A significant debate has involved in the last several years regarding the optimal
surgical management of glenohumeral instability. The majority of patients with traumatic
anterior-inferior instability sustain a capsulolabral detachment
1
,
2
described by Perthes
3
and Bankart.
4
The open Bankart repair by Rowe
5
has resulted in a high rate of shoulder stability, although the functional outcome
has sometimes been suboptimal, especially for higher-caliber athletes. Although suture
anchors have simplified the procedure when compared with bone tunnels,
6
the technique has not changed substantially. In an effort to decrease the morbidity
and improve the functional results, Caspari
7
,
8
developed an arthroscopic capsular shift technique, which began a period of intense
interest and study in arthroscopic techniques to stabilize the shoulder. As refinements
have been made to the arthroscopic methods, the number of proponents has grown. Current
arthroscopic techniques using suture anchors
9
mimic the open Bankart repair and comparable results have been reported.
10
,
11
,
12
,
13
Rather than attempt to defend a particular position as to whether an arthroscopic
or an open approach to shoulder stabilization is best, the focus here is placed on
what we have learned regarding the appropriate indications for each of these techniques.To read this article in full you will need to make a payment
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© 2003 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
