This 2002 narrative review by Stein et al. surveys the anatomy, pathology, classification, and evolving surgical techniques for arthroscopic stabilization of anterior glenohumeral instability, asking how arthroscopic results compare to open procedures and what determines success or failure.
When evaluating a patient for arthroscopic Bankart repair, screen first for bony deficiency (inverted-pear glenoid, engaging Hill-Sachs), attenuated IGHL, rotator interval lesion, and collision-sport participation — any of these features shifts the risk-benefit calculus toward open reconstruction.
In a well-selected patient (unidirectional traumatic instability, discrete Bankart, intact ligaments, no significant bone loss), suture anchor repair delivers recurrence rates competitive with open procedures.
This 2002 narrative review by Stein et al. surveys the anatomy, pathology, classification, and evolving surgical techniques for arthroscopic stabilization of anterior glenohumeral instability, asking how arthroscopic results compare to open procedures and what determines success or failure.
When evaluating a patient for arthroscopic Bankart repair, screen first for bony deficiency (inverted-pear glenoid, engaging Hill-Sachs), attenuated IGHL, rotator interval lesion, and collision-sport participation — any of these features shifts the risk-benefit calculus toward open reconstruction.
In a well-selected patient (unidirectional traumatic instability, discrete Bankart, intact ligaments, no significant bone loss), suture anchor repair delivers recurrence rates competitive with open procedures.