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Complications of Open Anterior Stabilization of the Shoulder

Mark D. Lazarus, MD and Douglas T. Harryman, II, MD

Dr. Lazarus is Associate Professor of Orthopaedic Surgery and Chief, Shoulder and Elbow Service, MCP Hahnemann School of Medicine, Philadelphia. Dr. Harryman was Associate Professor of Orthopaedic Surgery and Director of Shoulder and Elbow Surgery, Department of Orthopaedic Surgery, University of Washington Medical Center, Seattle.

Reprint requests: Dr. Lazarus, Department of Orthopaedic Surgery, MCP Hahnemann School of Medicine, Room 729, 245 North 15th Street, Philadelphia, PA 19102.

Complications of surgery for glenohumeral instability are relatively uncommon. When they occur, salvaging failures and obtaining a stable joint can be awesome challenges. Accurate recognition of the cause of the instability and application of the appropriate surgical technique are critical. Deficiencies of the glenoid concavity, the anterior capsule, or the subscapularis may be present and require correction. Overtightening a shoulder and eliminating its normal laxity should be avoided. Loose or malpositioned hardware about the glenohumeral joint must be recognized as soon as possible and removed. The goal of treatment is to correct the deficient stabilizing mechanisms without altering normal glenohumeral function.

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				P. J. Millett, P. Clavert, and J. J.P. Warner Open Operative Treatment for Anterior Shoulder Instability: When and Why? J. Bone Joint Surg. Am., February 1, 2005; 87(2): 419 - 432. [Abstract] [Full Text] [PDF]