Shoulder dislocation arthritis
Surgeons should realize the potentials and risks of arthroscopic stabilization procedures, and only after satisfactory analysis should these procedures be done by orthopedic surgeons in general. Many new techniques for shoulder stabilization are now in the armementarium of the arthroscopist, but more time is needed to see if they will influence the development of arthritis of instability.
Shoulder Dislocation Arthritis
When arthritis of dislocation does develop, shoulder arthroplasty is reasonable, despite the young age of patients. In the technique of joint replacement for this condition, specific surgical principles must be kept in mind. Preservation of deltoid function is paramount. Restoration of muscle length and tension relationships are critical for successful functional outcomes. Component positioning and orientation must account for the bone loss and alterations in soft tissue tension and quality. No shoulder replacement, no matter how well performed, will be successful without adequate physician-directed rehabilitation.