Advances in the management of traumatic anterior and atraumatic multidirectional shoulder instability

Dislocation of the shoulder is a common and often disabling injury to an at hlete. Most shoulder dislocations are traumatic in origin, occur in the ant erior direction and result in stretching and detachment of the anterior cap sule and labrum. The most frequent adverse sequel of shoulder dislocation i s recurrence - an event that occurs most commonly in active individuals and less frequently with age. In the past, many operative procedures failed to address the anatomical disruptions of shoulder instability. Recently, an e nhanced understanding of shoulder instability pathoanatomy and significant technological advances have resulted in surgical procedures for shoulder in stability that are less interventional and have focused on restoring disrup ted static constraints.