Traumatic Anterior Shoulder Instability: A Systematic Review and Proposed Modern Classification System

Document Type : In Brief

Authors

1 Ashford and St Peters Hospital NHS Trust, Surrey, UK

2 Ysbyty Gwynedd Hospital, Wales, UK

3 Maidstone & Tunbridge Wells Hospitals NHS Trust, Kent, UK

4 Ashford and St Peters Hospital NHS Trust, Surrey, UK- Smart Health Centre, University of East London, London, UK

5 Ashford and St Peters Hospital NHS Trust, Surrey, UK- Fortius Clinic, London, UK

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 an alysed 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.
 Level of evidence: I

Keywords

Main Subjects

References

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The Archives of Bone and Joint Surgery
Volume 12, Issue 9
September 2024
Pages 669-673

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History

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

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