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2016 ; 17
(3
): 187-97
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Evaluation and treatment of failed shoulder instability procedures
#MMPMID27306444
Ho AG
; Gowda AL
; Michael Wiater J
J Orthop Traumatol
2016[Sep]; 17
(3
): 187-97
PMID27306444
show ga
Management of the unstable shoulder after a failed stabilization procedure can be
difficult and challenging. Detailed understanding of the native shoulder anatomy,
including its static and dynamic restraints, is necessary for determining the
patient's primary pathology. In addition, evaluation of the patient's history,
physical exam, and imaging is important for identifying the cause for failure
after the initial procedure. Common mistakes include under-appreciation of bony
defects, failure to recognize capsular laxity, technical errors, and missed
associated pathology. Many potential treatment options exist for revision
surgery, including open or arthroscopic Bankart repair, bony augmentation
procedures, and management of Hill Sachs defects. The aim of this narrative
review is to discuss in-depth the common risk factors for post-surgical failure,
components for appropriate evaluation, and the different surgical options
available for revision stabilization. Level of evidence Level V.
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