Arthroscopic treatment of the unstable shoulder has evolved rapidly and significantly
in recent years. Better understanding of the pathoanatomy, advancements in technology,
and improved surgical techniques have led to dramatic improvements in outcome. An
arthroscopic approach includes significant advantages. Arthroscopy provides better
identification of concomitant pathology, lower morbidity, less soft tissue dissection,
maximal preservation of motion, shorter surgical time, and improved cosmesis. There
is less pain, and many patients have an easier functional recovery, with greater returns
in motion compared with traditional open techniques. Finally, some of the inherent
risks of open procedures, such as postoperative subscapularis rupture, are virtually
eliminated. Surgeons can now routinely expect results that are at least comparable,
if not better than, those achieved with open techniques.
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© 2003 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
