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Anterior Shoulder Instability and Open Procedures: History, Indications, and Clinical Outcomes

The shoulder, being the most mobile joint in the human body, is often susceptible to dislocations and subluxations more so than other joints. As such, shoulder instability constitutes a common complaint among patients worldwide, especially those who are young, participate in contact sports, and have...

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Autores principales: Fares, Mohamad Y., Boufadel, Peter, Daher, Mohammad, Koa, Jonathan, Khanna, Akshay, Abboud, Joseph A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Orthopaedic Association 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10375816/
https://www.ncbi.nlm.nih.gov/pubmed/37529197
http://dx.doi.org/10.4055/cios23018
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author Fares, Mohamad Y.
Boufadel, Peter
Daher, Mohammad
Koa, Jonathan
Khanna, Akshay
Abboud, Joseph A.
author_facet Fares, Mohamad Y.
Boufadel, Peter
Daher, Mohammad
Koa, Jonathan
Khanna, Akshay
Abboud, Joseph A.
author_sort Fares, Mohamad Y.
collection PubMed
description The shoulder, being the most mobile joint in the human body, is often susceptible to dislocations and subluxations more so than other joints. As such, shoulder instability constitutes a common complaint among patients worldwide, especially those who are young, participate in contact sports, and have increased innate flexibility in their joints. Management options in the setting of instability vary between conservative and surgical options that aim to mitigate symptoms and allow return of function. Surgical options can be arthroscopic and open, with a general shift among surgeons towards utilizing arthroscopic surgery in the past several decades. Nevertheless, open procedures still play a role in managing shoulder instability patients, especially those with significant bone loss, recurrent instability, coexisting shoulder pathologies, and high risk of failure with arthroscopic surgery. In these clinical settings, open procedures, like the Latarjet procedure, open Bankart repair, glenoid bone augmentation using iliac crest autograft or distal tibial allograft, and salvage options like glenohumeral arthrodesis and arthroplasty may show good clinical outcomes and low recurrence rates. Each of these open procedures possesses its own set of advantages and disadvantages and entails a specific set of indications based on published literature. It is important to cater treatment options to the individual patient in order to optimize outcomes and reduce the risk of complications. Future research on open shoulder stabilization procedures should focus on the long-term outcomes of recently utilized procedures, investigate different graft options for procedures involving bone augmentation, and conduct additional comparative analyses in order to establish concrete surgical management guidelines.
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spelling pubmed-103758162023-08-01 Anterior Shoulder Instability and Open Procedures: History, Indications, and Clinical Outcomes Fares, Mohamad Y. Boufadel, Peter Daher, Mohammad Koa, Jonathan Khanna, Akshay Abboud, Joseph A. Clin Orthop Surg Review Article The shoulder, being the most mobile joint in the human body, is often susceptible to dislocations and subluxations more so than other joints. As such, shoulder instability constitutes a common complaint among patients worldwide, especially those who are young, participate in contact sports, and have increased innate flexibility in their joints. Management options in the setting of instability vary between conservative and surgical options that aim to mitigate symptoms and allow return of function. Surgical options can be arthroscopic and open, with a general shift among surgeons towards utilizing arthroscopic surgery in the past several decades. Nevertheless, open procedures still play a role in managing shoulder instability patients, especially those with significant bone loss, recurrent instability, coexisting shoulder pathologies, and high risk of failure with arthroscopic surgery. In these clinical settings, open procedures, like the Latarjet procedure, open Bankart repair, glenoid bone augmentation using iliac crest autograft or distal tibial allograft, and salvage options like glenohumeral arthrodesis and arthroplasty may show good clinical outcomes and low recurrence rates. Each of these open procedures possesses its own set of advantages and disadvantages and entails a specific set of indications based on published literature. It is important to cater treatment options to the individual patient in order to optimize outcomes and reduce the risk of complications. Future research on open shoulder stabilization procedures should focus on the long-term outcomes of recently utilized procedures, investigate different graft options for procedures involving bone augmentation, and conduct additional comparative analyses in order to establish concrete surgical management guidelines. The Korean Orthopaedic Association 2023-08 2023-07-13 /pmc/articles/PMC10375816/ /pubmed/37529197 http://dx.doi.org/10.4055/cios23018 Text en Copyright © 2023 by The Korean Orthopaedic Association https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Fares, Mohamad Y.
Boufadel, Peter
Daher, Mohammad
Koa, Jonathan
Khanna, Akshay
Abboud, Joseph A.
Anterior Shoulder Instability and Open Procedures: History, Indications, and Clinical Outcomes
title Anterior Shoulder Instability and Open Procedures: History, Indications, and Clinical Outcomes
title_full Anterior Shoulder Instability and Open Procedures: History, Indications, and Clinical Outcomes
title_fullStr Anterior Shoulder Instability and Open Procedures: History, Indications, and Clinical Outcomes
title_full_unstemmed Anterior Shoulder Instability and Open Procedures: History, Indications, and Clinical Outcomes
title_short Anterior Shoulder Instability and Open Procedures: History, Indications, and Clinical Outcomes
title_sort anterior shoulder instability and open procedures: history, indications, and clinical outcomes
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10375816/
https://www.ncbi.nlm.nih.gov/pubmed/37529197
http://dx.doi.org/10.4055/cios23018
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