Editorial Commentary: Glenoid Bone Reconstruction for Recurrent Shoulder Instability-Risk or Benefit?

Bone reconstruction for management of glenohumeral instability to reduce postoperative recurrence rates is increasingly emphasized in our literature. Unfortunately, significant complication rates are associated with these procedures, particularly in the United States where training in bony glenoid reconstruction may be limited. The alternative of early intervention, specifically surgical treatment of first-time shoulder dislocation, could result in glenoid bone preservation and overall improvement in the results of soft-tissue stabilization procedures. Avoidance of future glenohumeral bone loss may diminish the need for more complicated surgery.