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