Traumatic anterior shoulder instability: A systematic review and proposed modern classification system

Articles in Press

Document Type : In Brief

Authors

1 Trauma and Orthopaedic Department, Ashford St. Peters and Chertsey Hospital, London, Guildford Road, Chertsey, England, KT16 0PZ.

2 Trauma and Orthopaedic Department, Ysbyty Gwynedd, Bangor, Wales, LL57 2PW

3 Trauma and Orthopaedic Department, 1. Maidstone & Tunbridge Wells Hospitals NHS Trust, Hermitage Lane, Maidstone ME16 9QQ

10.22038/abjs.2024.78466.3617

Abstract

Numerous surgical techniques have been developed to address recurrent anterior shoulder instability, with the Bankart repair and the Latarjet procedure emerging as dominant. With recent advancements in keyhole surgery, there's been a surge in popularity for all-arthroscopic procedures. Our systematic review aims to determine if there's justification for incorporating these techniques into a classification system for guiding treatment of traumatic anterior recurrent instability. We identified and analysed a variety of key studies, including 12 systematic reviews, three prospective studies, seven non-randomized prospective and retrospective studies, along with one biomechanical study.

Our study sheds light on the wide range of procedures available to shoulder surgeons dealing with traumatic anterior recurrent instability. We introduce a novel classification system (BoTH) designed to simplify the decision-making process in this context.

Keywords

Main Subjects

The Archives of Bone and Joint Surgery

Articles in Press, Accepted Manuscript
Available Online from 24 July 2024

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History

  • Receive Date: 10 March 2024
  • Revise Date: 13 July 2024
  • Accept Date: 12 June 2024

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