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Surgery for Traumatic Instability of the Shoulder.

Last updated Thursday, February 10, 2005

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Conclusion

In summary

This article has described the pathology, diagnosis, and management of patients with traumatic instability. This diagnosis is made predominately on the basis of the history of the initial and subsequent episodes of instability and is corroborated by the physical examination and often by bony changes on plain radiographs. The goal of the surgical repair is to restore anatomically the continuity of the capsuloligamentous and labral complex with the cartilage of the glenoid fossa and to avoid limitation of range of motion from unnecessary capsular tightening. It is also important that the surgical repair be sufficiently strong that early protected use of the shoulder can be instituted while the tissues are held in secure anatomic position to the bone of the glenoid. With this approach, more complicated and complication-prone procedures such as capsular tightening, coracoid osteotomy, coracoid transfer, metal fixation, bone blocks, and osteotomies can be avoided. It is to be reemphasized that satisfactory treatment of this entity depends on a precise diagnosis, which is established by the history and physical examination prior to taking the patient to the operating room.

Disclaimer

This resource has been provided by the University of Washington Department of Orthopaedics and Sports Medicine as general information only. This information may not apply to a specific patient. Additional information may be found at http://www.orthop.washington.edu or by contacting the UW Department of Orthopaedics and Sports Medicine.

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