Management of bone loss in glenohumeral instability

Orthop Clin North Am. 2014 Oct;45(4):523-39. doi: 10.1016/j.ocl.2014.06.005. Epub 2014 Jul 24.

Abstract

This review discusses the evaluation and management of bone loss in glenohumeral instability. The glenohumeral joint may experience a dislocation or subluxation associated with traumatic injury or through repetitive atraumatic events. Nearly 62% of cases with recurrent dislocation have both Hill-Sachs and bony Bankart defects. Treatment of unstable bone defects may require soft-tissue repair, bone grafting, or both, depending on the size and nature of the defects. The most common treatment is isolated soft-tissue repair, leaving the bone defects untreated, although emerging evidence supports directly addressing these bony defects.

Keywords: Bankart lesion; Glenohumeral instability; Hill-Sachs; Latarjet.

Publication types

  • Review

MeSH terms

  • Bone Transplantation
  • Diagnostic Imaging
  • Humans
  • Joint Instability / complications*
  • Joint Instability / diagnosis
  • Joint Instability / surgery
  • Medical History Taking
  • Osteoporosis / complications*
  • Osteoporosis / diagnosis
  • Osteoporosis / surgery*
  • Physical Examination
  • Recurrence
  • Shoulder Dislocation / complications*
  • Shoulder Dislocation / diagnosis
  • Shoulder Dislocation / surgery
  • Shoulder Injuries
  • Shoulder Joint / surgery