Published online Mar 18, 2017. doi: 10.5312/wjo.v8.i3.229
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: 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.