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This Article Full Text Full Text (PDF) All Versions of this Article: 32/8/1899    most recent 0363546504265264v1 Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Request Reprints Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (13) Citing Articles via Google Scholar Google Scholar Articles by Ide, J. Articles by Takagi, K. Search for Related Content PubMed PubMed Citation Articles by Ide, J. Articles by Takagi, K. Related Collections Shoulder Arthroscopy

Arthroscopic Bankart Repair Using Suture Anchors in Athletes

Patient Selection and Postoperative Sports Activity

From the Department of Orthopaedic Surgery, Kumamoto University Hospital, Department of Orthopaedic Surgery, Graduate School of Medical and Pharmaceutical Sciences, Kumamoto University

^* Address correspondence to Junji Ide, MD, PhD, Department of Orthopaedic Surgery, Kumamoto University Hospital, Department of Orthopaedic Surgery, Graduate School of Medical and Pharmaceutical Sciences, Kumamoto University, Honjo 1-1-1, Kumamoto, 860-8556, Japan (e-mail: ide{at}kaiju.medic.kumamoto-u.ac.jp).

Purpose: The purpose of this study was to evaluate the results in selected high-risk patients who underwent arthroscopic stabilization of shoulders with recurrent anterior instability.

Hypothesis: Arthroscopic stabilization using suture anchors is useful for athletes younger than 25 years or for contact athletes without a large bone loss of glenohumeral articulation.

Study Design: Prospective cohort study.

Methods: The study group comprised 55 patients, with a mean follow-up of 42 months (range, 25–72 months). Thirty-two patients had recurrent dislocations, 14 had recurrent subluxations, and 9 had recurrent subluxations after a single dislocation. Rowe score, range of motion, recurrence, and sports activities were evaluated.

Results: Mean Rowe score improved from 30.1 to 92.3 points; 45 scores (82%) were excellent, 5 (9%) good, 1 fair (2%), and 4 (7%) poor. Patients had lost a mean of 4° of external rotation in adduction. Four (7%) had recurrence. The recurrence rate in contact athletes (9.5%, 2 of 21) was not statistically different from that in noncontact athletes (6%, 2 of 34). Forty-four (80%) returned at the same levels. The complete return rate in overhead-throwing athletes (68%, 17 of 25) was lower than that in nonoverhead athletes (90%, 27 of 30) (P = .0423). Five patients had unsatisfactory results.

Conclusion: Arthroscopic stabilization is a reliable procedure in selected high-risk patients.

Key Words: arthroscopic Bankart repair • suture anchor • athletes • recurrent anterior shoulder instability

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