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Advanced Soft Tissue Procedures for Glenohumeral Instability: The ASA Technique

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Shoulder Arthroscopy

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Abstract

The treatment of chronic anterior shoulder instability associated with bone loss is still controversial. Arthroscopic Bankart repair (ABR) has a failure rate that may be higher than 20%, in young patients practicing contact sports and the risk factors are bony defects shoulder hyperlaxity and anterior capsular deficiency. The Latarjet procedure has been advocated the solution for all anterior shoulder instability for its low rate of recurrence in the presence of all these risk factors, but it has to be considered a non-anatomical reconstruction with a significant number of intra- and postoperative complications. We are describing an arthroscopic technique consisting of an augmentation to the Bankart repair using the upper third of the subscapularis tendon (ASA) and we present its correct indications and results.

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Author information

Authors and Affiliations

  1. Shoulder Unit, Villa Stuart Clinic, Rome, Italy

    Marco Maiotti

  2. Orthopaedics and Traumatology Unit, Pineta Grande Hospital, Castelvolturno, Italy

    Giuseppe Della Rotonda & Raffaele Russo

  3. Orthopaedic Trauma Center, Andrea Alesini, Rome, Italy

    Cecilia Rao

Authors
  1. Marco Maiotti
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  2. Giuseppe Della Rotonda
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  3. Cecilia Rao
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  4. Raffaele Russo
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Editor information

Editors and Affiliations

  1. Department of Joint and Bone Surgery, University of Brescia, Brescia, Brescia, Italy

    Giuseppe Milano

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

    Andrea Grasso

  3. Shoulder and Upper Limb Department, St. Luke's Hospital, Bielsko-Biała, Poland

    Roman Brzóska

  4. Department of Traumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia

    Ladislav Kovačič

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Maiotti, M., Rotonda, G.D., Rao, C., Russo, R. (2023). Advanced Soft Tissue Procedures for Glenohumeral Instability: The ASA Technique. In: Milano, G., Grasso, A., Brzóska, R., Kovačič, L. (eds) Shoulder Arthroscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-66868-9_27

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  • DOI: https://doi.org/10.1007/978-3-662-66868-9_27

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  • Print ISBN: 978-3-662-66867-2

  • Online ISBN: 978-3-662-66868-9

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