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.
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Current Concepts Review

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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