scholarly journals Functional outcome of arthroscopic Bankart repair in post-traumatic recurrent shoulder dislocation in a private tertiary care teaching hospital in eastern India

2020 ◽  
Vol 6 (6) ◽  
pp. 1233
Author(s):  
Ayon Das ◽  
Subhrojyoti Bhowmick ◽  
Nikhilesh Das ◽  
Swarnendu Samanta ◽  
Somanth De ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Shoulder Dislocation ◽  
Full Range ◽  
Tertiary Care ◽  
Young Patients ◽  
Bankart Repair ◽  
Care Hospital ◽  
Shoulder Range Of Motion ◽  
Arthroscopic Bankart Repair ◽  
Post Traumatic

<p class="abstract"><strong>Background: </strong>Recurrent anterior shoulder dislocations are quite common in young patients with Bankart lesions. The open Bankart repair was the gold standard for years, however arthroscopic Bankart repair has gained popularity. The aim of the study was to evaluate the functional results of arthroscopic Bankart repair in patients with post-traumatic recurrent anterior glenohumeral instability.</p><p class="abstract"><strong>Methods: </strong>Patients who underwent arthroscopic Bankart repair for post-traumatic recurrent anterior shoulder dislocation were included in the study. This was a prospective study conducted at a tertiary care Hospital in Kolkata, India between August 2017 to May 2019. All patients were followed up at an interval of 2 weeks, 6 weeks, 12 weeks, 6 months, 9 months and 1 year. Rowe score was used to assess the functional outcomes of the patients.</p><p class="abstract"><strong>Results:</strong> 34 (91.9%) patients reported good to excellent results, whereas only 2 (5.4%) patients had fair outcome and 1 (2.7%) patient demonstrated poor surgical result. The total rowe score improved from 46.62 pre-operatively to 94.20 post-operatively after 1 year (p&lt;0.01). By the end of 1-year follow-up, 35 (94.6%) patients had full range of motion in all the planes. Majority of (89.2%) patients did not have any complications. Only 1 patient out of 37 had a recurrence (2.7%).</p><p class="abstract"><strong>Conclusion: </strong>Arthroscopic Bankart repair is an effective, cosmetic and safe surgical procedure with good clinical outcomes and excellent post-operative shoulder range of motion. This surgical intervention also has low recurrence rate and minimum surgical complications.</p>

scholarly journals The results of Bankart repair without capsular plication in patients with recurrent traumatic anterior shoulder dislocation

2017 ◽  
Vol 25 (1) ◽  
pp. 230949901668475 ◽  
Author(s):  
İsmail Kalkar ◽  
Cem Zeki Esenyel ◽  
Mehmet Selçuk Saygılı ◽  
Ayşın Esenyel ◽  
Hakan Gürbüz
Keyword(s):  
Range Of Motion ◽  
Shoulder Instability ◽  
Shoulder Dislocation ◽  
Full Range ◽  
Bankart Repair ◽  
Anterior Shoulder Instability ◽  
Anterior Shoulder Dislocation ◽  
Shoulder Range Of Motion ◽  
Shoulder Range ◽  
Shoulder Score

Purpose: The aim of this study was to evaluate the results of patients with recurrent anterior shoulder dislocation, who had been treated with repair of the Bankart lesion without capsuler plication. Material and method: The study included 22 shoulders of 22 patients (16 males and 6 females) with a mean age of 28 years, who underwent Bankart repair between 2011 and 2014. Patients with bilateral shoulder instability, multiple instability, >25% glenoid bone loss, and those with a history of shoulder surgery were not included in the study. The average follow-up time was 21.2 months. Evaluation was made of the preoperative number of dislocations, postoperative recurrence, functional status, and daily activity performance of the patients. Shoulder range of motion was measured. The results were evaluated using the Rowe shoulder score and the Oxford shoulder instability score. Results: Recurrence was observed in only one patient who had a shoulder dislocation after trauma, thus giving a recurrence rate of 4.5%. Shoulder range of motion was full in all except that one patient. The mean Rowe shoulder score was 95.5 (excellent) and Oxford shoulder stability score was 44.6 (excellent). Conclusion: No recurrent shoulder dislocation was observed in patients who underwent Bankart repair surgery. Plication was not performed with the Bankart repair. Close to full range of motion was obtained in all patients. In conclusion, Bankart repair alone can be considered to be sufficient for the treatment of traumatic recurrent anterior shoulder instability.

scholarly journals Mid-term results of arthroscopic Bankart repair and remplissage for recurrent anterior shoulder instability in patients with a history of seizures

2022 ◽  
Vol 23 (1) ◽  
Author(s):  
Mohammad Reza Guity ◽  
Amir Sobhani Eraghi
Keyword(s):  
Shoulder Dislocation ◽  
Bankart Repair ◽  
Anterior Shoulder Instability ◽  
Management Approach ◽  
Anterior Shoulder Dislocation ◽  
Glenoid Defect ◽  
Shoulder Range Of Motion ◽  
Arthroscopic Bankart Repair ◽  
History Of ◽  
The Mean

Abstract Background Seizure predisposes patients to shoulder dislocation. However, there is no consensus regarding the best management approach for recurrent shoulder dislocation in patients who have a history of seizures. In this study, we report the outcome of arthroscopic Bankart repair augmented by Remplissage for the recurrent anterior shoulder dislocation in a series of patients with a history of seizures. Methods In this retrospective study, 27 patients with 29 recurrent anterior shoulder dislocations who were treated with the arthroscopic Bankart repair were included. All cases had deep Hill-Sachs lesions according to Hardy classification that was managed with a Remplissage technique. Patients with a glenoid defect of more than 20% in the CT scan were excluded. Twenty-two patients had an epileptic seizure, while the remaining five patients had convulsions due to other causes. The mean age of the patients was 28.3 ± 6.2 years. The mean follow-up of the patients was 3.1 ± 1.2 years. Outcome measures included the shoulder range of motion that was compared with the non-injured side in the unilateral subjects and the shoulder function that was evaluated by the Rowe score and the Walch-Duplay score. Results The mean forward flexion, abduction, external rotation, and internal rotation were not significantly different between injured and non-injured shoulder (p = 0.34, p = 0.41, p = 0.11, p = 0.23). The mean Rowe score was 49.1 ± 7.8 before the surgery and 92.1 ± 6.4 at the last visit (p < 0.001). According to the Walch-Duplay score, the shoulders were categorized as excellent, good, and fair in 17 (58.7%), 11 (37.9%), and 1 (3.4%) shoulder, respectively. The overall rate of instability recurrence was 17.2% (n = 5). Conclusion In patients with a history of seizures, arthroscopic Bankart repair augmented by Remplissage could be regarded as a safe and efficient method for the treatment of recurrent anterior shoulder dislocation with glenoid defect < 20%.

scholarly journals Evaluating the effects of arthroscopic Bankart repair and open Latarjet shoulder stabilisation procedures on shoulder joint neuromechanics and function: a single-centre, parallel-arm trial protocol

2021 ◽  
Vol 7 (1) ◽  
pp. e000956
Author(s):  
Aaron Fox ◽  
Jason Bonacci ◽  
Stephen D Gill ◽  
Richard S Page
Keyword(s):  
Shoulder Instability ◽  
Shoulder Joint ◽  
Repeated Measures ◽  
Ethics Committees ◽  
Shoulder Function ◽  
Bankart Repair ◽  
Single Centre ◽  
Surgical Interventions ◽  
Shoulder Range Of Motion ◽  
Arthroscopic Bankart Repair

IntroductionShoulder instability injuries are common in sports involving collisions and overhead movements. Arthroscopic Bankart repair and the open Latarjet are two commonly used surgical stabilisation procedures. There is a lack of knowledge surrounding movement strategies, joint loading and muscle strength after each of these procedures. This study will compare: (1) shoulder joint neuromechanics during activities of daily living and an overhead sporting task; (2) shoulder range of motion; (3) shoulder strength; and (4) self-reported shoulder function and health status, between individuals who have undergone an arthroscopic Bankart repair versus open Latarjet.Methods and analysisThis is a prospective cohort, single-centre, non-randomised parallel arm study of surgical interventions for athletic shoulder instability injuries. Thirty participants will be recruited. Of these, 20 will have experienced one or more traumatic shoulder instability injuries requiring surgical stabilisation—and will undergo an arthroscopic Bankart repair or open Latarjet procedure. The remaining 10 participants will have no history of shoulder instability injury and act as controls. Participants will undergo baseline testing and be followed up at 3, 6 and 12 months. A two-way (group×time) analysis of variance with repeated measures on one factor (ie, time) will compare each outcome measure between groups across time points.Ethics and disseminationThis study was approved by the Barwon Health and Deakin University Human Research Ethics Committees. Outcomes will be disseminated through publications in peer-reviewed journals and presentations at relevant scientific conferences.Trial registration numberAustralian and New Zealand Clinical Trials Registry (ACTRN12620000016932).

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.

A STUDY OF RISK FACTORS, CLINICAL PRESENTATION AND CORONARY ANGIOGRAPHIC PROFILE IN YOUNG PATIENTS WITH ACUTE MYOCARDIAL INFACTION IN A TERTIARY CARE HOSPITAL IN EASTERN INDIA

2021 ◽  
pp. 24-26
Author(s):  
Auriom Kar ◽  
Mainak Mukhopadhyay ◽  
Shivesh Sahai ◽  
Kajal Ganguly ◽  
Sukanya Banerjee
Keyword(s):  
Tertiary Care ◽  
Geographical Area ◽  
Young Patients ◽  
Myocardial Necrosis ◽  
Regional Wall Motion ◽  
Healthy Person ◽  
Cerebrovascular Diseases ◽  
Care Hospital ◽  
Medical College ◽  
Coronary Syndrome

INTRODUCTION Acute coronary syndrome is a devastating disease because an otherwise healthy person may die or become disabled without warning. Cerebrovascular diseases (CVD) are no longer conned by geographical area or by age, sex, or socioeconomic boundaries. Heart disease has already reached epidemic proportions in poorer countries also. AIMS AND OBJECTIVESAMI was dened as typical rise and fall of cardiac markers of myocardial necrosis with at least one of the following: Ischemic symptoms, Electrocardiogram (ECG) changes indicative of ischemia (ST elevation or depression), Development of Pathological Q waves in ECG and Echocardiograph evidence of new regional wall motion abnormality. MATERIALS AND METHODS SETTING AND STUDYPOPULATION- Hospital based study in Nil Ratan Sircar Medical College and Hospital among the patients admitted in department of Cardiology SAMPLE SIZE- 50 patients STUDYPERIOD- From January 2016-December 2017 STUDYDESIGN- Prospective observational study. RESULT AND ANALYSIS We found that 30% of our patients were hypertensive this is more than reported in various studies .61,62 Though Hypertension is therefore less common in young MI patients than in older patient but in my study 30% of patients less than 40 yrs were hypertensive. CONCLUSION Normotensive and non obese patients had more likelihood of normal CAG and their association was statistically signicant. Young patients with positive family h/0 CAD had more prevalence of LMCAdisease and thrombus and their correlation is statistically signicant.

scholarly journals A clinico-histopathological review of ovarian masses at a tertiary care centre

2018 ◽  
Vol 7 (10) ◽  
pp. 4139
Author(s):  
Michelle N. Fonseca ◽  
Madhavi J.
Keyword(s):  
Tertiary Care ◽  
Young Patients ◽  
Mucinous Cystadenoma ◽  
Reproductive Age ◽  
Care Hospital ◽  
Age Group ◽  
Tertiary Care Centre ◽  
Benign Ovarian Tumours ◽  
Ovarian Tumours ◽  
Ovarian Masses

Background: Ovarian tumours can be seen at all stages of life but they differ in type, being mostly germ cell tumours in childhood, functional cysts in the reproductive age group (up to 45 years) and becoming increasingly malignant towards and after menopause. It also accounts for most prevalent cause of hospital admissions.Methods: This is a retrospective study conducted in the Department of Obstetrics and Gynaecology at a tertiary care hospital in Mumbai from August 2017 to August 2018. All patients with ovarian masses who were surgically managed were included in the study. The data of 30 patients was collected in excel sheet and analyzed by descriptive statistics.Results: Out of the 30 ovarian masses, 50 % were functional cysts, 46.6% were benign ovarian masses and 3.3% were borderline malignant. 46% of tumours were seen in the age group 21-30 years. More than 50 % tumours were seen in parous women. Most common presenting clinical symptom was pain in abdomen irrespective of the type of tumour. Most common complication was haemorrhage in the cyst. Laparoscopy was done in 4 patients and 26 required exploratory laparotomy. Most common surgery performed was unilateral cystectomy for functional ovarian cysts and benign ovarian tumours. Mucinous cystadenoma was the most common benign ovarian tumour, followed by dermoid cyst.Conclusions: Pre-operative diagnostic approach to a patient with ovarian mass includes careful history taking, thorough clinical examination, ultrasound and tumour marker assays in selected cases. Conservative surgery should be the goal to preserve fertility in young patients with ovarian tumours.

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
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