title: Management of bone loss in glenohumeral instability.
abstract: This review discusses the evaluation and management of bone loss in glenohumeral instability. The glenohumeral joint may experience a dislocation or subluxation associated with traumatic injury or through repetitive atraumatic events. Nearly 62% of cases with recurrent dislocation have both Hill-Sachs and bony Bankart defects. Treatment of unstable bone defects may require soft-tissue repair, bone grafting, or both, depending on the size and nature of the defects. The most common treatment is isolated soft-tissue repair, leaving the bone defects untreated, although emerging evidence supports directly addressing these bony defects.
authors.affiliation: Sports Health, Department of Orthopaedic Surgery, Cleveland Clinic Foundation, 5555 Transportation Boulevard, Garfield Heights, Cleveland, OH 44125, USA. Electronic address: Rmpatel7@gmail.com.
authors.forename: Ronak M
authors.initials: RM
authors.lastname: Patel
authors.affiliation: Sports Health, Department of Orthopaedic Surgery, Cleveland Clinic Foundation, 5555 Transportation Boulevard, Garfield Heights, Cleveland, OH 44125, USA.
authors.forename: Nirav H
authors.initials: NH
authors.lastname: Amin
authors.affiliation: Sports Health, Department of Orthopaedic Surgery, Cleveland Clinic Foundation, 5555 Transportation Boulevard, Garfield Heights, Cleveland, OH 44125, USA.
authors.forename: T Sean
authors.initials: TS
authors.lastname: Lynch
authors.affiliation: Sports Health, Department of Orthopaedic Surgery, Cleveland Clinic Foundation, 5555 Transportation Boulevard, Garfield Heights, Cleveland, OH 44125, USA.
authors.forename: Anthony
authors.initials: A
authors.lastname: Miniaci
mesh_terms: D016025:Bone Transplantation; D003952:Diagnostic Imaging; D006801:Humans; D007593:Joint Instability / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008487:Medical History Taking; D010024:Osteoporosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D010808:Physical Examination; D012008:Recurrence; D012783:Shoulder Dislocation / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000070599:Shoulder Injuries; D012785:Shoulder Joint / Q000601:surgery
keywords: Bankart lesion; Glenohumeral instability; Hill-Sachs; Latarjet