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This Article Full Text Full Text (PDF) All Versions of this Article: 35/11/1859    most recent 0363546507304329v1 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 Google Scholar Google Scholar Articles by Rhee, Y. G. Articles by Cho, N. S. Search for Related Content PubMed PubMed Citation Articles by Rhee, Y. G. Articles by Cho, N. S. Related Collections Muscle Shoulder Arthroscopy

Muscle Strength After Anterior Shoulder Stabilization

Arthroscopic Versus Open Bankart Repair

Yong Girl Rhee, MD^,*, Chan Teak Lim, MD and Nam Su Cho, MD

From the Shoulder & Elbow Clinic, Department of Orthopaedic Surgery, School of Medicine, Kyung Hee University, Seoul, Korea, Department of Orthopaedic Surgery, Dae-jeon Armed Forces Hospital, Dae-jeon, Korea, and Department of Orthopaedic Surgery, Kyung Hee University East-West Neo Medical Center, Seoul, Korea

^* Address correspondence to Yong Girl Rhee, MD, Department of Orthopaedic Surgery, Kyung Hee University, 1 Hoiki-dong, Dongdaemoonku, Seoul 130-702, Korea (e-mail: shoulderrhee{at}hanmail.net).

Background: A number of reports have been made on the muscle strength at the last follow-up after arthroscopic or open Bankart repairs. Few have analyzed the change over time in muscle strength and compared the changes between different operative methods.

Hypothesis: Muscle strength recovers faster after arthroscopic Bankart repair than after open Bankart repair, and the final muscle strength is not different between the 2 procedures.

Study Design: Cohort study; Level of evidence, 2.

Methods: Sixty patients with anterior shoulder instability and an isolated Bankart lesion were enrolled for this study. Thirty patients underwent open Bankart repair (open group), and 30 patients went through arthroscopic Bankart repair (arthroscopic group).

Results: The open group demonstrated markedly weaker muscle strength during forward elevation than did the arthroscopic group up to 3 months after surgery, but the difference narrowed to about 5% at 6 months (P = .074). At 6 months after surgery, the muscle strength of the open group measured 85.8% ± 11.5% in forward elevation, 89.5% ± 10.3% in external rotation, and 89.3% ± 13.3% in internal rotation. The corresponding figures of the arthroscopic group were 90.6% ± 8.6%, 92.1% ± 9.1%, and 92.1% ± 11.7%. As for external and internal rotations, the open group demonstrated markedly weaker muscle strength 6 weeks after surgery, but the differences were reduced to about 6% and 4%, respectively, at 3 months (P = .092 and .163, respectively). There was no statistically significant difference in final muscle strength 12 months after the operation between the 2 groups (P = .503, .468, and .659, respectively).

Conclusion: Muscle strength recovered faster with an arthroscopic procedure than with an open procedure during the early postoperative periods, and strength was restored to the level of the unaffected side at 6 months postoperatively. In the group with open Bankart repairs, the muscle strength during forward elevation recovered slower than did external and internal rotation muscle strengths.

Key Words: shoulder • arthroscopic Bankart repair • open Bankart repair • muscle strength