Fixation methods and implants in shoulder stabilization: A historical perspective.

Background: Treatment for shoulder instability has changed significantly over the past decade from open procedures to arthroscopic procedures using a variety of different fixation methods and implants. The development of these implants has been highly influenced by the numerous complications that have arisen using early designs.

Methods: A review of the literature was performed to describe the history of shoulder stabilization.

Hill-Sachs remplissage, an arthroscopic solution for the engaging Hill-Sachs lesion: 2- to 10-year follow-up and incidence of recurrence.

Background: This paper presents the results of arthroscopic remplissage in the treatment of traumatic anterior shoulder instability in a difficult subgroup of patients with both glenoid bone loss and a significant Hill-Sachs lesion.

Methods: From March 2002 through May 2010, 270 patients were treated surgically for anterior shoulder instability. Of the surgical procedures performed, 59 patients (21.

Glenoid avulsion of the glenohumeral ligaments as a cause of recurrent anterior shoulder instability.

Although the Bankart lesion is accepted as the primary pathology responsible for recurrent shoulder instability, recognition of other soft-tissue lesions has improved the surgical treatment for this common problem. Whereas humeral avulsion of the glenohumeral ligaments has been acknowledged as a cause of anterior shoulder instability, we have not found any reported cases of glenoid avulsion of the glenohumeral ligaments. We describe 3 cases of recurrent anterior shoulder instability due to glenoid avulsion of the glenohumeral ligaments.

The external rotation test in the diagnosis of adhesive capsulitis.

This article evaluates the effectiveness of the external rotation test in diagnosing capsulitis. The test is performed with the upper arm in a neutral position at the patient's side and the elbow in 90 degrees of flexion. The test is positive when pain is produced with this maneuver.

Hill-sachs "remplissage": an arthroscopic solution for the engaging hill-sachs lesion.

We present an arthroscopic technique used to treat traumatic shoulder instability in patients with glenoid bone loss and a large Hill-Sachs lesion. The procedure consists of an arthroscopic capsulotenodesis of the posterior capsule and infraspinatus tendon to fill the Hill-Sachs lesion. With the patient in the lateral decubitus position, a posterior portal is established at the lateral aspect of the convexity of the humeral head that is centered over the lesion.

Arthroscopic treatment of glenohumeral instability.

Arthroscopic treatment of glenohumeral instability using modern suture anchor techniques has reported recurrence rates equal to open techniques, even in high-demand contact athletes. Compared with open procedures, arthroscopic stabilization leads to less morbidity and less stiffness, leading to improved postoperative function, especially in overhead athletes. This article highlights the technical aspects of arthroscopic treatment of anterior glenohumeral instability.

Arthroscopic side-to-side rotator cuff repair.

Purpose: To study the results of arthroscopic repair of full-thickness rotator cuff tears using a side-to-side suture technique without fixation to bone.

Type Of Study: Case series study of the long-term results of patients who underwent purely arthroscopic rotator cuff repair with a side-to-side suturing technique.

Methods: A retrospective review was performed of patients who underwent arthroscopic repair of full-thickness rotator cuff defects.

Arthroscopic rotator cuff repair: 4- to 10-year results.

Purpose: The purpose of this article is to report the 4- to 10-year results of arthroscopic repair of full- thickness rotator cuff tears.

Type Of Study: This is a retrospective study evaluating a series of arthroscopic rotator cuff repairs performed by a single surgeon from February 1990 to February 1996.

Methods: Retrospective chart reviews and telephone interviews were performed to evaluate the results of arthroscopic repair of rotator cuff tears.