<b>Traumatic anterior instability of the shoulder</b>

Rosa, João Roberto Polydoro; Checchia, Caio Santos; Miyazaki, Alberto Naoki

doi:10.1016/j.rboe.2017.09.003

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Revista Brasileira de Ortopedia

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Sumário

UPDATE ARTICLE • Rev. bras. ortop. 52 (5) • Sep-Oct 2017 • https://doi.org/10.1016/j.rboe.2017.09.003 copy

Traumatic anterior instability of the shoulder ^☆ ☆ Paper developed at the Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCM-SCSP), Departamento de Ortopedia e Traumatologia, São Paulo, SP, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

The shoulder is the most unstable joint in the human body. Traumatic anterior instability of the shoulder is a common condition, which, especially in young patients, is associated with high recurrence rates. The effectiveness of non-surgical treatments when compared to surgical ones is still controversial. The purpose of this study was to review the literature for current concepts and updates regarding the treatment of this condition.

Keywords:
Joint instability; Orthopedic procedures; Recurrence; Shoulder dislocation; Shoulder joint

Authors	Publication date	Quorom	Lower number of recurrences
Freedman et al.⁴⁴	July 2004	15	Open repair
Mohtadi et al.⁴⁰	June 2005	13	Open repair
Hobby et al.³⁴	September 2007	14	Discordant
Lenters et al.⁴⁵	February 2007	16	Discordant
Ng et al.⁴¹	June 2007	16	Discordant
Pulavarti et al.⁴⁶	October 2009	16	No differences
Petrera et al.⁴²	March 2010	17	No differences

Groups	Glenoid fossa defect	Hill-Sachs lesion	Recommended treatment
1	<25%	On track	Arthroscopic repair of Bankart lesion
2	<25%	Off track	Arthroscopic repair of Bankart lesion + remplissage
3	≥25%	On track	Latarjet procedure
4	≥25%	Off track	Latarjet procedure with or without humeral head procedure (remplissage or graft)

Sociedade Brasileira de Ortopedia e Traumatologia Al. Lorena, 427 14º andar, 01424-000 São Paulo - SP - Brasil, Tel.: 55 11 2137-5400 - São Paulo - SP - Brazil
E-mail: rbo@sbot.org.br

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[1] ^*Corresponding author. E-mail: jopoly01@yahoo.com.br (J.R. Rosa).

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Traumatic anterior instability of the shoulder ☆ ☆ Paper developed at the Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCM-SCSP), Departamento de Ortopedia e Traumatologia, São Paulo, SP, Brazil.

ABSTRACT

Traumatic anterior instability of the shoulder ^☆ ☆ Paper developed at the Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCM-SCSP), Departamento de Ortopedia e Traumatologia, São Paulo, SP, Brazil.