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Arthroscopic Stabilisation Techniques for Anterior Shoulder Instability

Shiraz Michael Bhatty, Jonathan Herald

Volume 2 | Issue 1 | Jan – Apr 2017 | Page 29 -35


Author: Shiraz Michael Bhatty [1], Jonathan Herald [1].

[1] Fellow, Orthoclinic, Sydney

Address of Correspondence

Dr. Shiraz Michael Bhatty, Fellow, Orthoclinic, Sydney.
Email: shirazbhatty@gmail.com


Abstract

Traumatic anteroinferior dislocation of shoulder in young patients often results in recurrent instability and can be a challenging problem to solve surgically. Treatment of anterior shoulder instability continues to evolve. Arthroscopic shoulder stabilization has become a preferred method of treatment for shoulder instability because reported success rates are parallel to those of open stabilization techniques. This is due to continuing advancement in techniques, instrumentation, improved understanding of the associated pathoanatomy and proper patient selection. In addition to the typical capsulolabral disruptionsseen following a primary dislocation, patients with recurrent instability often have coexistent osseous injury to the humeral head and glenoid. Important considerations during arthroscopy include identifying all pathology, adequate mobilization of the capsulolabral sleeve, retensioning of glenohumeral sleeve and secure anatomic fixation. With advancements in technique and more accurate diagnoses, these outcomes will continue to rise, and patients will more reliably be able to return to prior functioning levels.
Keywords: disclocation of shoulder, pathoanatomy, capsulolabral sleeve.


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How to Cite this article:. Bhatty SM, Herald J. Arthroscopic Stabilisation Techniques for Anterior Shoulder Instability. Asian Journal of Arthroscopy Jan – April 2017;1(2):29-35.


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Patho-anatomy and Patho-mechanics of Glenohumeral Instability

Sagar Vivek Kakatkar, Jonathan Herald

Volume 2 | Issue 1 | Jan – Apr 2017 | Page 3-6


Author: Sagar Vivek Kakatkar [1,2], Jonathan Herald [1]

[1] Vivaan Clinic, Nashik, Maharashtra, India.
[2] Dr. VPMCH, Nashik, Maharashtra, India.
[3] Orthoclinic, Sydney, Australia.

Address of Correspondence

Vivaan Clinic, First floor, N.S.B. center, Canada Corner, Nashik
Email: drsagarkakatkar@gmail.com


Abstract

Patho-anatomy and patho-mechanics form the basis of management of any pathology. Gleno-humeral joint is one of the most functionally complex joint in the body because of its greater range of motion and interrelationship of the forces acting on the joint. All these factors should be considered when planning the management of the glenohumeral instability since inability to address anatomical deficiencies may lead to failure; which may further complicate the treatment. The static and dynamic stabilizers of the glenohumeral joint have been described here in relation to the shoulder instability.
Keywords: Glenohumeral instability, pathoanatomy, pathomechanics, inferior glenohumeral ligament.


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How to Cite this article:. Kakatkar SV, Herald J. Patho-anatomy and Patho-mechanics of Glenohumeral Instability. Asian Journal of Arthroscopy Jan – April 2017;2(1):3-6.


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