Arthroscopic Bankart Suture-Anchor Repair

Castagna, Alessandro; Markopoulos, Nikolaos; Conti, Marco; Rose, Giacomo Delle; Papadakou, Eugenia; Garofalo, Raffaele

doi:10.1177/0363546510372614

Cited by 164 publications

(87 citation statements)

References 30 publications

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“…Long-term follow-up studies for ABR have indicated that recurrence rates increase with time [[9],[19]]. Castagna et al [[19]] reported that in 31 of 43 shoulders with ABR, 7 were dislocated (22%) at a mean follow-up of 10.9 years, with 3 of the 7 recurrences developing after 6 years [[19]].…”

Section: Discussionmentioning

confidence: 99%

“…Castagna et al [[19]] reported that in 31 of 43 shoulders with ABR, 7 were dislocated (22%) at a mean follow-up of 10.9 years, with 3 of the 7 recurrences developing after 6 years [[19]]. van der Linde et al [[9]] showed that in 68 of 70 shoulders with ABR, a total of 24 experienced re-dislocation after surgery (35%), with a mean follow-up period of 8–10 years.…”

Section: Discussionmentioning

confidence: 99%

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Risk factors for shoulder re-dislocation after arthroscopic Bankart repair

et al. 2014

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BackgroundRecent studies have shown effective clinical results after arthroscopic Bankart repair (ABR) but have shown several risk factors for re-dislocation after surgery. We evaluated whether patients are at a risk for re-dislocation during the first year after ABR, examined the recurrence rate after ABR, and sought to identify new risk factors.MethodsWe performed ABR using bioabsorbable suture anchors in 102 consecutive shoulders (100 patients) with traumatic anterior shoulder instability. Average patient age and follow-up period was 25.7 (range, 14–40) years and 67.5 (range, 24.5–120) months, respectively. We evaluated re-dislocation after ABR using patient telephone interviews (follow-up rate, 100%) and correlated re-dislocation with several risk factors.ResultsRe-dislocation after ABR occurred in nine shoulders (8.8%), of which seven sustained re-injuries within the first year with the arm elevated at 90° and externally rotated at 90°. Of the remaining 93 shoulders without re-dislocation, 8 had re-injury under the same conditions within the first year. Thus, re-injury within the first year was a risk for re-dislocation after ABR (P < 0.001, chi-squared test). Using multivariate analysis, large Hill-Sachs lesions (odds ratio, 6.77, 95% CI, 1.24–53.6) and <4 suture anchors (odds ratio, 9.86, 95% CI, 2.00–76.4) were significant risk factors for re-dislocation after ABR.ConclusionsThe recurrence rate after ABR is not associated with the time elapsed and that repair strategies should augment the large humeral bone defect and use >3 anchors during ABR.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Risk factors for shoulder re-dislocation after arthroscopic Bankart repair

et al. 2014

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“…51 Reported failure rates of stabilization procedures in contact athletes are higher than in the general population. 19,59,67 Two other recent studies suggested a trend toward collision sports as a risk factor for recurrent instability after arthroscopic stabilization 17,71 Cho et al 19 found a recurrence rate of 28.6% in collision athletes compared with 6.7% in noncollision athletes who underwent arthroscopic stabilization for shoulder instability.…”

Section: Risk Factors For Recurrent Instabilitymentioning

confidence: 97%

Failed anterior shoulder stabilization

Mauro

Voos

Hammoud

et al. 2011

Journal of Shoulder and Elbow Surgery

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“…This is especially important preoperatively (to plan for specific repair strategies) and intra-operatively, to prevent otherwise avoidable postoperative complications. Arthroscopic shoulder stabilization is the treatment of choice in cases of recurrent instability [16, 17]. The outcome is usually excellent when performed by experienced surgeons, and additional procedures may be performed to address concomitant pathologies such as a SLAP lesion or a wide rotator interval.…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic Findings in Anterior Shoulder Instability

Hantes¹,

Raoulis²

2017

TOORTHJ

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Background: In the last years, basic research and arthroscopic surgery, have improved our understanding of shoulder anatomy and pathology. It is a fact that arthroscopic treatment of shoulder instability has evolved considerably over the past decades. The aim of this paper is to present the variety of pathologies that should be identified and treated during shoulder arthroscopy when dealing with anterior shoulder instability cases.Methods: A review of the current literature regarding arthroscopic shoulder anatomy, anatomic variants, and arthroscopic findings in anterior shoulder instability, is presented. In addition, correlation of arthroscopic findings with physical examination and advanced imaging (CT and MRI) in order to improve our understanding in anterior shoulder instability pathology is discussed.Results: Shoulder instability represents a broad spectrum of disease and a thorough understanding of the pathoanatomy is the key for a successful treatment of the unstable shoulder. Patients can have a variety of pathologies concomitant with a traditional Bankart lesion, such as injuries of the glenoid (bony Bankart), injuries of the glenoid labrum, superiorly (SLAP) or anteroinferiorly (e.g. anterior labroligamentous periosteal sleeve avulsion, and Perthes), capsular lesions (humeral avulsion of the glenohumeral ligament), and accompanying osseous-cartilage lesions (Hill-Sachs, glenolabral articular disruption). Shoulder arthroscopy allows for a detailed visualization and a dynamic examination of all anatomic structures, identification of pathologic findings, and treatment of all concomitant lesions.Conclusion: Surgeons must be well prepared and understanding the normal anatomy of the glenohumeral joint, including its anatomic variants to seek for the possible pathologic lesions in anterior shoulder instability during shoulder arthroscopy. Patient selection criteria, improved surgical techniques, and implants available have contributed to the enhancement of clinical and functional outcomes to the point that arthroscopic treatment is considered nowadays the standard of care.

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Arthroscopic Bankart Suture-Anchor Repair

Cited by 164 publications

References 30 publications

Risk factors for shoulder re-dislocation after arthroscopic Bankart repair

Risk factors for shoulder re-dislocation after arthroscopic Bankart repair

Failed anterior shoulder stabilization

Arthroscopic Findings in Anterior Shoulder Instability

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