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https://www.readbyqxmd.com/read/29791191/effects-of-bone-incorporation-after-arthroscopic-stabilization-surgery-for-bony-bankart-lesion-based-on-preoperative-glenoid-defect-size
#1
In Park, Jae-Hoo Lee, Hwan-Sub Hyun, Min-Joon Oh, Sang-Jin Shin
BACKGROUND: Recurrent shoulder instability occurs more frequently after soft tissue surgery when the glenoid defect is greater than 20%. However, for lesions less than 20%, no scientific guidance is available regarding what size of bone fragments may affect shoulder functional restoration after bone incorporation. Purpose/Hypothesis: The purpose was to analyze how preoperative glenoid defect size and bone fragment incorporation alter postoperative clinical outcomes, we compared the functional outcomes of shoulders with and without bony Bankart lesion...
May 1, 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29781048/sonographic-sequential-change-of-the-anteroinferior-labrum-following-arthroscopic-bankart-repair-quantitative-and-qualitative-assessment
#2
Masaki Fukuyoshi, Tetsuya Takenaga, Tetsuya Ono, Norio Hayashi, Atsushi Tsuchiya, Hideyuki Goto, Katsumasa Sugimoto
OBJECTIVE: Although arthroscopic Bankart repair is widely performed, little is known concerning the healing process of the Bankart lesion. This study aimed to describe the sonographic sequential change of the anteroinferior labrum following arthroscopic Bankart repair, both quantitatively and qualitatively. MATERIALS AND METHODS: Twenty-five subjects who had undergone arthroscopic Bankart repair were investigated using a sonographic diagnostic device equipped with shear-wave elastographic technology...
May 21, 2018: Skeletal Radiology
https://www.readbyqxmd.com/read/29730215/inter-rater-reliability-for-metrics-scored-in-a-binary-fashion-performance-assessment-for-an-arthroscopic-bankart-repair
#3
Anthony G Gallagher, Richard K N Ryu, Robert A Pedowitz, Patrick Henn, Richard L Angelo
PURPOSE: To determine the inter-rater reliability (IRR) of a procedure-specific checklist scored in a binary fashion for the evaluation of surgical skill and whether it meets a minimum level of agreement (≥0.8 between 2 raters) required for high-stakes assessment. METHODS: In a prospective randomized and blinded fashion, and after detailed assessment training, 10 Arthroscopy Association of North America Master/Associate Master faculty arthroscopic surgeons (in 5 pairs) with an average of 21 years of surgical experience assessed the video-recorded 3-anchor arthroscopic Bankart repair performance of 44 postgraduate year 4 or 5 residents from 21 Accreditation Council for Graduate Medical Education orthopaedic residency training programs from across the United States...
May 2, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29730139/failure-following-arthroscopic-bankart-repair-for-traumatic-anteroinferior-instability-of-the-shoulder-is-a-glenoid-labral-articular-disruption-glad-lesion-a-risk-factor-for-recurrent-instability
#4
Jonas Pogorzelski, Erik M Fritz, Marilee P Horan, J Christoph Katthagen, Matthew T Provencher, Peter J Millett
BACKGROUND: Recurrent instability is a frequent complication following arthroscopic Bankart repair. The purpose of this study was to investigate risk factors for poor patient-reported clinical outcome scores and failure rates. METHODS: Patients who underwent arthroscopic Bankart repair at least 2 years earlier were included. Preoperative and postoperative Single Assessment Numeric Evaluation; Quick Disabilities of the Arm, Shoulder and Hand; American Shoulder and Elbow Surgeons; and satisfaction scores were collected...
May 2, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29642925/atypical-traumatic-anterior-shoulder-instability-with-excessive-joint-laxity-recurrent-shoulder-subluxation-without-a-history-of-dislocation
#5
Sung-Jae Kim, Chong-Hyuk Choi, Yun-Rak Choi, Wonyong Lee, Woo-Seok Jung, Yong-Min Chun
BACKGROUND: No previously published studies have examined recurrent traumatic incomplete events in patients with excessive joint laxity. The purpose of this study is to investigate outcomes after arthroscopic stabilization for recurrent traumatic shoulder subluxation in patients with excessive joint laxity but no history of dislocation. METHODS: This study included 23 patients with glenoid bone defects less than 20% who underwent arthroscopic stabilization of recurrent shoulder subluxation and were available for at least 2 years follow-up...
April 11, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29623353/an-arthroscopic-bone-block-procedure-is-effective-in-restoring-stability-allowing-return-to-sports-in-cases-of-glenohumeral-instability-with-glenoid-bone-deficiency
#6
Ettore Taverna, Guido Garavaglia, Carlo Perfetti, Henri Ufenast, Luca Maria Sconfienza, Vincenzo Guarrella
PURPOSE: A group of patients affected by bone loss in the context of recurrent anterior shoulder instability were treated arthroscopically with a modified Eden-Hybinette technique since 2005. The last modification was made in 2013, consisting of fixation using a pair of specifically designed double round Endobuttons, which secure the bone graft to the glenoid rim placed through a guide. This report describes patients operated on after this last modification. No reports have described the results of this technique, and the purpose of this study was to assess early clinical and radiological results of an arthroscopic bone block procedure with double round Endobutton fixation...
April 6, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29622461/return-to-sport-following-arthroscopic-bankart-repair-a-systematic-review
#7
REVIEW
Muzammil Memon, Jeffrey Kay, Edwin R Cadet, Shayan Shahsavar, Nicole Simunovic, Olufemi R Ayeni
HYPOTHESIS AND BACKGROUND: The purpose of this systematic review was to determine the return-to-sport rate following arthroscopic Bankart repair, and it was hypothesized that patients would experience a high rate of return to sport. METHODS: The MEDLINE, Embase, and PubMed databases were searched by 2 reviewers, and the titles, abstracts, and full texts were screened independently. The inclusion criteria were English-language studies investigating arthroscopic Bankart repair in patients of all ages participating in sports at all levels with reported return-to-sport outcomes...
April 2, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29589497/risk-factors-for-recurrent-instability-or-revision-surgery-following-arthroscopic-bankart-repair
#8
S A Mahure, B Mollon, B M Capogna, J D Zuckerman, Y W Kwon, A S Rokito
Aims The factors that predispose to recurrent instability and revision stabilization procedures after arthroscopic Bankart repair for anterior glenohumeral instability remain unclear. We sought to determine the rate and risk factors associated with ongoing instability in patients undergoing arthroscopic Bankart repair for instability of the shoulder. Materials and Methods We used the Statewide Planning and Research Cooperative System (SPARCS) database to identify patients with a diagnosis of anterior instability of the shoulder undergoing arthroscopic Bankart repair between 2003 and 2011...
March 1, 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29570763/trends-and-risk-factors-for-1-year-revision-of-the-latarjet-procedure-the-new-york-state-experience-during-the-past-decade
#9
Albit R Paoli, Michael Pickell, Siddharth A Mahure, Delon McAllister, David H Mai, Michael J Alaia, Mandeep S Virk, Kirk A Campbell
Little research has been conducted evaluating surgical trends during the past 10 years and subsequent procedure risk factors for patients undergoing bone-blocking procedures for the treatment of anterior shoulder instability. The Statewide Planning and Research Cooperative System database was queried between 2003 and 2014 to identify patients undergoing soft tissue or bone-blocking procedures for anterior shoulder instability in New York. Patient demographics and 1-year subsequent procedures were analyzed. Multivariate logistic regression analyses were conducted to identify 1-year subsequent procedure risk factors...
March 23, 2018: Orthopedics
https://www.readbyqxmd.com/read/29552467/dynamic-anterior-stabilization-using-the-long-head-of-the-biceps-for-anteroinferior-glenohumeral-instability
#10
Philippe Collin, Alexandre Lädermann
Anteroinferior glenohumeral instability can be treated by variants of the Bankart repair, remplissage , and the Latarjet procedure, although all options remain associated with complications, including recurrence, stiffness, persistent pain, apprehension, and dislocation arthropathy. The authors therefore thought of a concept of dynamic anterior stabilization to treat anteroinferior glenohumeral instability by transferring the long head of the biceps within a subscapularis split to the anterior glenoid margin, thereby creating a "sling effect" by using a conservative technique...
January 2018: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29537865/critical-glenoid-bone-loss-in-posterior-shoulder-instability
#11
Christopher Nacca, Joseph A Gil, Rohit Badida, Joseph J Crisco, Brett D Owens
BACKGROUND: There is currently no consensus regarding the amount of posterior glenoid bone loss that is considered critical. Critical bone loss is defined as the amount of bone loss that occurs in which an isolated labral repair will not sufficiently restore stability. PURPOSE: The purpose is to identify the critical size of the posterior defect. STUDY DESIGN: Controlled laboratory study. METHODS: Eleven cadaveric shoulders were tested...
April 2018: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/29497622/back-to-sports-after-arthroscopic-revision-bankart-repair
#12
Johannes Buckup, Frederic Welsch, Yves Gramlich, Reinhard Hoffmann, Philip P Roessler, Karl F Schüttler, Thomas Stein
Background: Recurrent instability following primary arthroscopic stabilization of the shoulder is a common complication. Young, athletic patients are at the greatest risk of recurring instability. To date, the literature contains insufficient description regarding whether return to sports is possible after revision arthroscopic Bankart repair. Hypothesis: Patients presenting with recurrent instability after primary arthroscopic stabilization should expect limitations in terms of their ability to partake in sporting activities after revision surgery...
February 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29494743/degradation-of-cylindrical-poly-lactic-co-glycolide-beta-tricalcium-phosphate-biocomposite-anchors-after-arthroscopic-bankart-repair-a-prospective-study
#13
Keisuke Matsuki, Hiroyuki Sugaya, Norimasa Takahashi, Takayuki Kawasaki, Hideya Yoshimura, Tomonori Kenmoku
The purpose of this study was to examine widening and ossification of anchor holes after arthroscopic Bankart repair with the use of cylindrical biocomposite anchors made of 70% poly-L-lactide-co-glycolide acid (PLGA) and 30% beta-tricalcium phosphate (ß-TCP). Twenty-two patients were enrolled in a clinical trial to acquire marketing approval of a PLGA/ß-TCP biocomposite suture anchor in Japan and underwent arthroscopic Bankart repairs with the anchors. Eleven of 22 patients had computed tomography scans after 2-year follow-up...
March 1, 2018: Orthopedics
https://www.readbyqxmd.com/read/29484517/arthroscopic-bone-graft-procedure-combined-with-arthroscopic-subscapularis-augmentation-asa-for-recurrent-anterior-instability-with-glenoid-bone-defect-a-cadaver-study
#14
Raffaele Russo, Marco Maiotti, Ettore Taverna
BACKGROUND: Glenoid bone loss and capsular deficiency represent critical points of arthroscopic Bankart repair failures. The purpose of this study was to evaluate an all-arthroscopic bone block procedure associated with arthroscopic subscapularis augmentation (ASA) for treating gleno-humeral instability with glenoid bone loss (GBL) and anterior capsulo-labral deficiency. Our hypothesis was that these two procedures could be combined arthroscopically. The feasibility of this technique and its reproducibility, and potential neurovascular complications were evaluated...
February 27, 2018: Journal of Experimental Orthopaedics
https://www.readbyqxmd.com/read/29472967/pulmonary-embolism-after-arthroscopic-bankart-and-rotator-cuff-repair
#15
Joshua M Matthews, Susan S Wessel, Ryan C Pate, Alexander Cm Chong
No abstract text is available yet for this article.
May 2017: Kansas Journal of Medicine
https://www.readbyqxmd.com/read/29420773/trends-in-surgical-management-of-anterior-shoulder-instability-increased-utilization-of-bone-augmentation-techniques%C3%A2
#16
Joseph W Galvin, Josef K Eichinger, Eric J Cotter, Alyssa R Greenhouse, Stephen A Parada, Brian R Waterman
Purpose: The purpose of this study is to evaluate the trends in surgical management for anterior shoulder instability in the U.S. Military. Methods: A retrospective analysis of military service members undergoing arthroscopic or open shoulder stabilization from 2012 to 2015 within the U.S. Military Health System was conducted. Demographic and surgical variables were extracted from the medical record. Chi-square and linear regression analysis were performed to identify temporal trends by surgical procedures and concomitant surgery...
February 6, 2018: Military Medicine
https://www.readbyqxmd.com/read/29416984/single-working-portal-technique-for-knotless-arthroscopic-bankart-repair
#17
Dennis Zhaowen Ng, Bernard Puang Huh Lau, Bryan Hsi Ming Tan, V Prem Kumar
Arthroscopic Bankart repair is widely accepted as the method of choice in restoring the labrum to the glenoid rim. It has been shown to have comparable outcomes with open stabilization. This usually involves the use of 2 portals anteriorly: one anterosuperior accessory portal and another anteroinferior working portal. The aim of this Technical Note is to present a simple and reproducible technique for Bankart repair using a single working portal anteriorly without an accessory portal.
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29399470/combined-all-arthroscopic-hill-sachs-remplissage-latarjet-and-bankart-repair-in-patients-with-bipolar-glenohumeral-bone-loss
#18
David Saliken, Vincent Lavoué, Christophe Trojani, Jean-François Gonzalez, Pascal Boileau
Patients presenting with recurrent shoulder instability and bipolar glenohumeral bone loss are at risk of failed standard soft-tissue repair techniques. Even isolated bony-stabilization procedures such as the Latarjet or remplissage technique may not provide sufficient stability in the face of combined bone loss. We use a combined all-arthroscopic remplissage, Latarjet, and Bankart repair for patients with significant combined glenohumeral bone loss and/or in the revision setting. This allows reconstruction of both the Hill-Sachs and glenoid bone defects and repair of the capsulolabral complex in a minimally invasive manner...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29399450/the-tripod-pulley-technique-for-arthroscopic-remplissage-in-engaging-hill-sachs-lesions
#19
Paolo Consigliere, Natasha Morrissey, Mohamed Imam, A Ali Narvani
Arthroscopic Bankart repair is now a well-established technique for the treatment of shoulder instability. However, failure rates are considerable when significant bony defects are not addressed. Hill-Sachs lesions, present in the vast majority of those with recurrent anterior instability, when of significant dimension and location, may account for some of these failures. The remplissage procedure involves capsulotenodesis of the posterior capsule and the infraspinatus tendon to fill the Hill-Sachs lesion. "Double-pulley" remplissage is a transtendinous technique that has been described elsewhere and that may simplify the procedure...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29399443/the-floating-labrum-bankart-lesion-repair-with-anterior-capsular-extension-using-2-anterior-working-portals
#20
Allison J Rao, Nikhil N Verma, Scott W Trenhaile
Surgical repair of a Bankart lesion requires thorough recognition of the capsulolabral attachment and adequate visualization for suture anchor repair. The glenoid labrum usually detaches from its capsule and bony attachment anteriorly and inferiorly; however, the labral and capsule detachment can sometimes extend beyond this zone of injury. Identification and repair may require additional viewing and working portals to allow for ease of suture passage and anchor placement. This technique guide describes a case scenario of a Bankart lesion with anterior extension of the capsular tear, repaired with use of 2 anterior working portals...
October 2017: Arthroscopy Techniques
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