Arthroscopic Reconstruction of Bony Defect in Shoulder Instability

Kim, Yang Soo; Ok, Ji Hoon

doi:10.5397/cise.2011.14.1.117

Cited by 3 publications

(3 citation statements)

References 24 publications

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“…Patients with recurrent anterior dislocation or subluxation were considered surgical candidates if they had persistent restrictions in performing daily or sports activities and had not responded to at least 6 months of adequate nonsurgical treatment. 21,22 All data were collected prospectively and analyzed retrospectively. From these 186 consecutive patients, we selected patients who underwent sequential computed tomography arthrography (CTA) at 3 months and 1 year postoperatively and whose functional outcomes were evaluated using a visual analog scale (VAS) for pain, shoulder range of motion (ROM), American Shoulder and Elbow Surgeons (ASES) score, Constant score, Rowe score, and muscle strength test preoperatively and at least 1 year postoperatively.…”

Section: Methodsmentioning

confidence: 99%

Factors Affecting Capsular Volume Changes and Association With Outcomes After Bankart Repair and Capsular Shift

Park

Chung

Kumar³

et al. 2014

Am J Sports Med

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Surgeons should be aware of the re-increase in anterior capsular volume or restretching trait of the anterior capsule over time, even after successful arthroscopic Bankart repair and capsular shift. In this study, women, elite athletes, and those with frequent dislocations were at high risk of capsular restretching. An increase in capsular volume was related to redislocation and positive apprehension sign as well as with Rowe score.

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Section: Methodsmentioning

confidence: 99%

Factors Affecting Capsular Volume Changes and Association With Outcomes After Bankart Repair and Capsular Shift

Park

Chung

Kumar³

et al. 2014

Am J Sports Med

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“…Patients with anterior shoulder instability were considered surgical candidates for arthroscopic Bankart repair if they had persistent restriction in performing daily or sports activities and had not responded to at least 6 months of adequate nonoperative treatment. 14,15 Patients with a single episode of shoulder dislocation could be surgical candidates if their functional restrictions were severe in spite of an adequate nonoperative treatment and if they were high-risk patients involved in contact or collision sports near the end of the season. Patients were excluded with evidence of rotator cuff lesion (n = 24), multidirectional instability (n = 6), engaging Hill-Sachs lesion (n = 15), bony Bankart lesion (n = 25), combined reverse Bankart lesion (n = 8), and revision Bankart repair surgery (n = 12).…”

Section: Sample Size Calculation and Patient Allocationmentioning

confidence: 99%

Comparison of Clinical and Radiographic Outcomes of Vertical Simple Stitch Versus Modified Mason-Allen Stitch in Arthroscopic Bankart Repairs: A Prospective Randomized Controlled Study

Park¹,

Chung

Lee³

et al. 2018

Am J Sports Med

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Background: In spite of the probable advantages of Bankart repair with modified Mason-Allen technique, there has been no study to evaluate the clinical outcomes of the modified Mason-Allen technique for Bankart repair. Purpose: To prospectively compare the anatomic and clinical outcomes between the vertical simple stitch and the modified Mason-Allen stitch with respect to the labral height, retear rate, redislocation/apprehension, and various functional outcome scores. Study Design: Randomized controlled trial; Level of evidence, 2. Methods: Patients who underwent arthroscopic Bankart repair with double-loaded suture anchors were randomly allocated to 1 of 2 groups: the vertical simple stitch method (SS; n = 45) or the Bankart repair using modified Mason-Allen technique (BRUMA; n = 41). All patients underwent computed tomography arthrography at 6 months postoperatively and various functional outcome measurements at least 2 years postoperatively. The labral height and width at the 3-, 4-, and 5-o’clock positions were measured preoperatively and at 6 months after surgery on axial computed tomography arthrography; the redislocation/apprehension rate, the retear rate, and various functional outcome scores were evaluated at each follow-up visit. Results: Postoperative labral height and width were significantly increased at all locations (all P < .001) in both groups, but they were not statistically different between groups (all P > .05). Two patients in the SS group (4.4%) and 2 in the BRUMA group (4.9%) experienced redislocation after surgery, and 4 patients in the SS group (8.9%) and 2 in the BRUMA group (4.9%) group showed apprehension after surgery. Additionally, 5 patients in the SS group (11.1%) and 2 in the BRUMA group (4.9%) showed retear at 6 months ( P = .239). There were no differences in any functional outcome scores (all P > .05). Conclusion: There was no difference in the radiologic outcomes at 6 months and the clinical outcomes assessed at least 2 years after surgery between the groups.

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“…And the incidence of recurrence despite reparative surgery has been shown to be around 10%. 4,5) Shoulder instability has been shown to result by means of a large spectrum of pathological conditions such as labral deficiency, capsular elongation, patulousness of the shoulder capsule, ligament injury, bony defi-ciencies, and etc. [6][7][8] In 1962 Moseley 9) introduced a classification system based on the mode of capsular insertion for categorizing anatomical variations in the capsule that surrounds the glenohumeral joint.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Capsular Insertion Type and of Capsular Elongation in Patients with Anterior Shoulder Instability and It's Correlation with Surgical Outcome: A Quantitative Assessment with Computed Tomography Arthrography

Kim¹,

Kim²,

Choi³

et al. 2016

Clinics in Shoulder and Elbow

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Background:The study aimed to determine the type of capsular insertion and the extent of capsular elongation in anterior shoulder instability by quantitatively evaluating their computed tomography arthrographic (CTA) findings, and to investigate the correlation of these parameters with surgical outcomes. Methods: We retrospectively reviewed 71 patients who underwent CTA and arthroscopic capsulolabral reconstruction for anterior shoulder instability between April 2004 and August 2008. The control group comprised 72 patients diagnosed as isolated type II superior labrum anterior to posterior (SLAP) lesion during the period. Among the 143 patients, 71 were examined with follow-up CTA at an average 13.8 months after surgery. It was measured the capsular length and cross-sectional area at two distinct capsular regions: the 4 and 5 o'clock position of the capsule. Results: With regards to the incidence of the type of anterior capsular insertion, type I was more common in the control group, whereas type III more common than in the instability group. Anterior capsular length and cross-sectional area were significantly greater in the instability group than in the control group. Among patients of the instability group, the number of dislocations and the presence of anterior labroligamentous periosteal sleeve avulsion lesion were significantly associated with anterior capsular redundancy. Postoperatively, recurrence was found in 3 patients (4.2%) and their postoperative capsular length and cross-sectional area were greater than those of patients without recurrence. Conclusions: Capsular insertion type and capsular redundancy derived through CTA may serve as important parameters for the management of anterior shoulder instability. (Clin Shoulder Elbow 2016;19(3):155-162)

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Arthroscopic Reconstruction of Bony Defect in Shoulder Instability

Cited by 3 publications

References 24 publications

Factors Affecting Capsular Volume Changes and Association With Outcomes After Bankart Repair and Capsular Shift

Factors Affecting Capsular Volume Changes and Association With Outcomes After Bankart Repair and Capsular Shift

Comparison of Clinical and Radiographic Outcomes of Vertical Simple Stitch Versus Modified Mason-Allen Stitch in Arthroscopic Bankart Repairs: A Prospective Randomized Controlled Study

Assessment of Capsular Insertion Type and of Capsular Elongation in Patients with Anterior Shoulder Instability and It's Correlation with Surgical Outcome: A Quantitative Assessment with Computed Tomography Arthrography

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