One approach to the anterior shoulder for stabilization of shoulder instability is the subscapularis splitting approach. We have modified this technique and the instrumentation for use on 154 shoulders. The procedure was performed for 118 patients with traumatic anterior instability, 12 for multidirectional instability, and 24 for painful impingement with presumed instability. 27 of these were revision cases. This technique can be used for repairing Bankart lesions and capsular lesions and for bone grafting procedures to the anterior glenoid. There was only one axillary nerve neuropraxia and one partial laceration of the biceps tendon. This technique is safe and effective for treating a variety of instability patterns.
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