A 2014 narrative review from Mayo Clinic synthesizing the diagnosis and surgical management of anterior glenohumeral instability. It addresses how to characterize the full spectrum of anatomic lesions — from isolated capsulolabral tears to significant glenoid and humeral head bone loss — and how to match the surgical technique to the underlying pathology.
When planning surgery for anterior instability, calculate the ISIS score first — a score ≥7 (young age, contact sport, hyperlaxity, visible Hill-Sachs, glenoid contour loss) predicts 70% recurrence after arthroscopic repair and should steer you toward an open or Latarjet procedure.
Quantify glenoid bone loss on 3D CT: cross the 20–25% threshold and soft-tissue repair alone will fail.
A 2014 narrative review from Mayo Clinic synthesizing the diagnosis and surgical management of anterior glenohumeral instability. It addresses how to characterize the full spectrum of anatomic lesions — from isolated capsulolabral tears to significant glenoid and humeral head bone loss — and how to match the surgical technique to the underlying pathology.
When planning surgery for anterior instability, calculate the ISIS score first — a score ≥7 (young age, contact sport, hyperlaxity, visible Hill-Sachs, glenoid contour loss) predicts 70% recurrence after arthroscopic repair and should steer you toward an open or Latarjet procedure.
Quantify glenoid bone loss on 3D CT: cross the 20–25% threshold and soft-tissue repair alone will fail.