44 papers, newest 30 shown · updated 2026-09-26 · Shoulder & Elbow · All topics
The newest papers on shoulder instability from the orthopaedic journals The Reduction reads, newest first, each with a one-line summary. The list is drawn from the digest’s archive and refreshed every week.
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In a rat Bankart model, adding PDGF to bone marrow stimulation dramatically boosted progenitor cell recruitment and improved labral healing and functional recovery compared to either treatment alone, suggesting a promising translational strategy.
Arthroscopic Bankart repair achieves similar labral height restoration and functional outcomes for ALPSA lesions as typical Bankart lesions with adequate capsular release.
Adolescents presenting with shoulder instability commonly show bipolar bone loss and short distance to dislocation, suggesting isolated arthroscopic Bankart repair alone may be inadequate for many in this population.
Arthroscopic suture anchor fixation of bony Bankart lesions maintained excellent shoulder stability, high satisfaction, and low reoperation rates at a mean 18-year follow-up.
In this RCT, skipping sling immobilization after open Latarjet surgery led to better 2-year Rowe and instability scores than standard sling use, challenging routine postoperative immobilization.
Among 255 arthroscopic Bankart repair patients, Hill-Sachs lesion size correlated with dislocation versus subluxation rather than chronicity, while chronic instability instead predicted a smaller distance to dislocation.
Open-Guided Latarjet With Suture-Button Fixation: Early Experience.
Guided open Latarjet using dual suture-button fixation showed early feasibility with improved functional scores and no redislocations or hardware complications in this small preliminary series.
This ESSKA-ESA European consensus provides age- and timing-specific treatment and return-to-sport recommendations for traumatic anterior shoulder instability, emphasizing bone loss thresholds and soft tissue repair to guide individualized surgical versus conservative management.
Conjoint tendon augmentation demonstrated clinical noninferiority to Latarjet procedure for recurrent shoulder dislocation while avoiding bone-block complications.
Clinical and radiographic outcomes following open Latarjet with single button technique.
Open Latarjet with single-button fixation demonstrated safe, effective stabilization with no recurrences and fewer implant-related complications than double-screw techniques.
Remplissage utilization increased 4.5-fold for arthroscopic Bankart repair, now used in 75% of near-track lesions beyond traditional off-track indications.
Recurrent traumatic posterior shoulder dislocations cause significantly greater posterior glenoid bone loss than single events, approaching thresholds where soft-tissue-only repair may fail.
This technique article details an arthroscopic subscapularis sling procedure using a glenoid bone tunnel and half-bundle peroneus longus tendon graft with labral reconstruction as an alternative treatment for recurrent anterior shoulder instability.
Finite element modeling shows labral augmentation better restores native humeral head stability and normal capsule/cartilage stress than Bankart repair with or without remplissage in shoulders with subcritical glenoid bone loss.
Minimum 5-Year Follow-up After Arthroscopic Latarjet: Outcomes and Complications.
At minimum 5-year follow-up, arthroscopic Latarjet showed low recurrence, high satisfaction, sustained WOSI improvement, and quality of life comparable to the general population.
In 50 patients, arthroscopic Bankart repair significantly shifted the humeral head posteriorly on MRI, with greater preoperative anterior translation (linked to instability chronicity) predicting less postoperative correction.
Current Approaches to Arthroscopic Management of Anterior Shoulder Instability.
This review covers current arthroscopic management of anterior shoulder instability, emphasizing glenoid track concept, remplissage indications, and Latarjet versus distal tibial allograft reconstruction for bone loss.
Latarjet with inverted L-shaped tenotomy preserves subscapularis function at 10+ years with minimal fatty infiltration.
Adding remplissage to Bankart repair for on-track Hill-Sachs lesions is cost-effective, reducing recurrence and revision surgery at 10-year follow-up.
Dual-fluoroscopy study finds Bankart repair augmented with dynamic anterior stabilization restores glenohumeral kinematics closer to normal than isolated Bankart repair in shoulder instability with minimal bone loss.
Bankart repair using Mason-Allen technique for small bony Bankart lesions achieves superior Rowe scores, high union rates, and low recurrence comparable to bone-block procedures.
Open capsular shift with Achilles allograft augmentation provides durable shoulder stability in multidirectional instability, including EDS patients.
NHL team physicians unanimously favor nonoperative in-season management for first-time posterior shoulder instability, shifting toward surgery only with recurrence or significant bone loss exceeding 15%.
This scoping review finds objective clinical tests for return-to-sport after shoulder instability surgery vary widely in pass rates and don't reliably predict the 5-10% re-dislocation risk.
Military orthopaedic research over 25 years advanced anterior shoulder instability management through epidemiology, biomechanics, imaging validation, and novel glenoid reconstruction techniques like distal tibia allograft.
Comparison of outcomes in retrospective vs. prospective Latarjet studies for shoulder instability.
Retrospective Latarjet studies report higher complication and instability rates than prospective studies, likely reflecting longer follow-up and recall bias, underscoring the need for standardized reporting.
Assessment and diagnosis of non-traumatic shoulder instability: A scoping review.
Scoping review finds no consensus assessment for non-traumatic shoulder instability, which is multifactorial; clinical history is key and routine imaging has limited first-line value.
Posterior Shoulder Instability in Athletes.
Posterior shoulder instability in athletes presents with pain and instability, diagnosed clinically with imaging, managed nonoperatively initially, with shoulder arthroscopy and posterior labral repair for surgical candidates.
An international Delphi panel reached consensus on indications for nonoperative treatment and labral repair in posterior shoulder instability, along with technical steps to reduce recurrence, though several imaging and technique questions remain unresolved.
An international Delphi consensus of shoulder experts agreed on return-to-play and revision criteria for posterior shoulder instability, but found no consensus on optimal glenoid bone graft fixation or osteotomy indications.
Bone defects (inverted-pear glenoid or engaging Hill-Sachs) caused 67% recurrence after arthroscopic Bankart repair, indicating such patients need open surgery like Latarjet.
Bankart procedure for anterior shoulder instability achieves 96.5% recurrence-free rate with excellent long-term functional outcomes and preserved motion for athletic activities.
In this cadaveric study, glenoid bone defects ≥21% of glenoid length significantly reduced shoulder stability and external rotation after Bankart repair, informing thresholds for bone-grafting decisions.
Glenoid Rim Morphology in Recurrent Anterior Glenohumeral Instability
3D CT with humeral head subtraction showed 50% of shoulders with recurrent anterior instability had an osseous Bankart fragment and 40% showed glenoid rim erosion without a discrete fragment, aiding surgical assessment.
In a 25-year prospective follow-up of primary anterior shoulder dislocation, older age, recurrence, high-energy sports, and alcohol abuse predicted arthropathy, and even non-recurrent shoulders showed some degeneration.
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