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Erschienen in:
09.10.2017 | Management of Anterior Shoulder Instability (X Li, section editor)
Applying the Glenoid Track Concept in the Management of Patients with Anterior Shoulder Instability
Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 4/2017
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Purpose of Review
The purpose of this paper is to evaluate the recent evolution in the treatment of anterior shoulder instability and the dynamic interaction between the glenoid and Hill-Sachs lesion.
Recent Findings
Through the glenoid track concept, glenoid- and humeral-sided bone loss are evolving away from being approached as separate entities. Recent cadaveric studies have validated the glenoid track concept. Moreover, a recent clinical study has demonstrated a much higher rate of failure after arthroscopic Bankart repair for shoulders that were off track.
Summary
The glenoid track concept is a useful tool in evaluating patients with anterior shoulder instability. Shoulders that are off track may require more than a simple arthroscopic Bankart, and the addition of a remplissage or bony transfer may be considered.