for in-season athletes with anterior shoulder instability. Am J Sports Med. 2004;32(6):1430–3.
Dickens JF, et al. Successful return to sport after arthroscopic shoulder stabilization versus nonoperative management in contact athletes with anterior shoulder instability: a prospective multicenter study. Am J Sports Med. 2017;45(11):2540–6.
Ma R, et al. Current concepts in rehabilitation for traumatic anterior shoulder instability. Curr Rev Musculoskelet Med. 2017;10(4):499–506.
Dumont GD, Russell RD, Robertson WJ. Anterior shoulder instability: a review of pathoanatomy, diagnosis and treatment. Curr Rev Musculoskelet Med. 2011;4(4):200–7.
Polyzois I, et al. Traumatic first time shoulder dislocation: surgery vs non-operative treatment. Arch Bone Joint Surg. 2016;4(2):104–8.
Hovelius L, Rahme H. Primary anterior dislocation of the shoulder: long-term prognosis at the age of 40 years or younger. Knee Surg Sports Traumatol Arthrosc. 2016;24(2):330–42.
Brophy RH, Marx RG. The treatment of traumatic anterior instability of the shoulder: nonoperative and surgical treatment. Arthroscopy. 2009;25(3):298–304.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer-Verlag GmbH, DE, part of Springer Nature
About this chapter
Cite this chapter
Cırdı, Y.U., Ergün, S., Karahan, M. (2023). Acute Traumatic Anterior Shoulder Instability. In: Milano, G., Grasso, A., Brzóska, R., Kovačič, L. (eds) Shoulder Arthroscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-66868-9_15
Download citation
DOI: https://doi.org/10.1007/978-3-662-66868-9_15
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-66867-2
Online ISBN: 978-3-662-66868-9
eBook Packages: MedicineMedicine (R0)