Clinical outcome of anterior shoulder instability with capsular midsubstance tear: A comparison of isolated midsubstance tear and midsubstance tear with Bankart lesion

Irreparable Capsule Tears in Initial Surgery for Glenohumeral Instability: Report of Two Cases Treated with Iliotibial Band Autograft

“…1,4 Tearing of the IGHL constitutes one of the main causes of recurrent anterior dislocation, as is the case with the Bankart lesion, and it arises at any site along its course just as in initial traumatic dislocation. 3,[7][8][9][10][11] In the present series, the site of tearing was the insertion on the humeral neck (Case 1), or the junction of the ligament with the labrum (Case 2). It is impossible to prove completely the existence of capsular tear from the preoperative clinical findings and imaging including MRI.…”

“…Anterior instability due to capsular tearing can usually be repaired by suturing the torn ends together with a satisfactory result. 3,[7][8][9][10][11] We describe two cases experienced during open Bankart procedure, in whom primary capsular repair was infeasible due to capsular deficiency including the IGHL despite an initial surgery to address anterior instability. We also present the presumed cause of primary irreparability and the surgical reconstructive technique we employed.…”

Clinical Outcome of Arthroscopic Bankart Repair Combined With Simultaneous Capsular Repair

“…Thus, the prevalence of capsular lesions in their patient population was almost 15%. In contrast, Ogawa and Yoshida 6 evaluated isolated capsular tears through open surgery and found a prevalence of 1.5% (5 of 333), while Rhee et al 8 reported that the prevalence of isolated capsular lesions was 1.8% and that of combined lesions was 3.6%. In the present series, the combined prevalence of capsular tears and HAGL lesions was 21.5%, which was higher than in other reports.…”

“…Regarding the influence of sport, Ogawa and Yoshida 6 performed open repair in 3 young athletes (including athletes playing rugby and American football) and reported no postoperative recurrence. Rhee et al 8 performed open repair for all collision athletes and reported recurrence in 1 professional wrestler. Mizuno et al 3 did not investigate young collision athletes and reported recurrence in only 1 middle-aged badminton player after arthroscopic repair.…”

“…Mizuno et al 3 reported that 11 patients underwent arthroscopic capsular repair and 1 received open capsular repair, with the clinical results being favorable apart from recurrence in 1 patient (9.1%) after arthroscopic repair. Rhee et al 8 reported the results for 21 shoulders (7 isolated capsular tears and 14 capsular tears combined with a Bankart lesion), including open repair in 11 collision sport athletes and arthroscopic repair in the other 10 shoulders. Postoperative recurrence was recognized in 2 shoulders (20%) after arthroscopic repair and 1 (9.1%) after open repair.…”