The Hill-Sachs lesion is a well-known entity that threatens recurrent instability, but the treatment options are multiple and the surgical indications remain undefined. The evidence for each operative technique is…
Recurrent anterior shoulder instability is commonly associated with glenoid bone defects. When the defect is significant, bony reconstruction is typically necessary. The congruent arc modification of the Latarjet procedure uses…
The most critical step in successful treatment of shoulder instability does not lie in surgical technique, but in accurate assessment of factors contributing to instability. Multidirectional instability (MDI) is initially…
In comparison with anterior shoulder instability, posterior instability is uncommon, occurring in 2% to 10% of cases, and covering a wide clinical spectrum ranging from locked posterior dislocation to the…
The all-arthroscopic technique that the authors propose combines a Bristow-Latarjet procedure with a Bankart repair. This combined procedure provides a triple blocking of the shoulder (the so-called 2B3 procedure): (1)…
Despite advances in the understanding of anterior shoulder instability, failure rates after open and arthroscopic surgery have been reported to be as high as 30%. In general, a successful operative…
The capsule, labrum, glenohumeral ligaments, and rotator cuff represent the static and dynamic stabilizers of the glenohumeral joint. Various injuries can occur to one or more of these structures during…
Glenohumeral instability is a common cause of shoulder disability. A wide spectrum of causes and presentations can make diagnosing subtle instability very difficult. This article describes clinical evaluation of the…
Advances in medical and surgical care over the past 20 years have resulted in children who formerly would have died at birth or infancy now surviving well into adulthood, many…
Clinical decision making for the management of foot deformities in children with cerebral palsy is based on the collection and integration of data from 5 sources: the clinical history, physical…
