| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Sign In to gain access to subscriptions and/or personal tools.
|
|
|
|||||||
Sign In to gain access to subscriptions and/or personal tools. |
|||||||||
From the Division of Sports Medicine, Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, Illinois
* Address correspondence to Anthony A. Romeo, MD, Rush University Medical Center, 1725 West Harrison Street, Suite 1063, Chicago, IL 60612 (e-mail: shoulderelbowdoc{at}aol.com).
Background: Arthroscopic treatment of anterior shoulder dislocation has become possible through improvements in instruments and techniques.
Objective: To prospectively evaluate results of arthroscopic Bankart repairs at a minimum 2-year follow-up for patients with histories of shoulder dislocation and an anterior-inferior labral tear at the time of diagnostic arthroscopy.
Study Design: Case series; Level of evidence, 4.
Methods: A consecutive series of 85 patients (70 men, 15 women; mean age, 26 years) with Bankart lesions were treated with arthroscopic repair using suture anchors; 18 patients (27%) had extension of the labral injury into the superior labrum affecting some or all of the biceps anchor. Anchors were loaded with no. 2 nonabsorbable braided suture and placed 2 mm into the edge of the glenoid surface. A low anterior (5-o’clock) portal through the subscapularis tendon was used in all patients; 72 patients were evaluated at a minimum of 2 years postoperatively (mean, 46 months).
Results: Seven patients (10%) experienced recurrent instability after repair. Four patients had redislocations; 3 experienced recurrent subluxations. One patient had pain with the apprehension test without a clear history of recurrent instability. Of 18 collision athletes, 2 had dislocations at 22 and 60 months postoperatively. There were no complications, including no neurologic deficits. Clinical strength testing of the subscapularis muscle was normal in all patients. The mean Rowe score was 88 of 100 points, with 90% excellent or good results. Simple Shoulder Test responses improved from 66% positive preoperatively to 88% positive postoperatively. The American Shoulder and Elbow Surgeons scoring index averaged 92 of 100 points postoperatively. Pain analog scales improved from 5.5 preoperatively to 0.35 postoperatively on a 10-point scale. SF-12 scores improved for physical function. Patient satisfaction was rated 8.9 on a 10-point visual analog scale.
Conclusion: Bankart repairs performed arthroscopically using properly implanted suture anchors and nonabsorbable sutures and in which associated pathoanatomy is addressed demonstrate low recurrence rates (10%) similar to historical open controls.
Key Words: Bankart repair • shoulder instability • dislocation • collision sport
This article has been cited by other articles:
|
|
 |
|
  F. Franceschi, U. G. Longo, L. Ruzzini, G. Rizzello, N. Maffulli, and V. Denaro Arthroscopic Salvage of Failed Arthroscopic Bankart Repair: A Prospective Study With a Minimum Follow-up of 4 Years Am. J. Sports Med., July 1, 2008; 36(7): 1330 - 1336. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Scheibel, C. Nikulka, A. Dick, R. J. Schroeder, A. G. Popp, and N. P. Haas Structural Integrity and Clinical Function of the Subscapularis Musculotendinous Unit After Arthroscopic and Open Shoulder Stabilization Am. J. Sports Med., July 1, 2007; 35(7): 1153 - 1161. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. E. Voos, A. D. Pearle, C. J. Mattern, F. A. Cordasco, A. A. Allen, and R. F. Warren Outcomes of Combined Arthroscopic Rotator Cuff and Labral Repair Am. J. Sports Med., July 1, 2007; 35(7): 1174 - 1179. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | CONTACT US | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
