Management of Bidirectional Shoulder Instability with Glenoid Bone Loss Using Arthroscopic Double Bone Block: A Case Report


ÖZTÜRK H., Oklaz E. B., ARAL F., AHMADOV A., KANATLI U.

JBJS case connector, cilt.16, sa.3, 2026 (Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 16 Sayı: 3
  • Basım Tarihi: 2026
  • Dergi Adı: JBJS case connector
  • Derginin Tarandığı İndeksler: Scopus, EMBASE, MEDLINE, Academic Search Ultimate (EBSCO)
  • Anahtar Kelimeler: bidirectional bone block, glenoid bone loss, shoulder arthroscopy, shoulder instability
  • Gazi Üniversitesi Adresli: Evet

Özet

CASE: We present the case of a 33-year-old man with recurrent anterior and posterior shoulder instability, with bidirectional glenoid bone loss. The patient underwent all-arthroscopic double bone block procedure using iliac crest grafts fixed with suture anchors. At the 6-year follow-up, the patient remained pain-free, with no recurrent dislocations, and achieved a full range of motion with normal muscle strength. CONCLUSION: The all-arthroscopic double bone block technique using suture anchors is a feasible and durable procedure for complex bidirectional glenoid bone loss. This method provides long-term stability and functional recovery while avoiding complications associated with screw fixation and open surgery. LEVEL OF EVIDENCE: Therapeutic Level IV.