Shoulder Instability, by Drs. Mark Provencher and Anthony Romeo, is the first comprehensive resource that helps you apply emerging research to effectively manage this condition using today’s best surgical and non-surgical approaches. Detailed illustrations and surgical and rehabilitation videos clearly demonstrate key techniques like bone loss treatment, non-operative rehabilitation methods, multidirectional instability, and more.
1. Cover image - p. i 2. Title page - p. ii 3. Table of Contents - p. iii 4. Copyright - p. iii 5. Dedication - p. iv 6. Contributors - p. v 7. Foreword - p. vi 8. Preface - p. vii 9. Acknowledgments - p. viii 10. Videos - p. ix 11. Section 1. Anatomy and Principles of Treatment - p. x 12. 1. Clinical anatomy and biomechanics of the glenohumeral joint (including stabilizers) - p. x 13. 2. Examination and classification of instability - p. 16 14. 3. Beach chair and lateral decubitus setup—pros and cons - p. 29 15. 4. Open and arthroscopic instrumentation for instability repair - p. 37 16. 5. Sutures and glenoid anchors for instability - p. 47 17. Section 2. Anterior Instability - p. 59 18. 6. Findings and pathology associated with anterior shoulder instability - p. 59 19. 7. Clinical history and physical examination - p. 70 20. 8. Radiographic studies and findings - p. 79 21. 9. Nonoperative treatment of anterior shoulder instability - p. 90 22. 10. Nonoperative rehabilitation for traumatic and atraumatic glenohumeral instability - p. 97 23. 11. Arthroscopic treatment of anterior instability—surgical technique - p. 112 24. 12. Open treatment of anterior instability—surgical technique - p. 131 25. 13. Biomechanics of glenohumeral bone loss and treatment mechanics - p. 143 26. 14. Radiographic and arthroscopic evaluation of glenoid and humeral head bone loss - p. 151 27. 15. Arthroscopic treatment of glenoid bone loss—surgical technique - p. 167 28. 16. Open bony augmentation of glenoid bone loss—the latarjet and variants—surgical technique - p. 176 29. 17. The latarjet procedure—technique and fixation constructs - p. 187 30. 18. Technique of arthroscopic bristow-latarjet-bankart procedure: the 2b3 procedure - p. 193 31. 19. Open bony augmentation of glenoid bone loss—iliac crest and allograft—surgical technique - p. 202 32. 20. Humeral head defects—biomechanics, measurements, and treatments - p. 210 33. 21. Recent advances in the diagnosis and treatment of glenohumeral bone loss - p. 225 34. 22. Rehabilitation: return-to-play and in-season guidelines - p. 236 35. Section 3. Posterior Instability - p. 245 36. 23. Pathology and biomechanics of posterior instability - p. 245 37. 24. Posterior instability: clinical history, examination, and surgical decision making - p. 253 38. 25. Imaging findings in posterior instability - p. 266 39. 26. Arthroscopic treatment of posterior instability—surgical technique - p. 274 40. 27. Open surgical solutions for posterior instability of the shoulder - p. 290 41. 28. Rehabilitation after posterior instability repair—open vs. arthroscopic - p. 306 42. Section 4. Multidirectional Instability - p. 316 43. 29. Pathology and findings in patients with multidirectional instability - p. 316 44. 30. Clinical history, examination, arthroscopic findings, and treatment of multidirectional instability - p. 322 45. 31. Nonoperative management and scapular dyskinesis - p. 328 46. 32. Arthroscopic treatment of multidirectional instability—surgical technique - p. 334 47. 33. Open treatment of multidirectional instability—surgical technique * - p. 344 48. Section 5. Revision Instability and Special Topics - p. 357 49. 34. Instability treatment failure—common reasons and prevention - p. 357 50. 35. Rotator interval—considerations and techniques for instability - p. 367 51. 36. Extensive labral tears—pathology and surgical treatment - p. 376 52. 37. Nerve injuries with instability procedures—prevention and management - p. 385 53. 38. Subscapularis deficiency after shoulder instability procedures—prevention and management - p. 391 54. 39. Recurrent instability due to capsular deficiency - p. 399 55. 40. Glenohumeral stiffness and arthritis after instability surgery—causes and treatment - p. 406 56. 41. Recognition and management of combined instability and rotator cuff tears - p. 415 57. 42. The patient with hyperlaxity and shoulder instability—ehlers-danlos and other disorders - p. 422 58. 43. Management of chronic shoulder dislocations - p. 434 59. Index - p. 450
Shoulder Instability, by Drs. Mark Provencher and Anthony Romeo, is the first comprehensive resource that helps you apply emerging research to effectively manage this condition using today’s best surgical and non-surgical approaches. Detailed illustrations and surgical and rehabilitation videos clearly demonstrate key techniques like bone loss treatment, non-operative rehabilitation methods, multidirectional instability, and more.
1. Cover image - p. i 2. Title page - p. ii 3. Table of Contents - p. iii 4. Copyright - p. iii 5. Dedication - p. iv 6. Contributors - p. v 7. Foreword - p. vi 8. Preface - p. vii 9. Acknowledgments - p. viii 10. Videos - p. ix 11. Section 1. Anatomy and Principles of Treatment - p. x 12. 1. Clinical anatomy and biomechanics of the glenohumeral joint (including stabilizers) - p. x 13. 2. Examination and classification of instability - p. 16 14. 3. Beach chair and lateral decubitus setup—pros and cons - p. 29 15. 4. Open and arthroscopic instrumentation for instability repair - p. 37 16. 5. Sutures and glenoid anchors for instability - p. 47 17. Section 2. Anterior Instability - p. 59 18. 6. Findings and pathology associated with anterior shoulder instability - p. 59 19. 7. Clinical history and physical examination - p. 70 20. 8. Radiographic studies and findings - p. 79 21. 9. Nonoperative treatment of anterior shoulder instability - p. 90 22. 10. Nonoperative rehabilitation for traumatic and atraumatic glenohumeral instability - p. 97 23. 11. Arthroscopic treatment of anterior instability—surgical technique - p. 112 24. 12. Open treatment of anterior instability—surgical technique - p. 131 25. 13. Biomechanics of glenohumeral bone loss and treatment mechanics - p. 143 26. 14. Radiographic and arthroscopic evaluation of glenoid and humeral head bone loss - p. 151 27. 15. Arthroscopic treatment of glenoid bone loss—surgical technique - p. 167 28. 16. Open bony augmentation of glenoid bone loss—the latarjet and variants—surgical technique - p. 176 29. 17. The latarjet procedure—technique and fixation constructs - p. 187 30. 18. Technique of arthroscopic bristow-latarjet-bankart procedure: the 2b3 procedure - p. 193 31. 19. Open bony augmentation of glenoid bone loss—iliac crest and allograft—surgical technique - p. 202 32. 20. Humeral head defects—biomechanics, measurements, and treatments - p. 210 33. 21. Recent advances in the diagnosis and treatment of glenohumeral bone loss - p. 225 34. 22. Rehabilitation: return-to-play and in-season guidelines - p. 236 35. Section 3. Posterior Instability - p. 245 36. 23. Pathology and biomechanics of posterior instability - p. 245 37. 24. Posterior instability: clinical history, examination, and surgical decision making - p. 253 38. 25. Imaging findings in posterior instability - p. 266 39. 26. Arthroscopic treatment of posterior instability—surgical technique - p. 274 40. 27. Open surgical solutions for posterior instability of the shoulder - p. 290 41. 28. Rehabilitation after posterior instability repair—open vs. arthroscopic - p. 306 42. Section 4. Multidirectional Instability - p. 316 43. 29. Pathology and findings in patients with multidirectional instability - p. 316 44. 30. Clinical history, examination, arthroscopic findings, and treatment of multidirectional instability - p. 322 45. 31. Nonoperative management and scapular dyskinesis - p. 328 46. 32. Arthroscopic treatment of multidirectional instability—surgical technique - p. 334 47. 33. Open treatment of multidirectional instability—surgical technique * - p. 344 48. Section 5. Revision Instability and Special Topics - p. 357 49. 34. Instability treatment failure—common reasons and prevention - p. 357 50. 35. Rotator interval—considerations and techniques for instability - p. 367 51. 36. Extensive labral tears—pathology and surgical treatment - p. 376 52. 37. Nerve injuries with instability procedures—prevention and management - p. 385 53. 38. Subscapularis deficiency after shoulder instability procedures—prevention and management - p. 391 54. 39. Recurrent instability due to capsular deficiency - p. 399 55. 40. Glenohumeral stiffness and arthritis after instability surgery—causes and treatment - p. 406 56. 41. Recognition and management of combined instability and rotator cuff tears - p. 415 57. 42. The patient with hyperlaxity and shoulder instability—ehlers-danlos and other disorders - p. 422 58. 43. Management of chronic shoulder dislocations - p. 434 59. Index - p. 450
