ABSTRACT
Aim:
In this study, we aimed to discuss the result of arthroscopic surgery for shoulder instability and we planned to show the value of instability tests for determining success of surgery.
Methods:
Patients, who were operated for shoulder instability between 2008 and 2013, were included in this study. Visual analogue scale, Rowe and Oxford shoulder scores of the patients were recorded preoperatively and at the final follow-up visit. Physical examination finding were noted at the final follow-up visit. Results were analyzed using SPSS.
Results:
Twenty one patients were included in this study. Re-dislocation was detected in two patients. There was no re-dislocation in patients with an osseous Bankart lesion. All clinical scores improved in all patients, however those with a negative apprehension test had better clinical scores.
Conclusion:
Arthroscopic Bankart repair is an effective procedure for the treatment of shoulder instability. Presence of osseous Bankart lesion plays an important role in the prognosis. Apprehension test is useful for assessing shoulder stability in the postoperative follow-up.
References
1Schrumpf MA, Maak TG, Delos D, et al. The management of anterior glenohumeral instability with and without bone loss. J Bone Joint Surg Am 2014;96:e12.
2Romeo AA, Cohen BS, Carreira DS. Traumatic anterior shoulder instability. Orthop Clin North Am 2001;32:399-409.
3Smith GC, Chesser TJ, Packham IN, Crowther MA. First time traumatic anterior shoulder dislocation: a review of current management. Injury 2013;44:406-8.
4Arciero RA, Wheeler JH, Ryan JB, McBride JT. Arthroscopic Bankart repair versus nonoperative treatment for acute, initial anterior shoulder dislocations. Am J Sports Med 1994;22:589-94.
5Jakobsen BW, Johannsen HV, Suder P. Primary repair versus conservative treatment of first-time traumatic anterior dislocation of the shoulder: A randomized study with 10-year follow-up. Arthroscopy 2007;23:118-23.
6Rowe CR, Patel D, Southmayd WW. The Bankart procedure: a long term end-result study. J Bone Joint Surg Am 1978;60:1-16.
7Akpinar S, Demirhan M, Kilicoglu O. Modification of Bankart reconstruction with lateral capsulotomy and selective anatomic repair using suture anchors. Bull Hosp Jt Dis 2000;59:88-93.
8Petrera M, Patella V, Patella S, Theodoropoulos J. A meta-analysis of open versus arthroscopic Bankart repair using suture anchors. Knee Surg Sports Traumatol Arthrosc 2010;18:1742-7.
9Maynou C, Cassagnaud X, Mestdagh H. Function of subscapularis after surgical treatment for recurrent instability of the shoulder using a bone-block procedure. J Bone Joint Surg Br 2005;87:1096-101.
10Sachs RA, Williams B, Stone ML, Paxton L, Kuney M. Open Bankart repair: correlation of results with postoperative subscapularis function. Am J Sports Med 2005;33:1458-62.
11Rhee YG, Lim CT, Cho NS. Muscle Strength After Anterior Shoulder Stabilization Arthroscopic Versus Open Bankart Repair 2007;11:1859-64.
12Kim SH, Ha KI. Bankart repair in traumatic anterior shoulder instability: open versus arthroscopic technique. Arthroscopy 2002;18:755-63.
13Fabbriciani C, Milano G, Demontis A, Fadda S, Ziranu F, Mulas PD. Arthroscopic versus open treatment of Bankart lesion of the shoulder: a prospective randomized study. Arthroscopy 2004;20:456-62.
14Bottoni CR, Smith EL, Berkowitz MJ, Towle RB, Moore JH. Arthroscopic versus open shoulder stabilization for recurrent anterior instability: a prospective randomized clinical trial. Am J Sports Med 2006;34:1730-7.
15Hobby J, Griffin D, Dunbar M, Boileau P. Is arthroscopic surgery for stabilization of chronic shoulder instability as effective as open surgery? A systematic review and meta-analysis of 62 studies including 3044 arthroscopic operations. J Bone Joint Surg Br 2007;89:1188-96.
16Howell SM, Galinat BJ. The glenoid-labral socket. A constrained articular surface. Clin Orthop Relat Res 1989;243:122-5.
17Piasecki DP, Verma NN, Romeo AA, Levine WN, Bach BR Jr, Provencher MT. Glenoid bone deficiency in recurrent anterior shoulder instability: diagnosis and management. J Am Acad Orthop Surg 2009;17:482-93.
18Burkhart SS, De Beer JF. Traumatic glenohumeral bone defects and their relationship to failure of arthroscopic Bankart repairs: significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion. Arthroscopy 2000;16:677-94.
19Atalar AC, Bilsel K, Eren İ, Çelik D, Çil H, Demirhan M. Omuz anterior instabilitesine eşllik eden glenoid kemik defektli hastalarda modifiye Latarjet prosedürü. Acta Orthop Traumatol Turc 2013;47:393-9.
20Safran O, Milgrom C, Radeva-Petrova DR, Jaber S, Finestone A. Accuracy of the Anterior Apprehension Test as a Predictor of Risk for Redislocation After a First Traumatic Shoulder Dislocation. Am J Sports Med 2010;38:972-5.
21Hegedus EJ, Goode A, Campbell S, et al. Physical examination tests of the shoulder: a systematic review with meta-analysis of individual tests. Br J Sports Med 2008;42:80-92.
22Farber AJ, Castillo R, Clough M, Bahk M, McFarland EG. Clinical assessment of three common tests for traumatic anterior shoulder instability. J Bone Joint Surg Am 2006;88:1467-74.
23Guanche CA, Quick DC, Sodergren KM, Buss DD. Arthroscopic versus open reconstruction of the shoulder in patients with isolated Bankart lesions. Am J Sports Med 1996;24:144-8.
24Geiger DF, Hurley JA, Tovey JA, Rao JP. Results of arthroscopic versus open Bankart suture repair. Clin Orthop Relat Res 1997;337:111-7.
25Cole BJ, L’Insalata J, Irrgang J, Warner JJ. Comparison of arthroscopic and open anterior shoulder stabilization. A two to six-year follow-up study. J Bone Joint Surg Am 2000;82:1108-14.
26Fabbriciani C, Milano G, Demontis A, Fadda S, Ziranu F, Mulas PD. Arthroscopic versus open treatment of Bankart lesion of the shoulder: a prospective randomized study. Arthroscopy 2004;20:456-62.
27Tjoumakaris FP, Abboud JA, Hasan SA, Ramsey ML, Williams GR. Arthroscopic and open Bankart repairs provide similar outcomes. Clin Orthop Relat Res 2006;446:227-32.
28Lo IK, Nonweiler B, Woolfrey M, Litchfield R, Kirkley A. An evaluation of the apprehension, relocation, and surprise tests for anterior shoulder instability. Am J Sports Med 2004;32:301-7.
29Gross ML, Distefano MC. Anterior release test. A new test for occult shoulder instability. Clin Orthop Relat Res 1997:105-8.
30Savoie FH, Field LD, Atchinson S. Anterior superior instability with rotator cuff tearing: SLAC lesion. Orthop Clin North Am 2001;32:457-61.
31van Kampen DA, van den Berg T, van der Woude HJ, Castelein RM, Terwee CB, Willems WJ. Diagnostic value of patient characteristics, history, and six clinical tests for traumatic anterior shoulder instability. J Shoulder Elbow Surg 2013;22:1310-9.
