title: Recurrent anterior shoulder instability: Review of the literature and current concepts.
abstract: The purpose of this review article is to discuss the clinical spectrum of recurrent traumatic anterior shoulder instability with the current concepts and controversies at the scientific level. Because of increasing participation of people from any age group of the population in sports activities, health care professionals dealing with the care of trauma patients must have a thorough understanding of the anatomy, patho-physiology, risk factors, and management of anterior shoulder instability. The risk factors for recurrent shoulder dislocation are young age, participation in high demand contact sports activities, presence of Hill-Sachs or osseous Bankart lesion, previous history of ipsilateral traumatic dislocation, ipsilateral rotator cuff or deltoid muscle insufficiency, and underlying ligamentous laxity. Achieving the best result for any particular patient depends on the procedure that allows observation of the joint surfaces, provides the anatomical repair, maintains range of motion, and also can be applied with low rates of complications and recurrence. Although various surgical techniques have been described, a consensus does not exist and thus, orthopedic surgeons should follow and try to improve the current evidence-based treatment modalities for the patients.
authors.affiliation: Hakan Sofu, Nizamettin Koçkara, Ahmet Issın, Department of Orthopedics and Traumatology, Erzincan University Faculty of Medicine, 24030 Erzincan, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Sofu
authors.affiliation: Hakan Sofu, Nizamettin Koçkara, Ahmet Issın, Department of Orthopedics and Traumatology, Erzincan University Faculty of Medicine, 24030 Erzincan, Turkey.
authors.forename: Sarper
authors.initials: S
authors.lastname: Gürsu
authors.affiliation: Hakan Sofu, Nizamettin Koçkara, Ahmet Issın, Department of Orthopedics and Traumatology, Erzincan University Faculty of Medicine, 24030 Erzincan, Turkey.
authors.forename: Nizamettin
authors.initials: N
authors.lastname: Koçkara
authors.affiliation: Hakan Sofu, Nizamettin Koçkara, Ahmet Issın, Department of Orthopedics and Traumatology, Erzincan University Faculty of Medicine, 24030 Erzincan, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Oner
authors.affiliation: Hakan Sofu, Nizamettin Koçkara, Ahmet Issın, Department of Orthopedics and Traumatology, Erzincan University Faculty of Medicine, 24030 Erzincan, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Issın
authors.affiliation: Hakan Sofu, Nizamettin Koçkara, Ahmet Issın, Department of Orthopedics and Traumatology, Erzincan University Faculty of Medicine, 24030 Erzincan, Turkey.
authors.forename: Yalkın
authors.initials: Y
authors.lastname: Camurcu
keywords: Dislocation; Glenohumeral joint; Recurrent instability; Review; Shoulder