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Management of Failed Shoulder Surgery pp 3–13Cite as

Shoulder Instability Repair: Why It Fails

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Abstract

Management of the unstable shoulder after a failed stabilization procedure can be difficult and challenging. We need a deep and detailed understanding of the shoulder anatomy and its restraints to determine the origin of the patient’s primary pathology. Key factors for shoulder stabilization surgery are an adequate patient selection, precise surgical technique selection and fulfillment, identification and correction of anatomy abnormalities, and integration of patient and surgeon expectation. When any of these requirements fail, our surgery can fail too. It is important to identify why the initial procedure failed and perform a meticulous evaluation of the patient: background of trauma and detailed patient’s history, a complete physical exam, and imaging.

In this chapter, we will analyze common risk factors and causes for failure of primary shoulder instability repair, components for appropriate evaluation, and the different surgical options available for revision stabilization.

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Authors and Affiliations

  1. Shoulder and Elbow Reconstructive Surgery Unit, Department of Orthopedic Surgery and Traumatology, Fundacion Jimenez Diaz, Universidad Autónoma, Madrid, Spain

    Emilio Calvo

  2. Upper Extremity Surgery Unit, Department of Orthopedic Surgery and Traumatology, Hospital General de Villalba, Madrid, Spain

    Gia Rodriguez-Vaquero

  3. Shoulder and Elbow Surgery Unit, LEONARDO, Hirslanden Klinik Birshof, Basel, Switzerland

    David Haeni

Authors
  1. Emilio Calvo
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  2. Gia Rodriguez-Vaquero
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  3. David Haeni
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Corresponding author

Correspondence to Emilio Calvo .

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Editors and Affiliations

  1. Department of Orthopaedics, Catholic University, Rome, Italy

    Giuseppe Milano

  2. Department of Orthopaedics, Casa di Cura Villa Valeria, Rome, Italy

    Andrea Grasso

  3. Clínica del Pilar , Zaragoza, Spain

    Angel Calvo

  4. Orthopaedic/Upper Limb, St. Luke’s Hospital, Bielsko-Biała, Poland

    Roman Brzóska

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Calvo, E., Rodriguez-Vaquero, G., Haeni, D. (2018). Shoulder Instability Repair: Why It Fails. In: Milano, G., Grasso, A., Calvo, A., Brzóska, R. (eds) Management of Failed Shoulder Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-56504-9_1

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