Wheeless' Textbook of Orthopaedics Main Menu Home Page Anterior shoulder instability. Instructional Course Lectures. Techniques of reduction include direct pressure on the humeral head, leverage through the arm, and traction maneuvers. Reduction should be expeditious but gentle. Controversy continues about postreduction immobilization and rehabilitation.
Many factors enter into the selection of a repair method for recurrent anterior instability.
They tend to favor a method that will allow identification of the pathologic condition and treatment of the Bankart lesion or capsular laxity, if present, without concomitant use of metallic internal fixation.