Advanced Soft Tissue Procedures for Glenohumeral Instability: Labral Augmentation

Surgical management of glenohumeral instability is still a challenge. Although several predisposing factors have been identified, a clear treatment algorithm is not available, especially in the subset of recurrent dislocations with subcritical bone defects. Several new soft tissue and bony procedures have been proposed in the last years, but there is no consensus yet of which technique could be considered the best treatment option. The following chapter describes a soft tissue procedure to address the reconstruction of the glenoid labrum by using a biologic scaffold augmentation, when the residual labrum is insufficient.