Published online Jun 18, 2016. doi: 10.5312/wjo.v7.i6.343
Peer-review started: October 27, 2015
First decision: February 2, 2016
Revised: February 16, 2016
Accepted: April 7, 2016
Article in press: April 11, 2016
Published online: June 18, 2016
Core tip: Managing recurrent anterior gleno-humeral instability with bone loss is challenging. Each case needs to be assessed on its own merits with consideration of both glenoid and humeral bone defects and their relative position to each other. Latarjet and iliac crest graft transfers are reliable for treating glenoid lesions. The treatment of humeral defects is controversial - the early results of Remplissage for small defects are promising; large defects may require bony reconstructions or partial resurfacing. The evidence remains limited when addressing bipolar lesions.