THE SURGICAL-TREATMENT OF ANTERIOR SHOULDER INSTABILITY

The selective capsular repair for anterior shoulder instability allows the surgical technique to address the pathology encountered. An initi al transverse capsulotomy allows visualization of the joint and flexib ility in determining the site of the repair. The capsular tensioning c an be performed either medially or laterally as determined by the pres ence of a Bankart lesion. Examination of the joint following the proce dure should reveal the elimination of the pathologic anterior translat ion, reduction in the inferior translation, and the degree of external rotation desired to meet the specific goals of the patient.