scholarly journals Anomalous origin of the long head of biceps in a patient with anterior shoulder instability and long-term results of its repair

2021 ◽  
Vol 7 (7) ◽  
pp. 285-287
Author(s):  
Ankit Goyal ◽  
Dheren Mondal ◽  
Chetan Sharma ◽  
Rakesh Goyal ◽  
Pallav Mishra
Keyword(s):  
Shoulder Instability ◽  
Long Term Results ◽  
Anomalous Origin ◽  
Anterior Shoulder Instability ◽  
Long Head Of Biceps ◽  
Long Head

Long-term Results of the Arthroscopic Bankart Repair for Recurrent Anterior Shoulder Instability in Patients Older Than 40 Years: A Comparison With the Open Latarjet Procedure

2020 ◽  
Vol 48 (9) ◽  
pp. 2090-2096
Author(s):  
Lukas Ernstbrunner ◽  
Bianca De Nard ◽  
Maurits Olthof ◽  
Silvan Beeler ◽  
Samy Bouaicha ◽  
...  
Keyword(s):  
Shoulder Instability ◽  
Constant Score ◽  
Bankart Repair ◽  
Long Term Results ◽  
Anterior Shoulder Instability ◽  
Latarjet Procedure ◽  
Level Of Evidence ◽  
Arthroscopic Bankart Repair ◽  
Recurrent Anterior Shoulder Instability

Background: Long-term results of the arthroscopic Bankart repair in patients older than 40 years are unknown and may be favorable in terms of postoperative glenohumeral arthritis as opposed to the long-term results of the open Latarjet procedure in patients older than 40 years. Purpose: To analyze our long-term results of the arthroscopic Bankart repair for recurrent anterior shoulder instability in patients older than 40 years of age and to compare these results with previously published long-term results of the Latarjet procedure in a cohort of similar age. Study Design: Cohort study; Level of evidence, 3. Methods: A total of 35 consecutive patients (36 shoulders) with a mean age of 47 years (range, 40-69) at time of the arthroscopic Bankart repair were studied at a mean 13.2 years (range, 8-18) after surgery. Clinical and radiographic results were then compared with those of our previous study of 39 consecutive patients (40 shoulders) of a same age group who had been treated for the same pathology with an open Latarjet procedure. Results: Six shoulders (17%) sustained a recurrent shoulder dislocation after a mean 5.3 years; subluxation occurred in 3 shoulders (8%); and apprehension persisted in 3 shoulders (8%). Revision surgery was performed in 8 patients (22%): 2 Bankart and 6 open Latarjet. The relative preoperative Constant score and Subjective Shoulder Value were significantly improved ( P < .001) at final follow-up. Arthropathy of stabilization was advanced in the shoulders of 16 patients (47%) and had progressed by at least 2 grades in 21 patients (62%). There were significantly higher rates of redislocation and subluxation when compared with the open Latarjet procedure (9 vs 3; P = .037), and the mean final Subjective Shoulder Value was significantly lower in the Bankart group (86% vs 91%; P = .011). There were no significant differences in final advanced arthropathy (16 vs 14; P = .334) and revision rates (8 vs 7; P = .409) when compared with the Latarjet procedure. Conclusion: Arthroscopic Bankart repair for recurrent anterior shoulder instability in patients older than 40 years was associated with reliable pain relief and patient satisfaction similar to that after the open Latarjet procedure. Restoration of stability was significantly less successful and development of arthropathy no better than the open Latarjet procedure in patients older than 40 years.

Arthroscopic bankart repair for the management of anterior shoulder instability: Mid- and long-term results

2021 ◽  
Vol 65 (4) ◽  
pp. 255-263
Author(s):  
M. García-Vega ◽  
P. De La Cuadra-Virgil ◽  
J. Jiménez-Cristobal ◽  
B. Occhi-Gómez ◽  
M. Boserman-Pérez-de Villaamil
Keyword(s):  
Shoulder Instability ◽  
Bankart Repair ◽  
Long Term Results ◽  
Anterior Shoulder Instability ◽  
Arthroscopic Bankart Repair

scholarly journals Long-term Results of the Arthroscopic Bankart Procedure for Recurrent Anterior Shoulder Instability in Patients Older Than 40 Years

2019 ◽  
Vol 3 (4) ◽  
pp. 258
Author(s):  
Lukas Ernstbrunner ◽  
Bianca Denard ◽  
Maurits Olthof ◽  
Samy Bouaicha ◽  
Christian Gerber ◽  
...  
Keyword(s):  
Shoulder Instability ◽  
Long Term Results ◽  
Anterior Shoulder Instability ◽  
Bankart Procedure ◽  
Recurrent Anterior Shoulder Instability

Long-term Results of the Open Latarjet Procedure for Recurrent Anterior Shoulder Instability in Patients Older Than 40 Years

2019 ◽  
Vol 47 (13) ◽  
pp. 3057-3064 ◽  
Author(s):  
Lukas Ernstbrunner ◽  
Lara Wartmann ◽  
Stefan M. Zimmermann ◽  
Pascal Schenk ◽  
Christian Gerber ◽  
...  
Keyword(s):  
Shoulder Instability ◽  
Older Age ◽  
Long Term Results ◽  
Anterior Shoulder Instability ◽  
Latarjet Procedure ◽  
Age At Surgery ◽  
Dislocation Arthropathy ◽  
Recurrent Anterior Shoulder Instability

Background: Subgroup analyses of the Latarjet procedure have suggested that age over 40 years is a risk factor for dislocation arthropathy. Purpose: To analyze long-term results of the open Latarjet procedure for recurrent anterior shoulder dislocation in patients at least 40 years of age. Study Design: Case series; Level of evidence, 4. Methods: A total of 39 consecutive patients (40 shoulders) with a mean age of 48 years (range, 40-66 years) at surgery were evaluated at a mean follow-up of 11.0 years (range, 8-16 years). Of these, 15 patients (38%) had undergone previous soft tissue stabilization surgery. Long-term results were assessed clinically and radiographically, including computed tomography scanning at final follow-up. Results: No recurrence of dislocation was noted. Subluxation had occurred in 3 patients (8%), and apprehension persisted in 5 patients (13%). The total Walch-Duplay score averaged 89 points at the final follow-up, and the mean Subjective Shoulder Value (60%-91%) had improved significantly ( P < .001). In total, 36 patients rated their result as excellent, 3 as good. Further, 6 patients (15%) underwent joint-preserving reoperation, and 1 patient (3%) had reverse total shoulder arthroplasty for severe dislocation arthropathy. Dislocation arthropathy was severe in 14 patients (37%) and had progressed by at least 2 grades in 17 patients (45%). Patients with severe dislocation arthropathy had already shown degenerative changes preoperatively as opposed to those who ultimately had no or moderate dislocation arthropathy (n = 24) ( P < .001). Progression of dislocation arthropathy was associated with lateral (>1 mm) graft positioning ( P < .001) and older age at surgery ( r = 0.58; P < .001). Conclusion: The open Latarjet procedure for recurrent anterior shoulder instability in patients older than 40 years reliably restores stability and leads to high patient satisfaction. This procedure is, however, associated with a substantial rate of advanced but clinically mild symptomatic dislocation arthropathy, which is associated with the degree of preoperative joint degeneration, older age at surgery, and lateral graft placement.

scholarly journals Long Term Outcomes of Arthroscopic Shoulder Instability Surgery

2017 ◽  
Vol 11 (1) ◽  
pp. 133-139 ◽  
Author(s):  
D. Karataglis ◽  
F. Agathangelidis
Keyword(s):  
Patient Satisfaction ◽  
Bone Loss ◽  
Shoulder Instability ◽  
Long Term Results ◽  
Anatomic Reconstruction ◽  
Anterior Shoulder Instability ◽  
Index Procedure ◽  
Dislocation Arthropathy

Background: Anterior shoulder instability has been successfully managed arthroscopically over the past two decades with refined “anatomic” reconstruction procedures involving the use of anchors for the repositioning and re-tensioning of the antero-inferior capsuloligamentous complex, in an effort to recreate its “bumper effect”. Methods: Research and online content related to arthroscopic treatment of shoulder instability was reviewed and their results compared. Results: The short- and mid-term results of this technique have been very satisfactory. The greatest number of recent reports suggests that long-term results (>5 years follow-up) remain rather satisfactory, especially in the absence of significant glenoid bone loss (>20-25%). In these studies recurrent instability, in the form of either dislocation or subluxation, ranges from 5.1 to over 20%, clinical scores, more than 5 years after the index procedure, remain good or excellent in >80% of patient population as do patient satisfaction and return to previous level of activities. As regards arthroscopic non-anatomic bony procedures (Latarjet or Bristow procedures) performed in revision cases or in the presence of >20-25% bone loss of the anteroinferior aspect of the glenoid, recent reports suggest that their long-term results are very satisfactory both in terms of re-dislocation rates and patient satisfaction. Conclusion: It appears that even “lege artis” performance of arthroscopic reconstruction decelerates but does not obliterate the degenerative procedure of dislocation arthropathy. The presence and grade of arthritic changes correlate with the number of dislocations sustained prior to the arthroscopic intervention, the number of anchors used and the age at initial dislocation and surgery. However, the clinical significance of radiologically evident dislocation arthropathy is debatable.

scholarly journals Results of Arthroscopic Bankart Repair in Recreational Athletes and Laborers: A Retrospective Study With 5 to 14 Years of Follow-up

2019 ◽  
Vol 7 (11) ◽  
pp. 232596711988164 ◽  
Author(s):  
George A. Komnos ◽  
Konstantinos Banios ◽  
Athanasios Liantsis ◽  
Konstantinos Alexiou ◽  
Sokratis Varitimidis ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Shoulder Instability ◽  
Case Series ◽  
Bankart Repair ◽  
Long Term Results ◽  
Anterior Shoulder Instability ◽  
Recreational Athletes ◽  
Arthroscopic Bankart Repair

Background: Arthroscopic Bankart repair is the most common procedure for anterior shoulder instability management. However, the long-term efficacy of the procedure is questionable, and the results are different among different populations. Few studies have focused on specific populations, such as recreational athletes and laborers. Hypothesis: Good to excellent long-term results, with a low recurrence rate, can be achieved using arthroscopic Bankart repair in recreational athletes and laborers suffering from anterior shoulder instability. Study Design: Case series; Level of evidence, 4. Methods: A specific group of laborers and recreational athletes were included in this study. A total of 52 patients (52 shoulders) with anterior-inferior traumatic shoulder instability underwent arthroscopic Bankart repair and met our strict criteria for study inclusion. The recurrence rate was recorded. Patients were evaluated at a minimum follow-up of 5 years using the American Shoulder and Elbow Surgeons (ASES) score, the Rowe score, the Constant score, and a visual analog scale (VAS) for pain. A radiological evaluation for arthritis was also performed according to the Samilson-Prieto classification. Results: The mean follow-up was 105.4 months (range, 65-164 months). Our overall recurrence rate was 11.5% (6/52 patients). All patients were able to return to their previous job status with minimum limitations, and 76.7% of our study population reported returning to their preinjury sporting activities. Postoperatively, all scores were improved, with statistically significant increases from preoperative values ( P < .001). At the last radiographic follow-up, 9 patients (18.8%) had mild arthritis, while 2 patients (4.2%) had moderate arthritis. Conclusion: Arthroscopic soft tissue Bankart repair may provide good to excellent long-term clinical results with an acceptable recurrence rate in medium-demand patients (recreational athletes and laborers).

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