The Journal of Bone and Joint Surgery (American). 2005;87:883-892.
doi:10.2106/JBJS.D.02906
© 2005 The Journal of Bone and Joint Surgery, Inc.
Recurrent Posterior Shoulder Instability
C. Michael Robinson, BMedSci, FRCSEd(Orth)1 and
Joseph Aderinto, FRCSEd1
1 Royal Infirmary of Edinburgh, Old Dalkeith Road, Edinburgh EH16 4SU, United
Kingdom. E-mail address for C.M. Robinson:
c.mike.robinson{at}ed.ac.uk
Investigation performed at the Shoulder Injury Clinic, Royal Infirmary
of Edinburgh, Edinburgh, United Kingdom
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.
Recurrent posterior shoulder instability is an uncommon, debilitating
condition in young adults that is being diagnosed with increasing
frequency.
Although a number of predisposing factors have been identified, their
relative importance remains poorly understood.
Poor results have been reported following operative intervention to treat
recurrent posterior instability with nonanatomic techniques.
The more recent development of lesion-specific surgery has improved
clinical results, particularly when that surgery has been performed
arthroscopically. Operative treatment is therefore being increasingly
recommended at an earlier stage to patients who do not respond to supervised
rehabilitation programs.

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