Combined Arthroscopic and Mini-Open Subpectoral Dynamic Anterior Shoulder Stabilization With Biceps Tendon for Anterior Shoulder Instability.

Subcritical glenoid bone loss in anterior shoulder instability represents a clinical dilemma with no consensus on the optimal management strategy. Although bony transfer procedures provide stability in cases of critical bone loss, they are associated with notable complications. Conversely, soft-tissue techniques such as Bankart repair are often insufficient alone. This technical note introduces a safe, reproducible modification of the dynamic anterior stabilization procedure using an arthroscopic onlay technique combined with subpectoral biceps tendon retrieval and anterior glenoid fixation.