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The American Journal of Sports Medicine 28:602-614 (2000)
© 2000 American Orthopaedic Society for Sports Medicine

Current Concepts

Arthroscopic Management of Glenohumeral Instability

Bradley J. Nelson, MAJ, MC, USA and Robert A. Arciero, COL, MC, USA*

U. S. Army Joint and Soft Tissue Trauma Fellowship, Keller Army Community Hospital, West Point, New York

* Address correspondence and reprint requests to Robert A. Arciero, MD, Orthopaedic Surgery Service, Keller Army Community Hospital, West Point, NY 10996

There has been substantial development of techniques for performing arthroscopic surgery of the shoulder over the past 20 years. A multitude of arthroscopic techniques have been developed in an attempt to manage the unstable glenohumeral joint while decreasing surgical morbidity. The results obtained with arthroscopic stabilization have been widely variable. This review will examine the current status of arthroscopic management of glenohumeral instability. The techniques and results of arthroscopic stabilization for primary anterior glenohumeral instability, recurrent anterior instability, and multidirectional instability will be discussed. A brief discussion on thermal capsulorrhaphy is included.




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