The Journal of Bone and Joint Surgery (American). 2005;87:419-432.
doi:10.2106/JBJS.D.01921
© 2005 The Journal of Bone and Joint Surgery, Inc.
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Current Concepts Review

Open Operative Treatment for Anterior Shoulder Instability: When and Why?

Peter J. Millett, MD, MSc1, Philippe Clavert, MD2 and Jon J.P. Warner, MD3

1 Harvard Shoulder Service, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115. E-mail address: pmillett{at}partners.org
2 Department of Orthopaedic Surgery, Hautepierre University Hospital, Avenue Moliere, 67098 Strasbourg CEDEX, France
3 Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114

The authors did not receive grants or outside funding in support of their research or preparation of this manuscript. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

The treatment of anterior glenohumeral instability continues to evolve.

Open capsulolabral repairs are time-tested and reliable.

In an era in which arthroscopic techniques continue to improve, open surgery remains an acceptable option, and there are still certain injury patterns that cannot be adequately addressed arthroscopically.

Decision-making regarding surgery for instability is influenced by the surgeon's experience and the relevant pathological findings.

Open operative treatment is the preferred approach in many instances of recurrent anterior instability, particularly when there is bone and soft-tissue loss and in revision settings.


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