Opinion editorial—concavity compression
ABOUT THE EXPERTS Frederick A. Matsen III, MD, is a Professor of Orthopaedics and Sports Medicine at the University of Washington. His life in shoulder began with a fellowship in…
Opinion editorial—use and abuse of the latarjet procedure
ABOUT THE EXPERT Gilles Walch, MD, is an orthopedic surgeon specialized in shoulder surgery. He is a senior partner at the Shoulder Department of Centre Orthopedique Santy and at Hospital…
Multidirectional instability—open inferior capsular shift
Introduction The open inferior capsular shift operation as described by Neer is a versatile operation that allows adjustment of technique to match identified pathology in patients with glenohumeral instability. Shoulder…
Anterior instability—bone augmentation surgery: Primary and revision outcomes
Introduction Osseous lesions in the humeral head and glenoid are commonly observed in patients with anterior shoulder instability. The prevalence of bone loss and pathologic bony changes increases with recurrent…
Multidirectional instability—arthroscopic treatment and outcomes
Introduction As noted in Chapter 35 , the basic science and clinical characteristics of multidirectional instability (MDI) have helped identify this clinical entity more thoroughly. Subsequent research efforts have established…
Sepsis background
Shoulder sepsis can have a devastating impact on shoulder function, particularly if diagnosis and treatment are delayed or inadequate. The general principles in the pathogenesis of shoulder sepsis are similar…
Opinion editorial—first-time shoulder dislocation: My approach
ABOUT THE EXPERT Eiji Itoi, MD, PhD, is an emeritus professor of Tohoku University, Sendai, Japan. He had a shoulder fellowship year with Dr. Shiro Tabata in 1989. He then…
Posterior instability—epidemiology, history, physical examination, imaging, and nonoperative treatment
Introduction and epidemiology Posterior shoulder instability occurs on a spectrum ranging from painful posterior labral tears with minimal instability to symptomatic posterior subluxation, all the way to locked dislocation events….
Anterior instability—open surgery: Primary and revision with outcomes
Introduction This chapter discusses the history, treatment algorithm, indications, and rationale for use of an open approach to anterior shoulder instability—specifically a discussion of the open Bankart repair technique, as…
Posterior instability: Open and bone augmentation surgery
History of open posterior shoulder surgery Posterior glenohumeral instability includes a variety of clinical presentations, ranging from traumatic posterior glenohumeral dislocation to recurrent microinstability that frequently presents as nondescript posterior…
