Arthroscopic management of the contact athlete with instability.

Abstract:

:The shoulder is the most commonly dislocated joint in the body, with a greater incidence of instability in contact and collision athletes. In contact and collision athletes that have failed nonoperative treatment, the most important factors to consider when planning surgery are amount of bone loss (glenoid, humeral head); patient age; and shoulder hyperlaxity. Clinical outcomes, instability recurrence rate, and return to sport rate are not significantly different between arthroscopic suture anchor and open techniques. Lateral decubitus positioning with distraction and four portal (including seven-degree and 5-o’clock positions) techniques allow for 360-degree access to the glenoid rim, with placement of at least three sutures anchors below 3 o’clock for optimal results. In patients with significant glenoid bone loss (>20%-25%, inverted pear glenoid), open bone augmentation techniques are indicated and arthroscopic techniques are contraindicated.

journal_name

Clin Sports Med

authors

Harris JD,Romeo AA

doi

10.1016/j.csm.2013.07.007

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

709-30

issue

4

eissn

0278-5919

issn

1556-228X

pii

S0278-5919(13)00065-3

journal_volume

32

pub_type

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