Table 1.

Pearls and Pitfalls

Pearls

Using an arm holder will increase the ease of positioning the arm in various amounts of abduction to adequately assess stability in all planes of motion.

Testing the arm at extremes of motion can assess for engagement of any existing Hill-Sachs lesion in real time.

Beach-chair positioning increases the ease of performing the load-shift examination.

Pitfalls

Lateral decubitus positioning will make the described maneuver difficult unless tension is removed from the arm positioner.

Incorrect portal placement may limit the ability to completely visualize the glenoid rim.

Outflow can potentially be impaired when viewing from the anterosuperior portal.