Apostolakos JM, Wright-Chisem J, Gulotta LV, Taylor SA, Dines JS. Anterior glenohumeral instability: Current review with technical pearls and pitfalls of arthroscopic soft-tissue stabilization. World J Orthop 2021; 12(1): 1-13 [PMID: 33520677 DOI: 10.5312/wjo.v12.i1.1]
Corresponding Author of This Article
John M Apostolakos, MD, Surgeon, Department of Sports Medicine and Shoulder Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, United States. apostolakosj@hss.edu
Research Domain of This Article
Orthopedics
Article-Type of This Article
Opinion Review
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Jan 18, 2021; 12(1): 1-13 Published online Jan 18, 2021. doi: 10.5312/wjo.v12.i1.1
Anterior glenohumeral instability: Current review with technical pearls and pitfalls of arthroscopic soft-tissue stabilization
John M Apostolakos, Joshua Wright-Chisem, Lawrence V Gulotta, Samuel A Taylor, Joshua S Dines
John M Apostolakos, Joshua Wright-Chisem, Lawrence V Gulotta, Samuel A Taylor, Joshua S Dines, Department of Sports Medicine and Shoulder Surgery, Hospital for Special Surgery, New York, NY 10021, United States
Author contributions: Apostolakos JM was the author primarily responsible for the writing and editing of the text; Wright-Chisem J assisted in the writing and editing of the text; Gulotta LV provided critical expertise and input into the material of the text; Taylor SA provided critical expertise and input into the material of the text; Dines JS provided critical expertise and input into the material of the text.
Conflict-of-interest statement: Drs. Apostolakos and Wright-Chisem have nothing to disclose. Dr. Gulotta is a paid consultant, present, or speaker and received research support from Biomet. He is a paid presenter or speaker for Exactech, Inc and receives IP royalties. He is on the editorial or governing board for the HSS Journal. Dr. Gulotta has stock or stock options with Imagen, Inc and Responsive Arthroscopy, Inc. He is a paid presenter or speaker for Smith and Nephew, outside the submitted work. Dr. Taylor is a paid consultant for DJ Orthopaedics and Mitek, outside the submitted work. Dr. Dines is a board or committee member for the American Shoulder and Elbow Surgeons. He is a paid consultant, presenter, or speaker with research support from Arthrex, Inc and is on the editorial or governing board for the Journal of Shoulder and Elbow Surgery. He receives IP royalties from Linvatec and publishing royalties with financial or material support from Thieme and Wolters Kluwer Health.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: John M Apostolakos, MD, Surgeon, Department of Sports Medicine and Shoulder Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, United States. apostolakosj@hss.edu
Received: June 30, 2020 Peer-review started: June 30, 2020 First decision: December 11, 2020 Revised: December 16, 2020 Accepted: December 23, 2020 Article in press: December 23, 2020 Published online: January 18, 2021
Core Tip
Core Tip: Management of the patient with anterior shoulder instability is a common yet complex condition for the orthopaedic clinician. To optimize the evaluation and management of these patients the clinician must ensure a detailed and thorough clinical and radiographic workup, have a thorough understanding of the dynamic, static, and bony stabilizers of the glenohumeral joint, and understand the common causes of failed surgical intervention in order to address these concerns when appropriate. This review describes the current evidence on anterior glenohumeral instability including functional anatomy, risk factors for recurrent instability, clinical history and physical examination techniques, imaging modalities, and operative pearls and pitfalls.
