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To compare the outcomes of arthroscopic anterior Bankart repair with and without associated postero-inferior capsulolabral repair as treatment of anterior glenohumeral instabiliy at minimun 10 year follow-up.A retrospective comparative study including patients who underwent arthroscopic anterior Bankart repair to treat anterior glenohumeral instability with glenoid bone-loss 15% between January 2000 and February 2010 was performed. Outcomes were reported as recurrence rate, type of recurrence (dislocation or subluxation), need for revision surgery, range of motion, complications, and functional status. Outcomes were compared depending on whether a postero-inferior capsulolabral repair was added to the anterior Bankart repair.70 shoulders [59 males, mean age 28.2 (range 14-56), mean follow-up 146.1 (range 120-208) months] were included. Recurrence occurred in 9 cases (12.8%), including 3 dislocations and 6 subluxations. Revision surgery was needed in 8 (11.4%). Mean Rowe score improved from 29.7 (11.6) preoperatively to 87.1 (12.3) postoperatively. 83.3% returned to previous sports activities. Mean forward flexion changed from 173.5° (19.2) to 168.4º(10.4) (Postero-inferior capsulolabral repair added to anterior Bankart repair as treatment of anterior glenohumeral instability in abscence of significant glenoid bone-loss did not influence the outcomes in terms of recurrence, range of motion, return to sports, or functional status, compared to isolated anterior Bankart repair at 12.2 year follow-up.Level III.

Tears of the rotator cuff are a frequent pathology, but the best surgical procedure remains unclear. The arthroscopic approach has become the gold standard, but there are many different suture configurations that can be used. We describe an all-suture repair system with which the anatomical reduction of the rotator cuff is achieved performing traction from the anchor of the lateral row to subsequently performing a suture bridge suture from the medial row. The major advantage of this technique is that it creates compression forces and minimizing tensioning of the tissue.

Posterior shoulder instability is commonly missed as a cause of shoulder dysfunction, due to the fact that clinical symptoms may differ from those found in anterior instability. Microtraumas produced by repetitive gestures cause progressive injury of the posterior stabilizers of the joint, causing mostly pain. It is crucial to identify the etiology and the clinical pattern to decide the correct treatment.

The shoulder is the most mobile and least stable joint of the human body. The bony anatomy determines a very limited stability, which has to be maintained by the surrounding soft tissues that act as static stabilizers. In addition, dynamic stability is provided by the musculotendinous units of the rotator cuff and scapulothoracic joint.

Rotator cuff re-tears are true challenges for shoulder surgeons. Several treatment options exist and its choice should be individualized depending on patient characteristics. It is crucial to identify the reason why the cuff re-tears. When there is no intense atrophy or fatty degeneration and exists a reasonable potential of healing of the tendon, a revision repair can be attempted. It is important to optimize the surgical technique to obtain a stable, tension-free repair in order to favor good outcomes.