Bauer, Stefan; Collin, Phillipe; Zumstein, Matthias A; Neyton, Lionel; Blakeney, William G (2023). Current concepts in chronic traumatic anterior shoulder instability. EFORT open reviews, 8(6), pp. 468-481. The British Editorial Society of Bone & Joint Surgery 10.1530/EOR-22-0084
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Chronic traumatic anterior shoulder instability can be defined as recurrent trauma-associated shoulder instability requiring the assessment of three anatomic lesions: a capsuloligamentous and/or labral lesion; anterior glenoid bone loss and a Hill-Sachs lesion. Surgical treatment is generally indicated. It remains controversial how risk factors should be evaluated to decide between a soft-tissue, free bone-block or Latarjet-type procedure. Patient risk factors for recurrence are age; hyperlaxity; competitive, contact and overhead sports. Trauma-related factors are soft tissue lesions and most importantly bone loss with implications for treatment. Different treatment options are discussed and compared for complications, return to sports parameters, short- and long-term outcomes and osteoarthritis. Arthroscopic Bankart and open Latarjet procedures have a serious learning curve. Osteoarthritis is associated with the number of previous dislocations as well as surgical techniques. Latarjet-type procedures have the lowest rate of dislocation recurrence and if performed correctly, do not seem to increase the risk of osteoarthritis.
Item Type: |
Journal Article (Review Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery |
UniBE Contributor: |
Zumstein, Matthias |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2058-5241 |
Publisher: |
The British Editorial Society of Bone & Joint Surgery |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
09 Jun 2023 11:31 |
Last Modified: |
10 Jun 2023 15:21 |
Publisher DOI: |
10.1530/EOR-22-0084 |
PubMed ID: |
37289134 |
Uncontrolled Keywords: |
Bankart Latarjet arthroscopic stabilization bone block bone grafting dislocation instability remplissage shoulder |
BORIS DOI: |
10.48350/183270 |
URI: |
https://boris.unibe.ch/id/eprint/183270 |
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