Arthroscopic selective approach to dynamic posterior shoulder instability: long-term follow-up insights.

Background: The objective of this study is to evaluate the outcomes of arthroscopic capsulolabral repair in patients with structural dynamic posterior instability (Moroder classification B2), analyzing factors associated with inferior clinical outcomes or recurrence. The primary hypothesis is that this surgical approach in patients without static structural changes such as excessive glenoid retroversion or dysplastic glenoids will result in satisfactory clinical outcomes and low failure rates.

Methods: We conducted observational retrospective analysis in patients diagnosed with posterior structural dynamic instability who underwent arthroscopic capsulolabral repair.

Arthroscopic Posterior Glenoid Reconstruction With Distal Clavicle Bone-Block.

Posterior glenoid bone loss is a potential cause for failure in arthroscopic capsulolabral repair. Although multiple techniques have been described to reconstruct posterior bone defects, they do not reliably yield improved patient outcomes and have high complication rates. We present a technique to reconstruct posterior glenoid bone loss using a distal clavicle autologous bone graft harvested by a mini-open approach and secured arthroscopically with suture buttons.

Biplanar Osteosynthesis for Severely Displaced Proximal-Third Clavicle Fracture: A Case Report.

Case: We present the case of a 41-year-old man with a displaced extra-articular proximal-third clavicle fracture managed with open reduction and double-plate internal fixation. Twelve months after the procedure, the patient had recovered full range of motion and returned to work.

Conclusions: Proximal-third clavicle fractures are infrequent injuries and are usually treated conservatively.