Note on Recurrent Dislocation of the Shoulder Joint

Abstract

Summary—Fifty-two cases of exposure of the glenoid labrum are recorded. Fifty-one operations with anterior exposure, followed by capsular reefing and shortening of the subscapularis, were successful. One operation with superior exposure, and without capsular reefing or shortening of the subscapularis, was unsuccessful.

Results of Anatomic Lateral Ankle Ligament Reconstruction with Tendon Allograft

“…Such techniques may offer increased strength compared with simple repair, particularly in cases of severely attenuated lateral ligaments. Nonanatomical reconstructions, such as the Chrisman-Snook [16], Watson-Jones [17], and Evans [18] risk donor site morbidity such as a reduction in eversion strength due to loss of peroneal tendon function and stiffness secondary to non-isometry. Anatomical reconstruction techniques with autograft, such as the gracilis [8], reproduce isometry, but concomitantly create donor site morbidity.…”

“…However, reconstruction should be considered when severe attenuation of the ligaments has occurred precluding a simple, strong repair. Non-anatomic reconstruction techniques, including the Chrisman-Snook [16], Watson-Jones [17], and Evans [18] procedures, do not replicate the normal course and anatomy of the ATFL and CFL and may lead to stiffness [7,[19][20][21]. Methods of anatomical reconstruction of the lateral ligament complex have recently grown in number due, in part, to advancements in allograft preparation.…”

Management and prevention of acute and chronic lateral ankle instability in athletic patient populations

“…Non-anatomic reconstructions utilize tenodesis fixation to stabilize the ankle with the repair of the native ligaments. While multiple configurations have been described, most techniques involve rerouting of the peroneus brevis around the lateral ankle, and include the Watson-Jones, Evans, and Chrisman-Snook procedures (Figure 3) [74,[79][80][81][82] . Long-term outcomes of non-anatomic reconstructions are hindered by alterations in ankle and hindfoot kinematics and often, resultant loss of subtalar motion [83][84][85][86][87][88][89][90] .…”

Chronic Ligament Injuries of the Ankle Joint

“…Most of these are some kind of tenodeses, where one of the peroneal tendons is transferred, such as the Watson-Jones, Evans, and Chrisman-Snook reconstructions (Watson-Jones 1952;Evans 1953;Chrisman and Snook 1969;Snook et al 1985). Good short-term results have been reported after most of the tenodeses, but the long-term results after the Watson-Jones and the Evans tenodeses are worse than anticipated (Watson-Jones 1952;Snook et al 1985). A prolonged postoperative rehabilitation period and decreased range of motion are major drawbacks for active athletes, however.…”