Waterman BR, Kilcoyne KG, Parada SA, Eichinger JK. Prevention and management of post-instability glenohumeral arthropathy. World J Orthop 2017; 8(3): 229-241 [PMID: 28361016 DOI: 10.5312/wjo.v8.i3.229]
Corresponding Author of This Article
Brian R Waterman, MD, MAJ, MC, Department of Orthopaedic Surgery and Rehabilitation, William Beaumont Army Medical Center, 5005 North Piedras St, El Paso, TX 79920, United States. brian.r.waterman@gmail.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
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. Mar 18, 2017; 8(3): 229-241 Published online Mar 18, 2017. doi: 10.5312/wjo.v8.i3.229
Prevention and management of post-instability glenohumeral arthropathy
Brian R Waterman, Kelly G Kilcoyne, Stephen A Parada, Josef K Eichinger
Brian R Waterman, Kelly G Kilcoyne, Department of Orthopaedic Surgery and Rehabilitation, William Beaumont Army Medical Center, El Paso, TX 79920, United States
Stephen A Parada, Eisenhower Army Medical Center, Augusta, GA 30905, United States
Josef K Eichinger, Madigan Army Medical Center, Tacoma, WA 98431, United States
Author contributions: Waterman BR and Eichinger JK contributed to manuscript development and critical revision; Kilcoyne KG contributed to manuscript development; Parada SA contributed to critical revision.
Conflict-of-interest statement: The authors have no conflicts of interest or relevant financial disclosures related the content of this manuscript. The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or reflecting the views of the Department of Defense or the United States government. The authors are employees of the United States government.
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: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Brian R Waterman, MD, MAJ, MC, Department of Orthopaedic Surgery and Rehabilitation, William Beaumont Army Medical Center, 5005 North Piedras St, El Paso, TX 79920, United States. brian.r.waterman@gmail.com
Telephone: +1-915-7422288 Fax: +1-915-7421931
Received: June 29, 2016 Peer-review started: July 1, 2016 First decision: October 21, 2016 Revised: November 13, 2016 Accepted: December 7, 2016 Article in press: December 9, 2016 Published online: March 18, 2017
Core Tip
Core tip: Non-anatomic stabilization procedures may result in overconstraint or incongruence of the glenohumeral joint with resultant instability arthropathy. Proud suture anchors can create a traumatic wear pattern resulting in an iatrogenic arthropathy. Secondary arthropathy may occur in up to two-thirds of patients after Bankart repair and 30% after coracoid transfer at mid- to long-term follow-up, although clinical outcomes may vary. When conservative measures have failed, various arthroscopic procedures may be considered to address mechanical symptoms and other pain generators. Total shoulder arthroplasty remains the most reliable option for advanced instability arthropathy, although concern exists above survivorship in patients under 50 years.
