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bankart repair

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https://www.readbyqxmd.com/read/28426240/influence-of-glenoid-defect-size-and-bone-fragment-size-on-the-clinical-outcome-after-arthroscopic-bankart-repair-in-male-collision-contact-athletes
#1
Shigeto Nakagawa, Tatsuo Mae, Kenji Yoneda, Kazutaka Kinugasa, Hiroyuki Nakamura
BACKGROUND: The usefulness of arthroscopic Bankart repair for collision/contact athletes has varied in previous reports. PURPOSE: To investigate the influence of glenoid rim morphologic characteristics on the clinical outcome after arthroscopic Bankart repair without additional reinforcement procedures in male collision/contact athletes, including athletes with a large glenoid defect. STUDY DESIGN: Case-control study; Level of evidence, 3...
April 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28411338/shoulder-bankart-lesion-with-posterior-instability-a-case-report-of-ultrasound-detection
#2
Ryuzo Arai, Taisuke Ito, Shuzo Okudaira, Shuichi Matsuda
Minor instability of the shoulder has recently drawn attention as a cause of shoulder pain in athletes. However, it is difficult to correctly diagnose the direction in which the humeral head translates and subluxates, and to clarify the pathology of the instability. We present a case of a 20-year-old male with an unstable shoulder who could not raise his left arm due to pain. Since 6 years prior to the onset of pain, the patient could asymptomatically perform voluntary subluxation, but it was slight and the direction of the subluxation could not be confirmed...
April 14, 2017: Skeletal Radiology
https://www.readbyqxmd.com/read/28409106/open-bankart-revisited
#3
Ryan P Coughlin, Andrew Crapser, Kyrstin Coughlin, Larry P Coughlin
The surgical treatment of anterior shoulder instability can present a dilemma. Historically, an open Bankart repair was the benchmark solution. Over the last decade as surgeons became more arthroscopically savvy, the pendulum swung and a paradigm shift occurred. However, more recent studies have challenged this trend and, subsequently, revived interest in open repair. Thus, we feel it is critical to provide a more contemporary stepwise description of a procedure that has become essentially abandoned. The goal is to provide tips and pearls to achieve optimal exposure and, ultimately, a robust repair for a notoriously challenging operation...
February 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28402759/medial-posterior-capsular-plication-reduces-anterior-shoulder-instability-similar-to-remplissage-without-restricting-motion-in-the-setting-of-an-engaging-hill-sachs-defect
#4
Brian C Werner, Xiang Chen, Christopher L Camp, Andreas Kontaxis, Joshua S Dines, Lawrence V Gulotta
BACKGROUND: Numerous surgical options for the management of engaging Hill-Sachs lesions exist, of which remplissage has emerged as one of the most popular arthroscopic techniques. Remplissage is not without disadvantages, however, and has been demonstrated to potentially result in a loss of external rotation (ER) due to nonanatomic tethering of the infraspinatus tendon and a potential decrease in infraspinatus strength clinically. PURPOSE: The efficacy of posterior medial capsular plication in addition to Bankart repair was examined as an arthroscopic management strategy for an engaging Hill-Sachs defect...
April 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28400885/the-purse-string-technique-for-shoulder-stabilization-description-of-the-technique-long-term-results-and-literature-review
#5
REVIEW
Georgios Arealis, Joana Bento Rodrigues, Natalie Hope, Ofer Levy
BACKGROUND: Over the last 2 decades arthroscopic stabilization and Bankart repair has gained popularity due to the advances in materials and surgical techniques. Results of arthroscopic stabilization have been similar to open without the risks of it. The number of anchors used has been suggested to be very important in "spot-weld" arthroscopic stabilization however the "purse-string" technique (PST) can achieve similar results using only one anchor. We describe technique and long term results from using the PST and search the literature for other papers regarding PST...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28384005/outcomes-after-arthroscopic-bankart-repair-patients-with-first-time-versus-recurrent-dislocations
#6
Tyler Marshall, Jose Vega, Marcelo Siqueira, Robert Cagle, Jonathan Gelber, Paul Saluan
BACKGROUND: The young athletic population makes up the largest portion of shoulder instability and, when treated nonoperatively, has a recurrent dislocation rate as high as 71%. It is unknown how the outcomes of those who have a recurrent dislocation are affected versus those who have a stabilization procedure after a first-time dislocation. PURPOSE: To report the postoperative outcomes of patients with first-time dislocations versus patients with recurrent dislocations before surgery...
April 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28373939/the-double-bankart-bridge-a-technique-for-restoration-of-the-labral-footprint-in-arthroscopic-shoulder-instability-repair
#7
Mohamed Aboalata, Abdelsamie Halawa, Yehia Basyoni
It has been proved by many researchers in the last few years that arthroscopic capsulolabral repair is an efficient method for surgical management of anteroinferior shoulder instability. Different arthroscopic techniques using different fixation devices and constructs have been described in the literature, but the suture anchors were the most used implants to shift the inferiorly displaced capsulolabral complex and fix it to the glenoid. In the majority of these techniques, the anchors concentrate the load at specific points (e...
February 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28361016/prevention-and-management-of-post-instability-glenohumeral-arthropathy
#8
REVIEW
Brian R Waterman, Kelly G Kilcoyne, Stephen A Parada, Josef K Eichinger
Post-instability arthropathy may commonly develop in high-risk patients with a history of recurrent glenohumeral instability, both with and without surgical stabilization. Classically related to anterior shoulder instability, the incidence and rates of arthritic progression may vary widely. Radiographic arthritic changes may be present in up to two-thirds of patients after primary Bankart repair and 30% after Latarjet procedure, with increasing rates associated with recurrent dislocation history, prominent implant position, non-anatomic reconstruction, and/or lateralized bone graft placement...
March 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/28359839/a-novel-flexible-drill-device-enabling-arthroscopic-transosseous-repairof-bankart-lesions
#9
Ye-Yeon Won, Jin Soo Park, Soo Joong Choi, Sung In Hong
We have developed a flexible drill device that makes arthroscopic transosseous repair possible, and report preliminary results.Twelvepatientswith post-traumatic anterior inferior glenohumeral instability were selected. SURGICAL TECHNIQUE: The flexible drill device is inserted into the shoulder joint through the posterior portal and the guide pipe unit is placed 5mm posterior to the margin of the anterior glenoid rim. The flexible drill is driven through the glenoid with the power drill, creating a hole in the glenoid...
March 27, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28335687/isolated-hagl-lesion-after-arthroscopic-bankart-repair-in-a-professional-soccer-player
#10
Haluk Celik, Mustafa Faik Seckin, Adnan Kara, Senol Akman
Post-traumatic anterior shoulder instability commonly occurs following an avulsion of capsulolabral complex from glenoid (Bankart lesion) or rarely after humeral avulsion of the glenohumeral ligaments (HAGL lesion). Arthroscopic Bankart repair offers high success rates of healing. However, trauma following the treatment may cause implant failure or re-avulsion of the treated tissue. We aim to present the diagnosis and treatment of an isolated HAGL lesion in a professional soccer player who had previously undergone arthroscopic Bankart repair...
March 24, 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/28333542/critical-value-of-anterior-glenoid-bone-loss-that-leads-to-recurrent-glenohumeral-instability-after-arthroscopic-bankart-repair
#11
Sang-Jin Shin, Rag Gyu Kim, Yoon Sang Jeon, Tae Hun Kwon
BACKGROUND: Generally, a glenoid bone loss greater than 20% to 25% is considered critical for poor surgical outcomes after a soft tissue repair. However, recent studies have suggested that the critical value should be lower. PURPOSE: To determine the critical value of anterior glenoid bone loss that led to surgical failure in patients with anterior shoulder instability. STUDY DESIGN: Case-control study; Level of evidence, 3. METHODS: The study included 169 patients with anterior glenoid erosion...
March 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28303281/long-term-results-of-arthroscopic-bankart-repair-minimum-10%C3%A2-years-of-follow-up
#12
Tapio Flinkkilä, Rony Knape, Kai Sirniö, Pasi Ohtonen, Juhana Leppilahti
PURPOSE: This study investigated the long-term results of arthroscopic Bankart repair in terms of rates and timelines of recurrence of instability, with special interest in young adult patients aged ≤20 years. METHODS: Between 2000 and 2005, 186 shoulders [182 patients, 50 women, median age 26 (range 15-58) years] were operated on at a university hospital using arthroscopic Bankart repair because of instability after traumatic anteroinferior shoulder dislocation...
March 16, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28271283/rotator-interval-closure-has-no-additional-effect-on-shoulder-stability-compared-to-bankart-repair-alone
#13
Eran Maman, Oleg Dolkart, Efi Kazum, Noam Rosen, Gavriel Mozes, Michael Drexler, Ofir Chechik
PURPOSE: Arthroscopic Bankart repair (ABR) provides satisfactory results for recurrent anterior shoulder instability, but the high recurrence rate post-ABR remain a concern. One of the adjunct procedures proposed to improve ABR results is arthroscopic rotator interval closure (ARIC). This study prospectively evaluated the outcomes of ABRs alone compared to combined ABR + ARIC and identified risk factors related to failure of each procedure. METHODS: Thirty-nine consecutive patients (mean age 23...
March 7, 2017: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/28224066/the-use-of-accessory-portals-in-bankart-repair-with-posterior-extension-in-the-lateral-decubitus-position
#14
Gregory L Cvetanovich, Jason T Hamamoto, Kevin J Campbell, Mark McCarthy, John D Higgins, Nikhil N Verma
The Bankart lesion, in which the anteroinferior labrum is detached from the glenoid, is the critical anatomic lesion in the majority of patients with anterior glenohumeral instability. Some patients with anterior glenohumeral instability will have Bankart lesions with posterior extension beyond the 6-o'clock position, and achieving anatomic labral repair in these cases can present a technical challenge. In our experience, the lateral decubitus position and use of accessory portals allow superior visualization of the inferior half of the glenohumeral joint for glenoid and labral preparation, anchor placement, and suture management...
October 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28193141/the-results-of-bankart-repair-without-capsular-plication-in-patients-with-recurrent-traumatic-anterior-shoulder-dislocation
#15
İsmail Kalkar, Cem Zeki Esenyel, Mehmet Selçuk Saygılı, Ayşın Esenyel, Hakan Gürbüz
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...
January 2017: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28182507/unused-opioid-pills-after-outpatient-shoulder-surgeries-given-current-perioperative-prescribing-habits
#16
Kanupriya Kumar, Lawrence V Gulotta, Joshua S Dines, Answorth A Allen, Jennifer Cheng, Kara G Fields, Jacques T YaDeau, Christopher L Wu
BACKGROUND: In the past 16 years, the number of prescription opioids sold in the United States, as well as deaths from prescription opioids, has nearly quadrupled. However, the overall amount of pain reported by patients has not changed significantly. Specific information about opioid prescriptions in the perioperative period is lacking. Of the studies that have been published, investigators have shown that the majority of patients have unused postoperative opioid pills. Moreover, patients appear to lack information about disposal of unused opioid pills...
March 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28149718/arthroscopic-bone-grafting-for-anteroinferior-glenoid-defect-using-template
#17
Wichan Kanchanatawan, Jatupon Kongtharvonskul, Kaiwan Sriruanthong, Gem Dorjiee
Significant anteroinferior glenoid bone loss is widely accepted as a major pathology of recurrent anterior shoulder dislocation, particularly after failed arthroscopic Bankart repair. Numerous surgical techniques for glenoid bone grafting have been described and have been reported to yield successful outcomes. Both open and arthroscopic approaches have been used, with the coracoid and the iliac crest being commonly used for bone graft. When compared with open surgery, an arthroscopic approach has many advantages...
December 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28141693/time-to-return-to-school-after-10-common-orthopaedic-surgeries-among-children-and-adolescents
#18
Samuel C Willimon, Marjorie M Johnson, Mackenzie M Herzog, Michael T Busch
BACKGROUND: Return to school among adolescents is often overlooked in orthopaedic outcome studies. The purpose was to measure the time missed from school after 10 common orthopedic surgeries. METHODS: Patients, 5 to 19 years old enrolled in elementary, middle, or high school, who underwent treatment for fixation of type III supracondylar humerus fracture, midshaft femur fracture fixation, isolated anterior cruciate ligament reconstruction, isolated partial menisectomy, adolescent idiopathic scoliosis fusion, closed reduction of both-bone forearm fracture, arthroscopic Bankart repair, hip arthroscopy with femoroacetabular impingement correction, limb length discrepancy correction, or surgical fixation of slipped capital femoral epiphysis during the 2014/2015 and 2015/2016 school years were identified for this Institutional Review Board-approved study...
January 30, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28135130/clinical-outcome-of-arthroscopic-bankart-repair-combined-with-simultaneous-capsular-repair
#19
Shigeto Nakagawa, Ryo Iuchi, Tatsuo Mae, Naoko Mizuno, Yasuhiro Take
BACKGROUND: A capsular tear and humeral avulsion of the glenohumeral ligament lesion are not uncommon findings in association with a Bankart lesion. However, there have been few reports regarding the prevalence of such capsular lesions and the postoperative recurrence after capsular repair. Purpose/Hypothesis: This study investigated the prevalence of capsular lesions and clarified their influence on the postoperative recurrence of instability. In addition, factors were identified that were associated with the occurrence of capsular lesions and the postoperative recurrence of instability...
January 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28131690/biomechanical-comparison-of-acute-hill-sachs-reduction-with-remplissage-to-treat-complex-anterior-instability
#20
Grant H Garcia, Ryan M Degen, Christopher N H Bui, Michelle H McGarry, Thay Q Lee, Joshua S Dines
BACKGROUND: Acute Hill-Sachs reduction represents a potential alternative method to remplissage for the treatment of an engaging Hill-Sachs lesion. This study biomechanically compared the stabilizing effects of an acute Hill-Sachs reduction technique and remplissage. METHODS: Six cadaveric shoulders were tested. For the acute Hill-Sachs lesion, a unique model was used to create a 30% defect, compressing the subchondral bone while preserving the articular surface...
January 25, 2017: Journal of Shoulder and Elbow Surgery
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