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Part I: The Young Patient with Shoulder Instability (Age <20); 1: Overview of the Spectrum of Instability in the Very Young: Evolving Concepts; References; 2: Classification of Glenohumeral Instability: A Proposed Modification of the FEDS System; 2.1 Introduction; 2.2 Previous Shoulder Instability Classification; 2.3 The FEDS System; 2.4 Deficiencies of the FEDS System; 2.5 The Modified FEDS System; 2.6 Future Directions; References; 3: Genetics of the Unstable Shoulder; References; 4: Multidirectional Instability/Hyperlaxity of the Glenohumeral Joint.

4.1 Introduction/Literature Review4.2 Patient History; 4.3 Physical Examination; 4.4 Radiographic Findings; 4.5 Description of Management Techniques; 4.5.1 Nonoperative Technique; 4.5.2 Indications; 4.5.3 Contraindications; 4.6 Operative Arthroscopic Techniques; 4.6.1 Surgical Anatomy and Patho-anatomy; 4.6.2 Exposure/Setup; 4.6.3 Specific Instruments/Equipment/Implants; 4.6.4 Procedure; 4.7 Treatment of the Lax Capsule; 4.8 Treatment of the Torn Capsule and Special Techniques; 4.9 Postoperative Protocols; 4.9.1 Wound Closure; 4.9.2 Postoperative Regimen.

4.9.3 Avoiding Pitfalls and Complications4.10 Summary; References; 5: Posterior Shoulder Instability in the Young Patient; 5.1 Introduction; 5.2 Anatomy; 5.3 Etiology; 5.4 Pathoanatomy; 5.5 Overhead Athletes (Thrower's Shoulder); 5.6 Clinical Presentation; 5.7 Physical Exam; 5.8 Imaging; 5.9 Nonoperative Treatment; 5.10 Surgical Treatment; 5.11 Arthroscopic Treatment; 5.12 Open Procedures for Bone Deficiency; 5.13 Outcomes; References; 6: Management of Acute Shoulder Instability: Conservative Treatment; 6.1 Background; 6.2 Anatomy; 6.3 Pathophysiology.

6.4 Clinical Presentation6.5 Radiographs; 6.6 Reduction Techniques; 6.7 Initial Postreduction Treatment; 6.8 Rehabilitation and Physical Therapy; References; 7: Arthroscopic Repair for Initial Anterior Dislocation; 7.1 Introduction; 7.2 Pathology; 7.2.1 Natural History; 7.2.2 Surgical Management; 7.2.2.1 Lavage; 7.2.2.2 Arthroscopic Transglenoid Repair; 7.2.2.3 Open Versus Arthroscopic Repair; 7.2.3 Author's Preferred Surgical Approach; References; 8: Management of Acute Shoulder Instability: The Combined Lax Shoulder with Added Acute Trauma; 8.1 Introduction.

8.2 Anatomy, Examination, and Imaging8.2.1 Anatomy; 8.2.2 Examination; 8.2.3 Imaging; 8.3 Indications and Technique; 8.3.1 Indications; 8.3.2 Technique; 8.4 Rehabilitation; 8.5 Results; 8.6 Complications and Tips to Avoid Them; 8.6.1 Significant Bone Loss; 8.6.2 Postoperative Loss of External Rotation or Stiffness; 8.6.3 Insufficient Anchors or Incorrect Anchor Placement; References; 9: Stabilization Options in the Adolescent: Open Bankart Repair; 9.1 Brief Introduction; 9.2 Literature Overview Summary; 9.3 Anatomy, Examination, and Imaging; 9.4 Indication and Technique.

This book outlines the consensus findings of the ISAKOS Upper Extremity Committee regarding the treatment options for patients suffering from shoulder instability. The aim is to furnish readers with a precise knowledge of the presenting features of conditions typical of different ages, thereby facilitating assessment of patient characteristics and optimal treatment decision making based on the consensus of the Committee. All age groups are covered, from the very young through to the older patient. The structuring of the book essentially according to age group reflects the fact that certain forms of shoulder instability are observed at different ages. For example, while young patients tend to demonstrate instability combined with hyperlaxity, in later years, bony defects of the glenoid and humerus gain in importance. Similarly, the scope for conservative treatment varies across the life span. Each management-oriented chapter of the book includes information and guidance on anatomy, clinical examination, imaging, surgical indications and technique, rehabilitation, outcomes, and complications and their avoidance, and the text is supported by numerous high-quality illustrations.