Instability Severity Index Score

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Presentation transcript:

Instability Severity Index Score Factor Points Age at surgery < 20 2 > 20 0 Type of sport Competitive 2 Recreational 0 Contact 1 Other 0 Hyperlaxity Hyperlaxity 1 Normal 0 Hill Sachs on xray Visible on ER 2 Not visible 0 Glenoid contour on AP xray Loss 2 No Lesion 0

Bipolar lesions

Surgery Arthroscopic labral repair < 10% glenoid loss Latarjet Large hill sachs Scope + Remplissage Normal glenoid Moderate size Hill Sachs

Remplissage

Anterior instability / No Labral tear Capsular laxity Capsular tear HAGL Posterior Instability

Capsular tear

Capsular tear

HAGL

HAGL