Modified Bankart procedure for recurrent anterior dislocation and subluxation of the shoulder in athletes

Takeda, H.; Watarai, Koji; Ganev, Gerson Gandhi; Oguro, Kenji; Higashi, Atsushi; Tateishi, Akio

doi:10.1007/s002640050278

Cited by 11 publications

(4 citation statements)

References 24 publications

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“…In 1998 Takeda et al described the use of a spiked washer and cancellous screw in a modified open bankart procedure in chronic anterior shoulder instability. 18 However, arthroscopic use of cannulated screws with spiked washers was a technically challenging procedure with concerns for inappropriate screw placement and eventual hardware migration. Furthermore, though spiked washers provide strong initial fixation strength, it was found that soft tissue ingrowth and healing enhanced the overall strength of the contruct.…”

Section: Spiked Washersmentioning

confidence: 99%

Fixation methods and implants in shoulder stabilization: A historical perspective

Kramer¹,

Robinson²,

Hohn³

et al. 2018

Journal of Orthopaedics

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As biomedical technology improves, we should continue to see changes to implant design and manufacturing. Having an understanding of the history and evolution of these implants will provide us with context in which to guide future implant design and clinical use. This review article provides a comprehensive overview of the evolution of early shoulder stabilization techniques and implants to the modern implants being used today.

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Section: Spiked Washersmentioning

confidence: 99%

Fixation methods and implants in shoulder stabilization: A historical perspective

Kramer¹,

Robinson²,

Hohn³

et al. 2018

Journal of Orthopaedics

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“…The Rowe score was used most frequently in the studies we reviewed. We found that 22 studies ‡‡ contained the 3 items of stability, motion, and function; 6 studies 56,74,77,79,95,100 used the 4 items of function, stability, pain, and motion; 3 studies 13,16,15 recorded pain, motion, stability, function, and strength; and 1 study 91 included stability, motion, and function. Further, 7 studies 6,25,46,63,64,75,90 provided no information about the version of Rowe score they used.…”

Section: Resultsmentioning

confidence: 99%

Outcome Measures After Shoulder Stabilization in the Athletic Population: A Systematic Review of Clinical and Patient-Reported Metrics

Fanning

Maher

Cools

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Athletic endeavor can require the “athletic shoulder” to tolerate significant load through supraphysiological range and often under considerable repetition. Outcome measures are valuable when determining an athlete’s safe return to sport. Few data are available to guide a clinician’s choice from the variety of measures available. Purpose: To describe the use of quantifiable objective outcome measures and patient-reported outcome tools after glenohumeral joint stabilization, specifically in an athletic population. The secondary aim of our study was to assess whether the method of measurement used was clearly described and standardized to aid clinical interpretation. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic search of MEDLINE, Scopus, SPORTDiscus, and Web of Science databases was performed in December 2018 based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. After the application of selection criteria, a full review of identified papers, and screening of reference lists, a total of 62 studies were included in the review. All studies were independently appraised for quality, predefined data fields were populated and cross-checked for accuracy, and results were then summarized from these data fields. Results: Of the 62 included studies, 94% used a quantifiable objective clinical outcome. A majority (85%) of the studies measured range of motion, 21% recorded muscle strength, 5% measured electromyographic activity, 5% examined shoulder kinematics, and 3% assessed joint proprioception after surgery. However, only 18% of the studies clearly described a standardized method of measuring the outcome. Nearly all (95%) of the studies used at least 1 patient-reported outcome measure. The Rowe score was most commonly used (35%). Conclusion: We must standardize and clearly describe the use of quantifiable objective outcome measures to aid clinical interpretation. A concerted effort should also be made to standardize the use of patient-reported outcome tools after shoulder stabilization in the athletic population.

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“…All 96 articles were individually reviewed by 2 reviewers, resulting in 29 articles that met the inclusion criteria and were included in this report ( Figure 1 ). 2 – 5 , 7 – 20 , 22 – 33 …”

Section: Resultsmentioning

confidence: 99%

Return to Play After Open Bankart Repair

Stone

Pearsall

2014

Orthopaedic Journal of Sports Medicine

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Background:Results of open Bankart repair have been well reported. However, less information is available outlining the timetable for return to play (RTP) in athletes after this procedure.Purpose:To review the current literature regarding (1) the timetable recommended for athletes to RTP after an open Bankart repair and (2) the objective criteria on which the decision to allow an athlete to RTP is based.Study Design:Systematic review; Level of evidence, 4.Methods:A comprehensive literature search was conducted of all relevant English-language articles using the electronic databases OVID and PubMed between the years 1947 and 2012 to identify open Bankart repair. Two reviewers screened articles for eligibility based on the following criteria: (1) an open Bankart repair, (2) a minimum follow-up of at least 8 months, (3) any report that described the procedure in athletes, and (4) any report that described the time for an athlete to RTP. All relevant data were collected and analyzed with regard to number of patients; mean follow-up; Rowe, Constant, and American Shoulder and Elbow (ASES) scores; redislocation rate; and return-to-sport timing.Results:In all, 559 relevant citations were identified, of which 29 articles met the inclusion criteria. The mean follow-up was 51.7 months (range, 8-162 months), and the mean age was 25.9 years (range, 21-31 years). The average Rowe score for all studies was 86.9 (range, 63-90). The average redislocation rate was 5.3%. Twenty-six of 29 studies cited a specific timetable for unrestricted RTP, with an average of 23.2 weeks (range, 12-36 weeks). Only 38% of authors reported sport-specific criteria for return to competition, with the majority allowing return to noncontact sports at 12 to 16 weeks, and the resumption of throwing/contact sports by 24 weeks. Three reports described specific functional parameters for RTP.Conclusion:The current review summarized return-to-play guidelines for athletic competition after open Bankart repair. These data may provide general guidelines to aid surgeons when determining the appropriate timetable to allow an athlete to return to unrestricted competition.

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Modified Bankart procedure for recurrent anterior dislocation and subluxation of the shoulder in athletes

Cited by 11 publications

References 24 publications

Fixation methods and implants in shoulder stabilization: A historical perspective

Fixation methods and implants in shoulder stabilization: A historical perspective

Outcome Measures After Shoulder Stabilization in the Athletic Population: A Systematic Review of Clinical and Patient-Reported Metrics

Return to Play After Open Bankart Repair

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