Arthroscopic labrum refixation for post-traumatic anterior shoulder instability: Suture anchor versus transglenoid fixation technique

Kandziora, Frank; Jäger, A.; Bischof, F.; Herresthal, J.; Starker, M.; Mittlmeier, Thomas

doi:10.1016/s0749-8063(00)90079-3

Cited by 86 publications

(60 citation statements)

References 48 publications

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“…Following open repair, pain, loss of movement, infection, failure of the implant, neurovascular injury and late degenerative joint disease are the more commonly encountered complications. 68,96 After arthroscopic stabilisation, neurovascular injury, [97][98][99] adhesive capsulitis 100 and synovial fistula 101 have all been encountered. Other complications are specific to the particular technique used to repair the Bankart lesion and include loosening, breakage and impingement after the use of staples; 102,103 injury to the suprascapular nerve and pain from the posterior knot after transglenoid repair; 101,104 foreign-body reaction, rapid decay leading to intra-articular dissociation of the head after repair with bioabsorbable tacks; 105,106 and pull-out after repair with suture anchors.…”

Section: Other Complications Of Surgical Stabilisationmentioning

confidence: 99%

Anterior instability of the shoulder after trauma

Robinson

Dobson

2004

The Journal of Bone and Joint Surgery. British volume

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Section: Other Complications Of Surgical Stabilisationmentioning

confidence: 99%

Anterior instability of the shoulder after trauma

Robinson

Dobson

2004

The Journal of Bone and Joint Surgery. British volume

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“…Arthroscopic techniques for reattaching the labrum can be divided into three categories: (1) a transglenoid suture technique, 14,26,35,51,62,74,76 (2) arthroscopically delivered and tied suture anchors, 33,40,93 and (3) arthroscopically delivered biodegradable tacs. 4,12,25,26,28,51,52,86,92 A comparison of the reported rates of recurrent dislocation for each technique is made in the Table. Multidirectional Instability The most commonly performed and most successfully reported surgical procedure for multidirectional instability of the shoulder is an anterior capsular shift, an open procedure that involves the overlaying and thus shortening of the anterior and inferior capsule. 3,60,77 Closure of the capsular interval between the subscapularis and supraspinatus has been reported to be successful in a small series of patients with subluxation.…”

Section: Surgical Managementmentioning

confidence: 99%

Shoulder Instability: Management and Rehabilitation

Hayes

Callanan²,

Walton³

et al. 2002

J Orthop Sports Phys Ther

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Shoulder dislocation and subluxation occurs frequently in athletes with peaks in the second and sixth decades. The majority (98%) of traumatic dislocations are in the anterior direction. The most frequent complication of shoulder dislocation is recurrence, a complication that occurs much more frequently in the adolescent population. The static (predominantly capsuloligamentous and labral) and dynamic (neuromuscular) restraints to shoulder instability are now well defined. Rehabilitation aims to enhance the dynamic muscular and proprioceptive restraints to shoulder instability. This paper reviews the nonoperative treatment and the postoperative management of patients with various classifications of shoulder instability.

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“…30,31) However, no studies have compared the transglenoid technique with the suture anchor technique for fixing a bony Bankart lesion. The transglenoid technique is useful for reducing bony fragments and anatomical restoration of the glenohumeral ligament and provides an easier way to control the amount of capsular plication.…”

Section: Discussionmentioning

confidence: 99%

Clinical Results of the Arthroscopic "Multiple Pulled Suture" Technique for Large or Comminuted Bony Bankart Lesion

Lee

Kim

Kho

et al. 2017

Clinics in Shoulder and Elbow

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Background: Arthroscopic fixations for large and comminuted bony Bankart lesions are technically difficult. We developed an arthroscopic multiple pulled suture (MPS) technique to restore large and comminuted bony Bankart lesions. Methods: Ten patients (mean age, 49.8 years; range, 31-79 years) underwent bony Bankart repair using the illustrated MPS technique and were then followed for a mean of 27.3 months. A plain radiograph series and three-dimensional computed tomography scans were taken at the initial clinical evaluation and 3 months postoperatively. Outcome measurements included the American Shoulder and Elbow Surgeons (ASES) score, Rowe score, University of California at Los Angeles (UCLA) score, and subjective patient satisfaction, along with surgical complications. Results: Union of an osseous fragment with the glenoid rim was confirmed in all patients on a computed tomography scan 3 months after operation. The osseous fragment was restored to proper articular congruence and reduction. The affected shoulder was stable in nine of the 10 patients. One patient presented with a redislocation after a sports injury 3 years postoperatively. The ASES, Rowe, and UCLA scores improved at the final evaluation, and median patient satisfaction at the final follow-up was 9 of 10 points (range, 6-10 points). Conclusions: The arthroscopic MPS technique for bony Bankart lesions with large or comminuted osseous fragments was a relatively easy and safe method for stable fixation of the osseous fragment. Therefore, the arthroscopic MPS technique resulted in good restoration of stability with high patient satisfaction and low complication rates. (Clin Shoulder Elbow 2017;20(3):138-146)

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Arthroscopic labrum refixation for post-traumatic anterior shoulder instability: Suture anchor versus transglenoid fixation technique

Cited by 86 publications

References 48 publications

Anterior instability of the shoulder after trauma

Anterior instability of the shoulder after trauma

Shoulder Instability: Management and Rehabilitation

Clinical Results of the Arthroscopic "Multiple Pulled Suture" Technique for Large or Comminuted Bony Bankart Lesion

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