Decision-making in anterior shoulder instability

Michel P.J. van den Bekerom*, Derek F.P. van Deurzen, Karin M.C. Hekman, Olivier Verborgt, Klaus Bak, Marco Brioschtai, Chiara Fossati, Riccardo Compagnoni, Alessandra Menon, Hassanin Alkaduhimi, Pietro Randelli

*Corresponding author for this work

Research output: Chapter in Book / Report / Conference proceedingChapterAcademicpeer-review


The choice of operative treatment after shoulder instability depends highly on the risk of recurrent instability. Although Balg et al. has developed the instability severity index score (ISIS) to aid in the surgical decision making, including the factors contributing to a high risk of recurrent dislocation such as younger age (≤ 20 years old), participation in competitive or contact/forced overhead sport, shoulder hyperlaxity and presence of a Hill-Sachs lesion or glenoid bone loss on anteroposterior radiographs, there are still many other factors to be accounted for. The surgical decision making thus proves to be a challenging process with many factors of influence.

Original languageEnglish
Title of host publicationESSKA Instructional Course Lecture Book
Subtitle of host publicationGlasgow 2018
PublisherSpringer Berlin / Heidelberg
Number of pages20
ISBN (Electronic)9783662561270
ISBN (Print)9783662561263
Publication statusPublished - 1 Jan 2018
Externally publishedYes


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