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Arthroscopic management of anterior shoulder instability with glenoid bone defects

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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Bony deficiency of the anterior glenoid rim may significantly contribute to recurrent shoulder instability. Today, based on clinical and biomechanical data, a bony reconstruction is recommended in patients with bone loss of greater than 20–25 % of the glenoid surface area. Recent advances in arthroscopic instruments and techniques presently allow minimally invasive and arthroscopic reconstruction of glenoid bone defects and osteosynthesis of glenoid fractures. This article underlines the role of glenoid bone deficiency in recurrent shoulder instability, provides an update on the current management regarding this pathology and highlights the modern techniques for surgical treatment. Therefore, it can help orthopaedic surgeons in the treatment and decision-making when dealing with these difficult to treat patients in daily clinical practice.

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Authors and Affiliations

  1. Department of Orthopeadic Sports Medicine, University Hospital rechts der Isar, Munich Technical University, Ismaninger Strasse 22, 81675, Munich, Germany

    Frank Martetschläger

  2. The Steadman Clinic, 181 West Meadow Drive, Vail, CO, 81657, USA

    Frank Martetschläger & Peter J. Millett

  3. The Steadman Philippon Research Institute, 181 West Meadow Drive, Vail, CO, 81657, USA

    Frank Martetschläger & Peter J. Millett

  4. Hôpital Ambroise Paré, 9 Av Charles de Gaulle, 92100, Boulogne (Paris), France

    Tobias M. Kraus & Philippe Hardy

Authors
  1. Frank Martetschläger
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  2. Tobias M. Kraus
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  3. Philippe Hardy
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  4. Peter J. Millett
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Corresponding author

Correspondence to Peter J. Millett.

Additional information

Disclaimer: This research was supported by the Steadman Philippon Research Institute, which is a 501(c)3 non-profit institution supported financially by private donations and corporate support from the following entities: Smith & Nephew Endoscopy, Arthrex, Arthrocare, Siemens, OrthoRehab and Ossur Americas. This work was not supported directly by outside funding or grants. Peter J. Millett has received from a commercial entity something of value (exceeding the equivalent of US $500) not related to this manuscript or research from Arthrex. He is a consultant and receives payments from Arthrex and has stock options in Game Ready. Frank Martetschläger has received from a commercial entity something of value (exceeding the equivalent of US $500) not related to this manuscript or research from Arthrex. His position was supported by Arthrex. The other author, his immediate family and any research foundations with which he is affiliated have not received any financial payments or other benefits from any commercial entity related to the subject of this article.

Frank Martetschläger and Tobias M Kraus contributed equally to this work.

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Martetschläger, F., Kraus, T.M., Hardy, P. et al. Arthroscopic management of anterior shoulder instability with glenoid bone defects. Knee Surg Sports Traumatol Arthrosc 21, 2867–2876 (2013). https://doi.org/10.1007/s00167-012-2198-9

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  • DOI: https://doi.org/10.1007/s00167-012-2198-9

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