Published online Jun 18, 2015. doi: 10.5312/wjo.v6.i5.421
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: 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.