Controversies in Shoulder Instability

Shoulder instability can result from a variety of causes뾦ncluding bone loss, lesions, and trauma, particularly
repetitive motion injuries associated with sports. This practical resource addresses the full scope of shoulder injury
diagnosis and management뾣rom anatomy and natural history, to injury classification and both surgical and nonsurgical
management options.

?Emphasis on current controversies allows readers to weigh opposing viewpoints and choose the best management strategy
for first-time dislocators, multi-directional shoulder instability, stabilization of injuries in a contact athlete,
management of SLAP tears, treatment of shoulder injuries in the elderly, and more!
?Multiple techniques are presented for key disorders allowing readers to select the most appropriate management
strategy for each patient.
?Step-by-step coverage of each procedure ensures proper technique, minimizes error, optimizes results, and reduces
post-surgical recovery times.
?Helpful illustrations highlight key concepts from the text.


Table of Contents
Section 1 General Principles of Shoulder Instability
Chapter 1 Gross and Arthroscopic Anatomy of the Glenohumeral Joint
M. Michael Khair, Jason D. Lehman, Lawrence V. Gulotta
Chapter 2 Pathophysiology and Biomechanics of Glenohumeral Instability
Xinning Li, Paul Yannopoulos, Jon J.P. Warner
Chapter 3 Workup of the Patient Presenting with Instability
Ryan T. Cassilly, Jon-Michael E. Caldwell, William N. Levine
Chapter 4 Classification of Shoulder Instability
John E. Kuhn

Section 2 Anterior Instability
Chapter 5 Natural History of Anterior Instability
Matthew Mendez-Zfass, Bryson P. Lesniak, Asheesh Bedi
Chapter 6 Point–Counterpoint: First-Time Dislocators Operative Treatment
Matthew J. White, Jeffrey R. Dugas
Non-operative Treatment
Curtis Bush, Stephen C. Hamilton, Gabriel J. Rulewicz, Richard J. Hawkins
Chapter 7 Point–Counterpoint: Technique for Anterior Stabilization Open Bankart
Moira M. McCarthy, Samuel A. Taylor, Anne M. Kelly, Edward V. Craig
Arthroscopic Bankart
Edward S. Chang, Bradford Tucker, Christopher C. Dodson
Double-Row Capsulolabral Repair
Matthew M. Thompson, Joshua S. Dines, David W. Altchek
Bone Block/Latarjet Procedure
Thomas Obermeyer, Brad Parsons
Chapter 8 Bone Loss in the Unstable Shoulder: The Glenoid
Pascal Boileau, Walter B. McClelland, Jr., Charles-Edouard Thélu
Chapter 9 Bone Loss in the Unstable Shoulder: The Humeral Head
Michael J. Griesser, Waqas M. Hussain, Brett W. McCoy, Aaron J. Bois, Anthony Miniaci
Chapter 10 Anterior Instability with Capsular Deficiency
Kenneth A. Kearns, Mark D. Lazarus
Chapter 11 Anterior Glenoid Rim Fractures
Hiroyuki Sugaya
Chapter 12 Diagnosis and Treatment of Humeral Avulsion of the Glenohumeral Ligament (HAGL) Lesions
Richard K. N. Ryu, John M. Tokish
Chapter 13 Point–Counterpoint: Chronic Locked Anterior Dislocations Soft Tissue Allograft
Miguel A. Ramirez, Anand M. Murthi
Arthroplasty
Clay Riley, T. Bradley Edwards
Chapter 14 Point–Counterpoint: Recurrent Instability after Arthroscopic Stabilization Revision Arthroscopic
Stabilization
Albert O. Gee, Asheesh Bedi, Answorth A. Allen
Revision with Open Stabilization
Travis G. Maak, Robert T. Burks
Chapter 15 Treatment of Recurrent Anterior Instability in the Elderly: When and Why
Thomas O'Hagan, Steven Cohen
Chapter 16 Treating Complications of Bone Block Procedures
Laurent Lafosse, Antonios Giannakos, Daniel G. Schwartz

Section 3 Posterior Instability
Chapter 17 Natural History of Posterior Instability
James P. Leonard, John E. Kuhn
Chapter 18 Point–Counterpoint: Technique for Posterior Stabilization
Arthroscopic Posterior Stabilization
James P. Bradley, Sam G. Tejwani
Open Posterior Stabilization
Corinne VanBeek, Matthew L. Ramsey
Chapter 19 Posterior Locked Shoulder Dislocation: Treatment Options
Andrew L. Merritt, Russell F. Warren
Chapter 20 Posterior Fracture Dislocations of the Shoulder: Spectrum of Pathology and Treatment Options
Bashar Alolabi, Eric T. Ricchetti

Section 4 Multidirectional Instability
Chapter 21 Why Rehabilitation Is the Most Effective Treatment for Multidirectional Shoulder Instability
Nicholas R. Slenker, Michael G. Ciccotti
Chapter 22 Point–Counterpoint: Appropriate Surgical Treatment for Multidirectional Instability Arthroscopic
Rotator Interval Closure
Jeffrey Gagliano, Misty Suri, Jeffrey S. Abrams
Open Rotator Interval Closure
M. Michael Khair, Sabrina Strickland

Section 5 Shoulder Instability in the Athlete
Chapter 23 Point–Counterpoint: Stabilizing a Contact Athlete
Open Treatment
Demetris Delos, Scott A. Rodeo
Arthroscopic Treatment
Evan Argintar, James E. Tibone
Chapter 24 Treatment of Anterior Instability in the Throwing Athlete: Dos and Don뭪s
Michael E. Angeline, David W. Altcheck
Chapter 25 Posterior Instability Caused by 밄atter's Shoulder? Richard W. Kang, Phillip N. Williams, Ekaterina Urch, Thomas C. Harris, Joshua S. Dines
Chapter 26 Point–Counterpoint: SLAP Tears
SLAP Lesion Repair
Neal S. Elattrache, Michael B. Banffy, Kaitlin M. Carroll
Biceps Tenodesis
Kirk A. Campbell, Eric J. Strauss, Nikhil N. Verma, Anthony Romeo
Transfer the Long Head of the Biceps
Nicole Sliva, Elizabeth Gausden, Moira McCarthy, Steven J. O'Brien
Chapter 27 Instability of the Swimmer뭩 Shoulder
Samuel A. Taylor, Moira McCarthy, Joshua S. Dines, David M. Dines
Chapter 28 In-Season Instability in Contact Athletes
Eddie Y. Lo, Sumant G. Krishnan]

Section 6 Instability After Arthroplasty
Chapter 29 Point–Counterpoint: Anterior Instability After Anatomic Arthroplasty
Soft Tissue Procedure Is Sufficient
Kristofer J. Jones, David M. Dines
Revision of Components Is Necessary
Grant Garrigues, Gerald Williams, Jr.
Chapter 30 Point–Counterpoint: Posterior Instability After Anatomic Arthroplasty
Soft Tissue Procedure Is Sufficient
Felix H. Savoie, III, Michael J. O'Brien
Component Revision Is Necessary
Tom Lawrence, John Sperling
Chapter 31 Dislocation and Instability in Reverse Shoulder Arthroplasty: Biomechanics, Prevention, Review of the
Literature and Management
Ioannis P. Pappou, Matthew J. Teusink, Mark A. Frankle
Section 7 Special Considerations
Chapter 32 Arthroscopic Treatment of Pan-Labral Tears
Rachel M. Frank, Frank McCormick, John McNeil, Matthew Provencher
Chapter 33 Recurrent Anterior Instability of the Shoulder Associated with Full Thickness Rotator Cuff Tear
Gilles Walch, Xinning Li, Christopher J. Smithers, Patric Raiss
Chapter 34 Combined Anterior Instability and Glenohumeral Arthritis
Bryan J. Loeffler, Joseph A. Abboud
Chapter 35 Recurrent Glenohumeral Instability in the Epileptic Patient
Patric Raiss, Patrick J. Denard, Gilles Walch
Chapter 36 Instability in Pediatric Patients (Open Growth Plates)
Itai Gans, Lawrence Wells