Arthroscopic Repair for Posterior Shoulder Instability: Case series and surgical outcome

Abstract

Highlights This study evaluates outcomes of a consistent arthroscopic stabilization technique for recurrent posterior instability. 79 shoulders with symptomatic posterior instability treated with arthroscopic repair and evaluated at a follow-up of 36 months. Arthroscopic posterior labral repair and capsular plication provided significant clinical improvement with low recurrence and revision rate.

Clinical effects of sodium hyaluronate combined with platelet-rich plasma injection on rotator cuff injury in arthroscopic repair

“…It is reported that patients with arthroscopic transosseous rotator cuff repair achieve significant improvements with the use of the needle based Omnicuff device [ 32 ]. In patients with recurrent posterior instability undergoing arthroscopic posterior stabilization, significant clinical positive results have been achieved in arthroscopic posterior labral repair and capsular plication with low recurrence and revision rate [ 33 ]. A previous research has reported that ARCR using a transosseous knotless technique has achieved a satisfactory outcome in patients with rotator cuff repair [ 34 ].…”

Arthroscopic Posterior Labral Repair and Capsular Closure via Single Working Portal for Posterior Shoulder Instability

“…11 The benefits of arthroscopic treatment of PSI include its less invasive nature, ability to leave the infraspinatus tendon intact, greater distance to at-risk nerves, better visualization, ability to access other areas of the joint, and faster recovery. 5,9,12 Fig 2 . With the patient in the beach chair position and viewing through an anterosuperior portal, an 18-gauge spinal needle demonstrating the trajectory of the posterior working portal that will allow for posterior labral repair and capsular shift of the right shoulder (A). On the external view, the trajectory and location of the working portal are illustrated.…”

“… 11 The benefits of arthroscopic treatment of PSI include its less invasive nature, ability to leave the infraspinatus tendon intact, greater distance to at-risk nerves, better visualization, ability to access other areas of the joint, and faster recovery. 5 , 9 , 12 …”

“…In 1 case series using a singleeworking portal arthroscopic repair with doubleloaded absorbable suture anchors with patients in the beach-chair position for the treatment of PSI, significant improvements in the American Shoulder and Elbow Surgeons score were observed, with all patients returning to their previous level of athletic activity with no surgical revisions. 12 Moreover, improved pain and function were reported in a retrospective study of 32 baseball players after arthroscopic posterior labral repair with a single working portal, resulting in a 94% rate of patient satisfaction and a 94% rate of return to sport, with 61% of patients returning to their previous level of play. 13 Park et al 5 published a singleeworking portal technique in which posterior stabilization was performed with the patient in the lateral decubitus position and conventional PEEK (polyether ether ketone) suture anchors were used.…”

The Cartilage Wear Index: a new evaluation method to improve patient selection in surgical treatment of recurrent posterior glenohumeral instability

“…However, we think that this sample is very valuable as there are limited single-center studies with these strict inclusion criteria and precise patient selection. 7 , 12 , 14 , 19 , 20 , 23 , 24 , 28 , 31 , 34 Other limitations are related to the method of image measurements. Although most MRAs were obtained in a 3T magnetic resonance scanner, some of them were obtained in a 2T scanner, but both scanners are sensitive enough to calculate the cartilage thickness.…”