Anterior Shoulder Instability - David Houlihan-Burne 31/7/2001



Many different procedures (>150)

Isolated repair of detatched labrum (Bankart)

Muscle transposition of subscapularis (Magnuson-Stack)

Shortening of subscapularis and anterior capsule (Putti-Platt)

Transfer of corocoid (Bristow)

Proximal humeral osteotomy (Weber)

Glenoid osteotomy (Meyer-Burgdorff)

Reconstruction with fascia lata (Gallie)


Most commonly used soft tissue procedure is modified Bankart repair -   detatched labral repair plus anterior capsullorraphy




Cole B, Insalata J et al. Pittsburgh


Comparison of Arthroscopic and Open Anterior Shoulder Stabilisation


JBJS 82-A (8).1108 – 1114. 2000


63 pts either arthroscopic Bankart or open capsular shift. No difference in failure /recurrence rates. Results Excellent – 91% open, 84% arth. Surgical failure rate 24% arth, 18% open. Minimal loss of mobility.


Different operation for different pathology. ? comparable groups.   One of the few comparative trials.





Protzman R


Anterior instability of the shoulder


JBJS 62-A (6). 909 – 918. 1970


Review of 89 pts having had surgery (Bankart repair) for   anterior instability. Distinguished 3 types of anterior instability and compared gps. 70% have x-ray evidence of Bankart lesion. Subjectively 91% satisfactory result. 3% surgical failure rate. Objectively 8% further subluxation episode but most of these thought shoulder was more stable post than pre op. <12 degress loss in ROM in any one direction.


All types of instability analysed. All Army cadets and post op function rated as “number of pull-ups achieved” !




Hill HA, Sachs MD :The grooved defect of the humeral head: A frequently unrecognised complication of dislocations of the   

                                   shoulder joint. Radiology 35: 690-700. 1940


Bankart AS : The pathology and treatment of recurrent or habitual dislocation of the shoulder joint. Br J Surg 26: 23-29. 1938


Osmond-Clarke H ; Habitual dislocation of the shoulder : The Putti Platt operation. JBJS 30B: 19-25, 1948

Please log in to view the content of this page.
If you are having problems logging in, please refer to the login help page.

© 2011 Website by Regency Medical Marketing 
Biomet supporting orthoteersOrthoteers is a non-profit educational resource. Click here for more details
Acromio-clavicular joint injuries -...
Anterior Shoulder Dislocation - Dus...
Anterior Shoulder Instability - Dav...
Clavicle Fractures - Dushan Atkinso...
Clavicle non-union - Lucy Dennell 7...
Displaced Proximal Humeral Fracture...
Frozen Shoulder - Alistair Jepson ...
Neer's paper: Proximal Humerus Frac...
Proximal Humerus Fractures ORIF or ...
Rotator Cuff Full Thickness Tears -...
Rotator Cuff Imaging - Ian McDermot...
Rotator Cuff Nonoperative Managemen...
Rotator Cuff Partial Thickness Tear...
Rotator Cuff Repair: Open vs Arthro...
Rotator Cuff Surgery: Outcomes - CC...
Shoulder Arthroplasty: The Glenoid ...
Shoulder Surface Arthroplasty and C...
OWLS Advertise on Orthoteers
Orthoteers Junior Orthoteers Orthopaedic Biomechanics Orthopaedic World Literature Society Educational Resources Image Gallery About Orthoteers Orthoteers Members search
Hide Menu