scholarly journals Arthroscopic Revision Bankart for Recurrent Anterior Shoulder Dislocation : Contributing Factor Analysis and a Case Report

2019 ◽  
Vol 7 (11_suppl6) ◽  
pp. 2325967119S0048
Author(s):  
Andri Lubis ◽  
Prima Rizky Oktari
Keyword(s):  
New York ◽  
Shoulder Dislocation ◽  
Suture Anchor ◽  
Preoperative Assessment ◽  
Late Complications ◽  
Bankart Repair ◽  
Anterior Dislocation ◽  
Range Of Movement ◽  
Arthroscopic Bankart Repair ◽  
Recurrent Shoulder Dislocation

Objectives: Recurrent shoulder dislocation after arthroscopic Bankart repair (ABR) is still a matter of discussion. The recurrence rate varies between four to fourteen percent in the general population. Re-injury timing, large anatomical defect, and anchor techniques are the factors contributing to re-dislocation after ABR, yet there was still no consensual algorithm for Bankart revision. Case presentation: We presented a case of 27 years old woman with recurrent anterior dislocation after seven years of arthroscopic Bankart repair. Seven years ago, we did Bankart repair using a 2.8 mm fiber-wire anchor (FASTak® (Arthrex, Karsfield Germany)). Now we decided to do arthroscopic revision using all suture anchor technique (Y-Knot® Flex All-Suture Anchor, 1.3mm – One strand of #2 Hi-Fi® (Conmed, New York)). Results: From preoperative and intraoperative assessment, we found that the mechanism of injury, Hill’s-Sachs lesion, Bankart lesion and the number of anchors contributed to re-dislocation. Four months postoperative follow up showed that the patient could gain a normal range of movement. No early or late complications were observed. Conclusion: The success of arthroscopic Bankart repair greatly depended on the preoperative assessment. The arthroscopic revision will do many benefits to the patient since it is less invasive and not compromising the post-operative range of motion of the shoulder.

Paper # 195: Risk Factors for Recurrent Shoulder Dislocation after Arthroscopic Bankart Repair

2011 ◽  
Vol 27 (10) ◽  
pp. e200-e201
Author(s):  
Junji Ide ◽  
Kenshi Kikukawa ◽  
Hiroki Irie ◽  
Kei Senba ◽  
Keishi Uezono ◽  
...  
Keyword(s):  
Risk Factors ◽  
Shoulder Dislocation ◽  
Bankart Repair ◽  
Arthroscopic Bankart Repair ◽  
Recurrent Shoulder Dislocation

scholarly journals Evaluation of arthroscopic Bankart repair in recurrent shoulder dislocation

2019 ◽  
Vol 5 (4) ◽  
pp. 675
Author(s):  
R. G. Asutosh Mohapatra ◽  
Jitendra Kumar
Keyword(s):  
Shoulder Dislocation ◽  
External Rotation ◽  
Recurrent Dislocation ◽  
Bankart Repair ◽  
X Rays ◽  
Suture Anchors ◽  
Anterior Shoulder Dislocation ◽  
Range Of Movement ◽  
Arthroscopic Bankart Repair ◽  
The Mean

<p class="abstract"><strong>Background:</strong> Our aim was to study the surgical and functional outcome and postoperative shoulder motion following, arthroscopic repair of the Bankart lesion of the shoulder with suture anchors.</p><p class="abstract"><strong>Methods:</strong> This was a study of arthroscopic Bankart repair in recurrent anterior shoulder dislocation with suture anchors in 20 patients. Most of patients had symptoms for a period ranging from 1 to 2 years and 1- 4 recurrent dislocation episodes preoperatively. Necessary radiological and haematological investigations were done. The post-operative x-rays were evaluated and the post-operative rehabilitation evaluation done at 3 weeks, 6 weeks, 12 weeks, 6 months and 1 year, for any recurrence of symptoms.<strong></strong></p><p class="abstract"><strong>Results:</strong> In our study of 20 patients, with the mean follow up period of 12 months, the mean Rowe score post-operatively improved to 94 from a pre-operative mean score of 56.25. Out of 20 patients none had episodes of recurrent dislocation. In 15 patients 3 suture anchors were used and in 5 patients 2 suture anchors used intra operatively. The range of movement – external rotation in 90º of abduction improved in 17 patients (85%).</p><p><strong>Conclusions:</strong> We concluded that arthroscopic Bankart repair in recurrent anterior shoulder dislocation with suture anchors is effective in providing better shoulder function with range of movement and lower rate of recurrence.</p>

scholarly journals Arthroscopic Bankart Repair after Anterior Traumatic Shoulder Dislocation in Workers

2018 ◽  
Vol 6 (12_suppl5) ◽  
pp. 2325967118S0020
Author(s):  
Agustín Guala ◽  
Pedro Rial ◽  
Luciano Mendoza ◽  
Walter RIal ◽  
Lucas Perezlindo ◽  
...  
Keyword(s):  
Return To Work ◽  
Shoulder Dislocation ◽  
High Rate ◽  
Bankart Repair ◽  
Anterior Dislocation ◽  
Arthroscopic Bankart Repair ◽  
Previous Level ◽  
The Mean ◽  
Shoulder Score

Objectives: The objective of this study was to evaluate clinical results in workers after Arthroscopic Bankart repair for traumatic unidirectional shoulder dislocation. Methods: A total of 45 patients (42 male- 3 female) meet the inclusion criteria: traumatic anterior dislocation, workers´ compensation patient, minimum of 2 years follow-up and exclusion criteria: bony Bankart >25%, engaging Hill Sachs, previous surgery, rotator cuff injury. Number of dislocations were 1 in 35 patients, 2 in 7 patients and 3 in 3 patients. Artroscopic Bankart repair was performed by a single surgeon. UCLA shoulder Score and ROWE score for shoulder instability were scored for clinical assessment. The mean follow up was 64 (SD+- 21.6) month with a mean age of 30 (SD+-10) years. Type of work and workload was recorded according to Canadian classification and dictionary of occupations. Time to return to work was also recorded. Statistical analysis was performed at the center for biostatistics at Facultad de Ciencias Medicas, Universidad Nacional del Litoral using SPSS 23.0-IBM. Results: The mean UCLA Shoulder Score was 33 (SD+-2) and ROWE Score 95 (SD +-7), none of the patients presented recurrent dislocation at the time of follow up. Time to return to work was mean 123 days (+-60 SD) of whom 52% were heavy workers, 39% medium and 9% light workers. All patients except one could return to his previous level of work. Pearsons bi variate correlation coefficient between days to return to work between heavy and medium/light workers was not significative (p>0,05) but in heavy workers return to work take more days than in medium/light workers. Age and return to work with 35 years as a cut point was not significative either. Conclusion: Workers treated with Arthroscopic Bankart repair after traumatic unilateral dislocation, presents good results and high rate of return to work at the previous level.

Outcomes of arthroscopy in recurrent shoulder instability at Viet Duc University Hospital

2021 ◽  
Vol 11 (2) ◽  
Author(s):  
Đình Bằng Cao ◽  
Keyword(s):  
Shoulder Instability ◽  
Shoulder Dislocation ◽  
Constant Score ◽  
Excellent Result ◽  
Modern Technology ◽  
Arthroscopic Repair ◽  
University Hospital ◽  
Bankart Repair ◽  
Arthroscopic Bankart Repair ◽  
Recurrent Shoulder Dislocation

Abstract Introduction: This study aims to assess the results of patients with recurrent shoulder dislocation treated with arthroscopic Bankart repair. Patients and Method: 31 patients (26 males and 5 females, with an average age of 28.7) were treated with arthroscopic Bankart repair from 2017 to 2018. Those with multidirectional instability, posterior shoulder instability and more-than-25% Hill-Sachs defects, along with those who had prior shoulder surgeries were excluded. Average follow-up time after surgery is 15.13 months. Frequency of pre-operative dislocation, post-operative dislocation, functional status and daily activity performance were evaluated. The results were assessed using CONSTANT score. Results: One patient had post-operative dislocation (3.23%). One patient had post-operative joint adhesion (3.23%). Assessment using CONSTANT score showed an excellent result in 67.4%, good in 12.9%, moderate in 12.9% and average in 6.46%. There was no case with poor result. One patient had post-operative dislocation due to a sport injury. Conclusions: Arthroscopic repair is a modern technology, and is being used widely in diagnosing and treating shoulder lesions. This study shows that arthroscopic repair for recurrent shoulder dislocation may bring good result for patients. Keywords: Shoulder instability, arthroscopy, Bankart.

scholarly journals Postoperative pectoral swelling after shoulder arthroscopy

Joints ◽  
2015 ◽  
Vol 03 (03) ◽  
pp. 158-160 ◽  
Author(s):  
Ersin Ercin ◽  
Mustafa Bilgili ◽  
Halil Ones ◽  
Cemal Kural
Keyword(s):  
Chest Radiography ◽  
Shoulder Dislocation ◽  
Shoulder Arthroscopy ◽  
Infusion Pump ◽  
Bankart Repair ◽  
Common Complication ◽  
Compartment Pressure ◽  
Fluid Extravasation ◽  
Arthroscopic Bankart Repair ◽  
Recurrent Shoulder Dislocation

Fluid extravasation is possibly the most common complication of shoulder arthroscopy. Shoulder arthroscopy can lead to major increases in the compartment pressure of adjacent muscles and this phenomenon is significant when an infusion pump is used. This article describes a case of pectoral swelling due to fluid extravasation after shoulder arthroscopy. A 24-year-old male underwent an arthroscopic Bankart repair for recurrent shoulder dislocation. The surgery was performed in the beach chair position and lasted two hours. At the end of the procedure, the patient was found to have left pectoral swelling. A chest radiography showed no abnormality. Pectoral swelling due to fluid extravasation after shoulder arthroscopy has not previously been documented.

scholarly journals Latarjet procedure for failed arthroscopic Bankart repair: a case report

2020 ◽  
Vol 8 (5) ◽  
pp. 1921
Author(s):  
I. G. N. Wien Aryana ◽  
Rizki Zainuraditya
Keyword(s):  
Shoulder Dislocation ◽  
Coracoid Process ◽  
Bankart Repair ◽  
Anterior Shoulder Dislocation ◽  
Latarjet Procedure ◽  
Recurrence Rates ◽  
Arthroscopic Bankart Repair ◽  
Long Term Follow Up

Arthroscopic Bankart Repair (ABR) provides acceptable results for recurrent anterior shoulder dislocation. However, recent studies have shown recurrent rates of 4-19% or even up to 35-40% in patients aged <25 years, and the results tend to get worse after long-term follow-up. The Latarjet procedure can improve anterior stability by multiple mechanisms, not only can the Bankart lesion be repaired and provide stability, but the transfer of the coracoid process extends the bony articular arc of the glenoid, and the addition of the conjoint tendon may provide dynamic stability as well. The Latarjet procedure for correcting recurrent anterior shoulder dislocation led to good and excellent results in 82.7% of the cases. The Latarjet procedure had the lowest re-dislocation rate, which was significantly lower than the arthroscopic Bankart repair. Latarjet procedure is effective in terms of restoring anteroinferior glenohumeral stability and good option for failed arthroscopic Bankart repair. Recurrence rates of instability are acceptable and re-operation rates were low.

scholarly journals Return to sport and patient satisfaction after arthroscopic Bankart repair: a single-institution experience

2021 ◽  
Author(s):  
YB Tan ◽  
KL Puah ◽  
RWW Chong ◽  
KL Ong ◽  
YJ Lim ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Return To Sport ◽  
Bankart Repair ◽  
Return To Sports ◽  
Competitive Sports ◽  
Simple Shoulder Test ◽  
Independent Observer ◽  
Arthroscopic Bankart Repair ◽  
Recurrent Shoulder Dislocation

Introduction: Arthroscopic Bankart repair is a widely accepted procedure to treat recurrent shoulder dislocation. This study aims to describe our experience with arthroscopic Bankart repair and its functional outcome. Methods: 107 patients who underwent arthroscopic Bankart repair from 2008 to 2013 were followed up for a minimum of three years and reviewed by an independent observer. 80 consented to being interviewed using the Oxford Shoulder Instability Score (OSIS) and Simple Shoulder Test. Results: 82 shoulders (two bilateral) were studied. Mean age at first dislocation was 19.4 ± 3.4 (12.0–31.0) years. Mean follow-up was 4.4 ± 1.3 (3.0–9.0) years and 2.5 ± 3.0 (0.1–15.4) years elapsed from first dislocation to surgery. 41 (50.0%) patients played overhead or contact sports and 44 (53.7%) played competitive sports before injury; 8 (9.8%) patients reported recurrence of dislocation, which was significantly associated with playing competitive sports before injury (p < 0.039), 5 (6.1%) underwent revision surgery and 22 (26.8%) reported residual instability after surgery. 49 (59.8%) patients returned to playing sports, 75 (91.5%) were satisfied with their surgery and 79 (96.3%) were willing to undergo the surgery again. 74 (90.2%) patients had two-year good/excellent OSIS, which was significantly associated with playing competitive sports before injury (p = 0.039), self-reported stability after surgery (p = 0.017), satisfaction with surgery (p = 0.018) and willingness to undergo surgery again (p = 0.024). Conclusion: Arthroscopic Bankart repair yields good functional outcomes and is associated with high patient satisfaction, although not all patients return to sports.

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