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Patients with concomitant rotator cuff lesions or voluntary or multidirectional instability were excluded. The osteotomized coracoid was fixed above the subscapularis with a cannulated screw or a suture button; a capsular plication was systematically associated. We followed patients with x\u2010rays, computed tomography scans, and Subjective Shoulder Value, visual analog scale, Walch, Constant, and Rowe scores. Mean follow\u2010up was 56 months (24\u2010145).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010eight consecutive patients (30 shoulders) with a mean age of 25 years were identified, and all met criteria. The main finding under arthroscopy was a \u201cloose shoulder\u201d with anteroinferior capsular redundancy and no or few (10%) labrum tears, glenoid erosion (13%), or Hill\u2010Sachs lesions (10%). At last follow\u2010up, 90% of the shoulders (27\/30) were stable, and 79% (19\/24) of the patients practicing sports returned to their preinjury activity level. The Walch\u2010Duplay and Rowe scores improved from 54 (38\u201068) to 81 (4\u2010100) and 55 (30\u201071) to 84 (45\u2010100), respectively,\n                      <jats:italic>P<\/jats:italic>\n                      &lt; .001.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The arthroscopic Trillat is an effective procedure for the treatment of recurrent anterior instability in young athletes with shoulder hyperlaxity but no substantial humeral or glenoid bone loss, allowing return to overhead\/contact sports.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, retrospective study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2022.10.046","type":"journal-article","created":{"date-parts":[[2022,11,8]],"date-time":"2022-11-08T20:47:33Z","timestamp":1667940453000},"page":"948-958","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":17,"title":["The Arthroscopic Trillat Procedure Is a Valuable Treatment Option for Recurrent Anterior Instability in Young Athletes With Shoulder Hyperlaxity"],"prefix":"10.1002","volume":"39","author":[{"given":"Pascal","family":"Boileau","sequence":"first","affiliation":[{"name":"ICR\u2013Institut de Chirurgie R\u00e9paratrice\u2013Locomoteur &amp; Sports Nice France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilles","family":"Clowez","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Princesse Grace (CHPG) Monaco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soufyane","family":"Bouacida","sequence":"additional","affiliation":[{"name":"Centre de la Main de Toulon et La Ciotat Toulon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilles","family":"Walch","sequence":"additional","affiliation":[{"name":"Centre M\u00e9dical Santy Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christophe","family":"Trojani","sequence":"additional","affiliation":[{"name":"ICR\u2013Institut de Chirurgie R\u00e9paratrice\u2013Locomoteur &amp; Sports Nice France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel G.","family":"Schwartz","sequence":"additional","affiliation":[{"name":"The Polyclinic Madison Center Seattle Washington U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,8]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.E.00817"},{"issue":"1","key":"e_1_2_2_3_2","first-page":"91","article-title":"L\u2019instabilit\u00e9 ant\u00e9rieure chronique de l\u2019\u00e9paule chez l\u2019adulte. 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