scholarly journals Arthroscopic McLaughlin Procedure for Treatment of Posterior Instability of the Shoulder With an Engaging Reverse Hill-Sachs Lesion

2019 ◽  
Vol 8 (12) ◽  
pp. e1491-e1494
Author(s):  
Marion Besnard ◽  
Stéphane Audebert ◽  
Arnaud Godenèche
Keyword(s):  
Posterior Instability ◽  
Mclaughlin Procedure

An Appreciation of Posterior Instability of the Shoulder

1991 ◽  
Vol 10 (4) ◽  
pp. 887-898 ◽  
Author(s):  
Robert H. Bell ◽  
Jeffrey S. Noble
Keyword(s):  
Posterior Instability

scholarly journals Differences in Outcomes Between Anterior and Posterior Shoulder Instability After Arthroscopic Bankart Repair: A Systematic Review and Meta-analysis

2021 ◽  
Vol 9 (5) ◽  
pp. 232596712110064
Author(s):  
Matthew L. Vopat ◽  
Reed G. Coda ◽  
Nick E. Giusti ◽  
Jordan Baker ◽  
Armin Tarakemeh ◽  
...  
Keyword(s):  
Systematic Review ◽  
Shoulder Instability ◽  
Anterior Shoulder Instability ◽  
Posterior Shoulder Instability ◽  
Anterior Instability ◽  
Posterior Instability ◽  
Female Patients ◽  
Posterior Shoulder ◽  
Male Patients ◽  
Postoperative Instability

Background: The glenohumeral joint is one of the most frequently dislocated joints in the body, particularly in young, active adults. Purpose: To conduct a systematic review and meta-analysis to evaluate and compare outcomes between anterior versus posterior shoulder instability. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review was performed using the PubMed, Cochrane Library, and MEDLINE databases (from inception to September 2019) according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Studies were included if they were published in the English language, contained outcomes after anterior or posterior shoulder instability, had at least 1 year of follow-up, and included arthroscopic soft tissue labral repair of either anterior or posterior instability. Outcomes including return-to-sport (RTS) rate, postoperative instability rate, and pre- and postoperative American Shoulder and Elbow Surgeons (ASES) scores were recorded and analyzed. Results: Overall, 39 studies were included (2077 patients; 1716 male patients and 361 female patients). Patients with anterior instability had a mean age of 23.45 ± 5.40 years (range, 11-72 years), while patients with posterior instability had a mean age of 23.08 ± 8.41 years (range, 13-61 years). The percentage of male patients with anterior instability was significantly higher than that of female patients (odds ratio [OR], 1.36; 95% CI, 1.04-1.77; P = .021). Compared with patients with posterior instability, those with anterior instability were significantly more likely to RTS (OR, 2.31; 95% CI, 1.76-3.04; P < .001), and they were significantly more likely to have postoperative instability (OR, 1.53; 95% CI, 1.07-2.23; P = .018). Patients with anterior instability also had significantly higher ASES scores than those with posterior instability (difference in means, 6.74; 95% CI, 4.71-8.77; P < .001). There were no significant differences found in postoperative complications between the anterior group (11 complications; 1.8%) and the posterior group (3 complications; 1.6%) (OR, 1.12; 95% CI, 0.29-6.30; P = .999). Conclusion: Patients with anterior shoulder instability had higher RTS rates but were more likely to have postoperative instability compared with posterior instability patients. Overall, male patients were significantly more likely to have anterior shoulder instability, while female patients were significantly more likely to have posterior shoulder instability.

Arthroscopic Management of Posterior Instability: Evolution of Technique and Results

2008 ◽  
Vol 24 (4) ◽  
pp. 389-396 ◽  
Author(s):  
Felix H. Savoie ◽  
M. Shaun Holt ◽  
Larry D. Field ◽  
J. Randall Ramsey
Keyword(s):  
Posterior Instability ◽  
Arthroscopic Management

Posterior Instability of the Talus: An Anatomic Evaluation

Foot & Ankle ◽  
1989 ◽  
Vol 10 (1) ◽  
pp. 36-39 ◽  
Author(s):  
Marion C. Harper
Keyword(s):  
Internal Fixation ◽  
Cadaver Study ◽  
Lateral Radiograph ◽  
Medial Malleolus ◽  
Posterior Instability ◽  
Posterior Tibial ◽  
Malleolar Fractures ◽  
Posterior Malleolus ◽  
Supporting Structures

A cadaver study was conducted to evaluate the role of the posterior tibial margin or posterior malleolus, as well as medial and lateral supporting structures, in providing posterior stability for the talus. Posterior malleolar fractures consisting of approximately 30%, 40%, and 50% of the articular margin on the lateral radiograph were created in specimens that were then subjected to posterior stressing. No posterior talar subluxation was noted in any specimen. Repeat stressing following removal of the medial malleolus again revealed no subluxation in any specimen. The lateral supporting structures, primarily the posterior fibulotalar and fibulocalcaneal ligaments, appeared to be the key structures providing posterior talar stability. If the fibula is stable in an anatomic position, feared posterior instability of the talus would not appear to be an indication for internal fixation of posterior malleolar fractures.

Anterior and Posterior Instability Repair with a Lateral Capsular Shift

1994 ◽  
Vol 9 (2) ◽  
pp. 108-115
Author(s):  
Roger G. Pollock ◽  
Louis U. Bigliani
Keyword(s):  
Posterior Instability ◽  
Capsular Shift

A comprehensive rehabilitation program for posterior instability of the shoulder

2017 ◽  
Vol 30 (2) ◽  
pp. 182-192 ◽  
Author(s):  
Lyn Watson ◽  
Simon Balster ◽  
Sarah Ann Warby ◽  
Jackie Sadi ◽  
Greg Hoy ◽  
...  
Keyword(s):  
Rehabilitation Program ◽  
Posterior Instability ◽  
Comprehensive Rehabilitation

Surgical Treatment of Humeral Head Defect in Shoulder Posterior Instability

2020 ◽  
pp. 305-312
Author(s):  
Riccardo Compagnoni ◽  
Matteo Lo Duca ◽  
Pietro S. Randelli
Keyword(s):  
Surgical Treatment ◽  
Humeral Head ◽  
Posterior Instability
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