Arthroscopic Repair of Combined Bankart and SLAP Lesions: Operative Techniques and Clinical Results

Cho, Hyung Lae; Lee, Choon-Ki; Hwang, Tae‐Kon; Suh, Kuen Tak; Park, Jong Won

doi:10.4055/cios.2010.2.1.39

Cited by 53 publications

(54 citation statements)

References 21 publications

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“…Cho et al (7) chosen 62 patients including 55 men (88.7%) and 7 women (11.3%) for arthroscopic Bankart repair. No recurrent dislocation or anterior instability during physical examination was noted with minimum of 1 year follow up.…”

Section: Follow Up Findingsmentioning

confidence: 99%

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Evaluation of Results of Arthroscopic Bankart Repair for Post Traumatic Anterior Shoulder Instability

Chandra¹,

Basak²,

Bhar³

et al. 2015

jemds

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BACKGROUND:The study was to evaluate the surgical outcomes of arthroscopic repair of post-traumatic Bankart lesions with the use of suture anchors. Patients with >20% bony lesions, SLAP (superior labral tear from anterior to posterior) lesions and multi-directional instability were excluded. The patients were followed up for a period of minimum 4 years. MATERIALS AND METHODS: We evaluated the results of arthroscopic Bankart repair with use of suture anchors in 35 patients with traumatic recurrent anterior instability of the shoulder. The mean age at operation was 25.71 years. The patients were evaluated pre-operatively and at follow-up using the UCLA (University of California Los Angeles) shoulder scoring system and the modified Rowe scores, which were 6.2 and 29.3 respectively pre-operatively. RESULTS: The UCLA shoulder scoring system and the modified Rowe scores at follow-up were 32 and 72.57 respectively and both improvements were significant. The Modified Rowe Shoulder Scoring System showed 14 patients having excellent results, 12 patients good, 6 patients fair and 3 patients with poor results. One patient had subluxation and another had positive apprehension test. Five patients had discomfort/pain with arm in abducted and externally rotated position but negative apprehension test. Remaining 28 patients had negative apprehension test; no subluxation. Significant improvements occurred for each motion tested for each follow up visit. CONCLUSION: We conclude that arthroscopic Bankart lesion repair with suture anchors is an effective surgical technique for the treatment of an isolated Bankart lesion having good results with respect to pain relief, stability and function. KEYWORDS: Arthroscopic Bankart repair, Anterior shoulder instability, UCLA (University of California Los Angeles) shoulder rating scale. INTRODUCTION:The shoulder, by virtue of its anatomy and biomechanics, is one of the most unstable and frequently dislocated joints in the body, accounting for nearly 50% of all dislocations. According to one estimate, up to 96% of acute shoulder dislocations were traumatic in origin. (1) Anterior instability is the most common form of shoulder instability. (2) Recurrent anterior shoulder instability results in a functional disability for the patient, in terms of both shoulder function and general health status. (3) The use of arthroscopy has improved the recognition of pathologic findings in shoulder instability and allowed a better understanding of the etiology of instability and the correlation between symptom and lesion patterns.Arthroscopic treatment of shoulder instability due to Bankart lesion introduced some advantages compared with open Bankart lesion repair procedure. The Arthroscopic method offers a less invasive technique of Bankart repair.

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Section: Follow Up Findingsmentioning

confidence: 99%

“…In the study of Cho et al (7) 62 patients with recurrent anterior shoulder dislocation due to Bankart lesion that underwent arthroscopic repair with mean age at surgery was 24.2 years (16-38 yrs).…”

Section: Follow Up Findingsmentioning

confidence: 99%

Evaluation of Results of Arthroscopic Bankart Repair for Post Traumatic Anterior Shoulder Instability

Chandra¹,

Basak²,

Bhar³

et al. 2015

jemds

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“…Rates of recurrence after these two techniques vary widely in the literature, ranging from 0% to 30% for arthroscopic Bankart repair [13,22], with a mean of 9% [18], and from 2% to 14% for the open Latarjet bone block procedure (with two screws and the block in lying down position), with a mean of 7% [1,10,12,15,17,24,32].…”

Section: Introductionmentioning

confidence: 99%

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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“…While the ASES score focuses on pain level and functional ability both at work and leisure activity, the Rowe score is based stability, motion, and function. ASES scores following arthroscopic Bankart repair have ranged from 87 to 98 while Rowe scores generally range from 77 to 97 at a minimum follow-up of 2 years, indicating a high level of motion and function following arthroscopic repair (Table 1) [5,[47][48][49][50][51][52][53][54][55][56].…”

Section: Functional Outcomesmentioning

confidence: 99%

Arthroscopic Bankart Repair for the Management of Anterior Shoulder Instability: Indications and Outcomes

DeFroda

Bokshan

Stern

et al. 2017

Curr Rev Musculoskelet Med

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Purpose of Review Arthroscopic Bankart repair is commonly utilized for shoulder stabilization in patients with anterior shoulder instability with minimum glenoid bone loss. The purpose of this review is to provide the indications, surgical technique, complications, and recent outcomes in arthroscopic Bankart repair for shoulder instability. Recent Findings Improvements in arthroscopic techniques have led to better patient outcomes, as well as an improved understanding of the pathoanatomy of instability. More recent studies have shown that one of the potential failures of primary arthroscopic repair may be due to unaddressed bone loss. This underscores the importance of evaluating glenoid bone loss and proper patient selection for this procedure to ensure successful outcome. Summary When indicated, arthroscopic stabilization is the treatment of choice for many surgeons due to its lower morbidity and low overall complication rate. Future work must focus on longer-term outcomes in patients undergoing arthroscopic Bankart repair, as well as the clinical outcomes of new fixation techniques, augmentation techniques, and the effect of glenoid bone loss in outcome.

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Arthroscopic Repair of Combined Bankart and SLAP Lesions: Operative Techniques and Clinical Results

Cited by 53 publications

References 21 publications

Evaluation of Results of Arthroscopic Bankart Repair for Post Traumatic Anterior Shoulder Instability

Evaluation of Results of Arthroscopic Bankart Repair for Post Traumatic Anterior Shoulder Instability

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

Arthroscopic Bankart Repair for the Management of Anterior Shoulder Instability: Indications and Outcomes

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