Initial attempts to replicate the success of open anterior shoulder instability procedures using arthroscopic procedures were associated with unacceptably high failure rates. The resultant focus on identifying clear surgical indications and improving both arthroscopic technique and instrumentation has culminated in arthroscopic success rates approaching those of established open procedures. Current experience shows that with careful patient selection, strict adherence to proper surgical technique, and the avoidance of common surgical errors, excellent clinical results can be achieved with arthroscopic instability repair.
