Bone loss in anterior instability

Eiji Itoi, Nobuyuki Yamamoto, Daisuke Kurokawa, Hirotaka Sano

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Bone loss is commonly observed in shoulders with anterior instability. The Latarjet procedure is commonly performed when a glenoid bony defect exists that is greater than 25 % of the glenoid width or when the risk of recurrent instability is higher (i.e., collision-sport athletes). Hill-Sachs lesions need to be assessed as well. For the purpose of assessing the bipolar lesions, the glenoid track concept is useful. A Hill-Sachs lesion that is located more medially than the medial margin of the glenoid track is defined as an engaging Hill-Sachs lesion. A potential treatment for such a condition is remplissage, but this procedure also decreases range of motion. Thus, its application in overhead athletes needs to be carefully considered.

Original languageEnglish
Pages (from-to)88-94
Number of pages7
JournalCurrent Reviews in Musculoskeletal Medicine
Volume6
Issue number1
DOIs
Publication statusPublished - 2013 Mar 1

Keywords

  • Bone graft
  • Bony Bankart lesion
  • Bony defect
  • Bristow-Latarjet
  • Dislocation
  • End-range stability
  • Engaging Hill-Sachs lesion
  • Glenoid
  • Glenoid track
  • Hill-Sachs lesion
  • Humeral head
  • Latarjet procedure
  • Mid-range stability
  • Remplissage
  • Shoulder instability
  • Stabilization mechanism
  • Stabilizer

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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