Copyright ©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jun 18, 2015; 6(5): 421-433
Published online Jun 18, 2015. doi: 10.5312/wjo.v6.i5.421
Effect of bone loss in anterior shoulder instability
Grant H Garcia, Joseph N Liu, David M Dines, Joshua S Dines
Grant H Garcia, Joseph N Liu, David M Dines, Joshua S Dines, Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY 10021, United States
Author contributions: All authors contributed to this manuscript.
Conflict-of-interest: David M Dines has a patent with Biomet Inc with royalties paid. Joshua S Dines reports personal fees from Arthrex, Conmed Linvatec outside of the submitted work for consulting. Dr. Dines also receives research support from Arthrex outside of the submitted work. Joseph N Liu and Grant H Garcia have no conflicts of interest to report.
Open-Access: 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:
Correspondence to: Grant H Garcia, MD, Department of Orthopedic Surgery, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, United States.
Telephone: +1-212-6061466
Received: March 16, 2015
Peer-review started: March 21, 2015
First decision: April 10, 2015
Revised: April 20, 2015
Accepted: May 5, 2015
Article in press: May 6, 2015
Published online: June 18, 2015
Core Tip

Core tip: Anterior bony instability is a multifactorial problem, with osseous lesions existing on the glenoid, the humeral head or in combination. For glenoid lesions recent data has suggested Latarjet as a good option in these patients, with the potential in the near future for a technically feasible arthroscopic approach. With humeral head lesions, remplissage has demonstrated excellent short-term outcomes and offers an arthroscopic method. In the future longer-term studies will be needed for the remplissage procedure. Overall, there are many surgical options to treat these difficult patients each with their own unique aspects.