Arthroscopic Anterior Shoulder Stabilization of Collision and Contact Athletes

Mazzocca, Augustus D.; Brown, Fred M.; Carreira, Dominic S.; Hayden, Jennifer; Romeo, Anthony A.

doi:10.1177/0363546504268037

Cited by 308 publications

(248 citation statements)

References 23 publications

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“…The reliability of this new tool however needs to be confirmed by specific studies as it has not yet been validated. The results concerning return to sports are similar to those reported in the literature [17,24,25,27]. Concerning apprehension, we found that, regardless of the procedure performed; about 20% of shoulders had persistent anterior apprehension (Fig.…”

Section: Discussionsupporting

confidence: 89%

The Open Latarjet Procedure Is More Reliable in Terms of Shoulder Stability Than Arthroscopic Bankart Repair

Bessière

Trojani

Carlès

et al. 2014

Clinical Orthopaedics &Amp; Related Research

238

188

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Background Arthroscopic Bankart repair and open Latarjet bone block procedure are widely considered mainstays for surgical treatment of recurrent anterior shoulder instability. The choice between these procedures depends mainly on surgeon preference or training rather than published evidence. Questions/purposes We compared patients with recurrent posttraumatic anterior shoulder instability treated with arthroscopic Bankart or open Latarjet procedure in terms of (1) frequency and timing of recurrent instability, (2) risk factors for recurrent instability, and (3) patient-reported outcomes. Methods In this retrospective comparative study, we paired 93 patients undergoing open Latarjet procedures with 93 patients undergoing arthroscopic Bankart repairs over the same period for posttraumatic anterior shoulder instability by one of four surgeons at the same center. Both groups were comparable except that patients in the Latarjet group had more glenoid lesions and more instability episodes preoperatively. Minimum followup was 4 years (mean, 6 years; range, 4-10 years). Patients were assessed with a questionnaire, including stability, Rowe score, and return to sports. Recurrent instability was defined as at least one episode of recurrent dislocation or subluxation. Return to sports was evaluated using a 0% to 100% scale that patients completed after recovery from surgery. Various risk factors for recurrent instability were also analyzed. Results At latest followup, 10% (nine of 93) in the Latarjet group and 22% (20 of 93) in the Bankart group demonstrated recurrent instability (p = 0.026; odds ratio, 0.39; 95% CI, 0.17-0.91). Ten recurrences in the Bankart group (50%) occurred after 2 years, compared to only one (11%) in the Latarjet group. Reoperation rate was 6% and 7% in the Bankart and Latarjet groups, respectively. In both groups, patients younger than 20 years had higher recurrence risk (p = 0.019). In the Bankart group, independent factors predictive for recurrence were practice of competitive sports and shoulder hyperlaxity (ie, passive external rotation [ 85°in the contralateral uninjured shoulder). Although return to sports was not different between groups, the mean Rowe score was higher in the Latarjet group (78 versus 68, p = 0.018). Conclusions Patients who had the open Latarjet procedure had less recurrent instability and better Rowe scores over a mean 6-year followup. We now perform isolated arthroscopic Bankart repair for carefully selected patients, including patients with an Instability Severity Index Score of 3 or less. Level of Evidence Level III, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.

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Section: Discussionsupporting

confidence: 89%

The Open Latarjet Procedure Is More Reliable in Terms of Shoulder Stability Than Arthroscopic Bankart Repair

Bessière

Trojani

Carlès

et al. 2014

Clinical Orthopaedics &Amp; Related Research

238

188

View full text Add to dashboard Cite

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“…과거 전방 불안 정성의 수술적 치료는 비교적 높은 재발률을 나타 냈으나 최근 관절경적 술식 및 봉합 고정 나사못 의 발달로 여러 학자가 Bankart 재건술 후 10% 내외의 비교적 좋은 결과를 보고하고 있다 1,12,24,25) .…”

Section: 불안정성의 재발unclassified

Traumatic Anterior Instability: Failed Repairs and Complicated Problems

Kim¹

2007

Clinics in Shoulder and Elbow

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“…These include young age, high level of athletic competition, presence of a bony defect in the glenoid or humeral head, number of suture anchors, and ligamentous laxity. [12][13][14] The purpose of our study was to retrospectively evaluate the outcomes of arthroscopic repair of capsulolabral lesions in patients enrolled in our institution's database, with a minimum follow-up of one year.…”

Section: Introductionmentioning

confidence: 99%