The clinical and functional outcome of arthroscopic bankart repair in 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.

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

Vietnam Journal of Endolaparoscopic Surgery ◽

10.51199/vjsel.2021.2.1 ◽

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.

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Postoperative pectoral swelling after shoulder arthroscopy

Joints ◽

10.11138/jts/2015.3.3.158 ◽

2015 ◽

Vol 03 (03) ◽

pp. 158-160 ◽

Cited By ~ 2

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.

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Latarjet procedure for failed arthroscopic Bankart repair: a case report

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20201952 ◽

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.

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

Singapore Medical Journal ◽

10.11622/smedj.2021030 ◽

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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Combined Arthroscopic Bankart Repair and Coracoid Process Transfer to Anterior Glenoid for Shoulder Dislocation in Rugby Players: Evaluation Based on Ability to Perform Sport-Specific Movements Effectively

Arthroscopy The Journal of Arthroscopic and Related Surgery ◽

10.1016/j.arthro.2015.03.013 ◽

2015 ◽

Vol 31 (9) ◽

pp. 1693-1701 ◽

Cited By ~ 7

Author(s):

Atsushi Tasaki ◽

Wataru Morita ◽

Akira Yamakawa ◽

Taiki Nozaki ◽

Eishi Kuroda ◽

...

Keyword(s):

Shoulder Dislocation ◽

Coracoid Process ◽

Bankart Repair ◽

Arthroscopic Bankart Repair ◽

Anterior Glenoid ◽

Rugby Players ◽

Process Transfer

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Functional outcome of arthroscopic Bankart repair for anterior shoulder instability based on suture anchor configuration

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20200524 ◽

2020 ◽

Vol 6 (2) ◽

pp. 301

Author(s):

Madan Ballal ◽

Tarun Jayakumar

Keyword(s):

Functional Outcome ◽

Shoulder Instability ◽

Bankart Repair ◽

Functional Improvement ◽

Anterior Shoulder Instability ◽

Suture Anchors ◽

Arthroscopic Bankart Repair ◽

Significant Difference ◽

Functional Scores

Background: The objective of the study was to evaluate the functional outcome of arthroscopic Bankart repair for anterior shoulder instability to assess whether the number and position of suture anchors plays a role in determining the functional outcome.Methods: This was a prospective study on 32 patients operated with arthroscopic Bankart repair between December 2017 to April 2019. Pre-op and regular follow-up scores were measured at 1 month, 3 months and 6 months post-op using Rowe score and American Shoulder and Elbow Surgeons score to assess functional outcome.Results: Mean age of the study group was 24.5±6.9 years. Functional outcome as determined by Rowe score and ASES score at 6 months follow-up were found to be 90.5±7.2 and 85.9±14.1 respectively when compared to the pre-op scores of 23.2±8.2 and 47.9±5.7 respectively; all of which showed highly significant functional improvement with highly significant reduction in visual analog scale (VAS) pain score. Patients had no recurrent dislocations with mean external rotation limitation of 5o. 25 (78.1%) patients had two suture anchors inserted and 7 (21.9%) patients had multiple (>2) anchors; and when analysis was done, there was no statistically significant difference between number of suture anchors used with respect to the functional scores.Conclusions: We conclude that arthroscopic Bankart repair is a useful and successful procedure. Patient identification and selection remains the key in determining the success of repair. Meticulous surgical technique and correct positioning of suture anchors may help in reducing the number of anchors without compromising on the final functional outcome, thereby reducing the economic burden on patients.

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