Recurrent anterior shoulder instability after prior bone block stabilization is a therapeutically challenging condition. Historically, repeated glenoid bone grafting has been advocated in such cases to achieve lasting shoulder stability. However, recent insights into the pathomechanics of shoulder instability, especially regarding bipolar bony lesions, have renewed our interest in the arthroscopic treatment of Hill-Sachs lesions and the role of soft-tissue interventions after bone block procedures.
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