Arthroscopic approach to posterior shoulder instability

Posterior shoulder instability is becoming an increasingly diagnosed and treated entity especially recognized in the contact athlete. Historically, the open technique of addressing posterior shoulder labral and capsular pathology has had marginal results and unacceptable high rates of recurrence. Arthroscopic posterior stabilization has become more popular recently, given its ability to address labral and capsular pathology, as well as deal with pathology that is encountered intraoperatively. It has also been postulated that the arthroscopic approach may lead to less postoperative morbidity and decreased time to return to athletic activity. The surgical technique presented is an arthroscopic approach to posterior labral tears and capsular laxity has been successful in dealing with this challenging entity.