Arthroscopic Treatment of Multidirectional Shoulder Instability in Athletes

Baker, Champ L.; Mascarenhas, Randy; Kline, Alex J.; Chhabra, Anikar; Pombo, Mathew W.; Bradley, James P.

doi:10.1177/0363546509335464

Cited by 79 publications

(49 citation statements)

References 27 publications

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“…The recurrence rate in the studies was between 4.7% and 10%. 21,[23][24][25] Previous studies have shown that the number of suture hooks used during the operation could affect the result. In a study by Watch et al, 27 it was suggested that the use of fewer than four suture hooks could have been one of the reasons for failure.…”

Section: Discussionmentioning

confidence: 99%

The results of Bankart repair without capsular plication in patients with recurrent traumatic anterior shoulder dislocation

Kalkar

Esenyel

Saygılı

et al. 2017

J Orthop Surg (Hong Kong)

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Purpose: The aim of this study was to evaluate the results of patients with recurrent anterior shoulder dislocation, who had been treated with repair of the Bankart lesion without capsuler plication. Material and method: The study included 22 shoulders of 22 patients (16 males and 6 females) with a mean age of 28 years, who underwent Bankart repair between 2011 and 2014. Patients with bilateral shoulder instability, multiple instability, >25% glenoid bone loss, and those with a history of shoulder surgery were not included in the study. The average follow-up time was 21.2 months. Evaluation was made of the preoperative number of dislocations, postoperative recurrence, functional status, and daily activity performance of the patients. Shoulder range of motion was measured. The results were evaluated using the Rowe shoulder score and the Oxford shoulder instability score. Results: Recurrence was observed in only one patient who had a shoulder dislocation after trauma, thus giving a recurrence rate of 4.5%. Shoulder range of motion was full in all except that one patient. The mean Rowe shoulder score was 95.5 (excellent) and Oxford shoulder stability score was 44.6 (excellent). Conclusion: No recurrent shoulder dislocation was observed in patients who underwent Bankart repair surgery. Plication was not performed with the Bankart repair. Close to full range of motion was obtained in all patients. In conclusion, Bankart repair alone can be considered to be sufficient for the treatment of traumatic recurrent anterior shoulder instability.

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Section: Discussionmentioning

confidence: 99%

The results of Bankart repair without capsular plication in patients with recurrent traumatic anterior shoulder dislocation

Kalkar

Esenyel

Saygılı

et al. 2017

J Orthop Surg (Hong Kong)

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“…Only 8 13,18,19,23,25,27,29,33 of 24 studies, describing 271 patients, also reported in their population individuals who underwent previous shoulder surgery for the management of MDI. Previous surgical procedures were performed in 71 (26%) of them: open capsular shift in 3 (4%), 13 laser-assisted capsular shrinkage in 10 (14%), 18 diagnostic arthroscopy in 2 (3%), 19 thermal capsulorrhaphy in 2 (3%), 23 and Bankart repair in 4 (6%).…”

Section: Previous Surgerymentioning

confidence: 99%

“…Previous surgical procedures were performed in 71 (26%) of them: open capsular shift in 3 (4%), 13 laser-assisted capsular shrinkage in 10 (14%), 18 diagnostic arthroscopy in 2 (3%), 19 thermal capsulorrhaphy in 2 (3%), 23 and Bankart repair in 4 (6%). 25 In 50 (70%) patients, the previous surgery for instability was not specified.…”

Section: Previous Surgerymentioning

confidence: 99%

Multidirectional Instability of the Shoulder: A Systematic Review

Longo

Rizzello

Loppini

et al. 2015

Arthroscopy: The Journal of Arthroscopic & Related Surgery

127

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“…That is because they suffer the absence of a standard definition of multidirectional instability in literature 13 . Al- though all the patients are classified based on their medical history, physical examination, under anaesthesia and arthroscopic evaluations, the wide range of reported lesions indicates that the etiology of the multidirectional instability is multi-factorial and variable 14,15 . It is therefore possible that different pathologies, with different etiologies, are gathered under the same name.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic treatment of the atraumatic shoulder instability: a case series with two-year follow-up evaluation

Gervasi

Sebastiani

Cautero

et al. 2016

MLTJ

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SummaryBackground: The purpose of this work is to evaluate the results of arthroscopic capsulolabroplasty in patients affected by atraumatic shoulder instability (ASI). Methods: A retrospective review was performed of 10 patients (7 women and 3 men) who underwent arthroscopic treatment of symptomatic ASI. Mean age at evaluation was 27.9 (19-35) years and the mean follow-up was 23.3 (12-37) months. We evaluated recurrence rate, range of movement, apprehension and relocation tests, hyperlaxity, and sport activity. The ASES score, the Rowe score, the Simple Shoulder Test (SST) and Visual Analogue Scale (VAS) were also used as outcomes measure. Results: None of the patients experienced episodes of dislocation or subluxation after surgery. The apprehension and relocation tests produced positive results in 2 patients. Six out of 10 patients reported apprehension with the arm in specific positions. The ASES mean score was 93.4 (55-100); the Rowe mean score was 85.5 (70-100); the SST mean score was 9.1 (5.8-10). On average, external rotation is reduced by 10° in adduction, and by 8° in abduction in 6 out of 10 patients; internal rotation is reduced on average by 6.6° in abduction with the arm abducted, and was overall limited in 6 out of 10 patients. Conclusions

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Arthroscopic Treatment of Multidirectional Shoulder Instability in Athletes

Abstract: Arthroscopic methods can provide an effective treatment for symptomatic multidirectional instability in an athletic population.

Cited by 79 publications

References 27 publications

The results of Bankart repair without capsular plication in patients with recurrent traumatic anterior shoulder dislocation

The results of Bankart repair without capsular plication in patients with recurrent traumatic anterior shoulder dislocation

Multidirectional Instability of the Shoulder: A Systematic Review

Arthroscopic treatment of the atraumatic shoulder instability: a case series with two-year follow-up evaluation

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