Anterior Glenohumeral Instability in the Adolescent Athlete

JBJS Rev. 2020 Feb;8(2):e0080. doi: 10.2106/JBJS.RVW.19.00080.


Glenohumeral instability is multifactorial and has both static and dynamic elements. The initial management of first-time dislocations has become increasingly controversial, although recent evidence supports operative treatment for adolescents who participate in contact sports. Risk factors for recurrent glenohumeral instability include adolescent age, hyperlaxity, glenoid bone loss, off-track Hill-Sachs lesions, and fixation with <=3 anchors. High rates of return to sport can be expected when the surgical plan is tailored to individual pathology.

Publication types

  • Review

MeSH terms

  • Adolescent*
  • Arthroscopy / methods*
  • Athletes*
  • Humans
  • Magnetic Resonance Imaging
  • Radiography
  • Shoulder Dislocation / diagnostic imaging*
  • Shoulder Dislocation / therapy