Shoulder Instability Alternative Surgical Techniques
Over the past few years, international literature has highlighted the limitations of arthroscopic treatment for antero-inferior instability of the shoulder. Therefore, the question arises as to which technique – open surgery or arthroscopy – may represent
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Giovanni Di Giacomo • Alberto Costantini • Andrea De Vita • Nicola de Gasperis Editors
Shoulder Instability Alternative Surgical Techniques Forewords by James C. Esch Gilles Walch
Giovanni Di Giacomo Arthroscopic Surgery Department Concordia Hospital for Special Surgery Rome, Italy
Alberto Costantini Arthroscopic Surgery Department Concordia Hospital for Special Surgery Rome, Italy
Andrea De Vita Arthroscopic Surgery Department Concordia Hospital for Special Surgery Rome, Italy
Nicola de Gasperis Arthroscopic Surgery Department Concordia Hospital for Special Surgery Rome, Italy
Library of Congress Control Number: 2011926813 ISBN 978-88-470-2034-4
e-ISBN 978-88-470-2035-1
DOI 10.1007/978-88-470-2035-1 Springer Milan Dordrecht Heidelberg London New York © Springer-Verlag Italia 2011 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the Italian Copyright Law in its current version, and permission for use must always be obtained from Springer. Violations are liable to prosecution under the Italian Copyright Law. The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature. Cover design: Ikona S.r.l., Milan, Italy Typesetting: C & G di Cerri e Galassi, Cremona, Italy Printing and binding: Grafiche Porpora, Segrate (MI), Italy Printed in Italy Springer-Verlag Italia S.r.l., Via Decembrio 28, I-20137 Milano Springer is part of Springer Science+Business Media (www.springer.com)
I dedicate this book to all my patients for their trust in me and the opportunities they have offered me over many years. Giovanni Di Giacomo
To my mentors Giovanni, Alberto, and Andrea. To my parents, and to my wife, Virginia. Nicola de Gasperis
To my mother Florinda, my father Gelsomino, and my brother Francesco. Andrea De Vita
I would like to thank my family: Giusy, Andrea, Stefano, and my mother and father for their help and understanding. Alberto Costantini
VII
Foreword Arthroscopic instability surgery has created a generation of surgeons who can repair an unstable shoulder by fixing a labrum to bone with suture anchors. Unfortunately, the failure rate ranges from 10% to 40%, especially in young active individuals. Engaging bone loss on both the humeral and glenoid sides as the arm is moved through a range of motion is often the reason for failure. This book offers s
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