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https://www.readbyqxmd.com/read/28333542/critical-value-of-anterior-glenoid-bone-loss-that-leads-to-recurrent-glenohumeral-instability-after-arthroscopic-bankart-repair
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
#10
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
https://www.readbyqxmd.com/read/28110806/can-surgical-trainees-achieve-arthroscopic-competence-at-the-end-of-training-programs-a-cross-sectional-study-highlighting-the-impact-of-working-time-directives
#11
Robert M Middleton, Austin Vo, Jamie Ferguson, Andrew Judge, Abtin Alvand, Andrew J Price, Jonathan L Rees
PURPOSE: To provide training guidance on procedure numbers by assessing how the number of previously performed arthroscopic procedures relate to both competent and expert performance in simulated arthroscopic shoulder tasks. METHODS: A cross-sectional study that assessed simulated shoulder arthroscopic performance was undertaken. A total of 45 participants of varying experience performed 2 validated tasks: a simple diagnostic task and a more complex Bankart labral repair task...
January 16, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28031514/long-term-outcome-of-rockwood-capsular-shift-for-recurrent-shoulder-dislocation
#12
Luigi Murena, Nicola Guindani, Stefano Turino, Federico A Grassi, Paolo Cherubino
PURPOSE: To review the long-term outcome of Rockwood capsular shift for recurrent shoulder dislocation secondary to trauma. METHODS: Records of 30 males and 4 females who underwent Rockwood capsular shift for recurrent (≥2 episodes) anterior shoulder dislocation were reviewed. An additional Bankart repair with different techniques was performed in 24 of the patients by 2 different surgeons. The outcome was assessed using the Western Ontario Shoulder Instability Index (WOSI) and the Western Ontario Osteoarthritis of the Shoulder (WOOS) index questionnaires, the modified Rowe score, and the Constant-Murley score...
December 2016: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/28004306/arthroscopic-bankart-repair-associated-with-subscapularis-augmentation-asa-versus-open-latarjet-to-treat-recurrent-anterior-shoulder-instability-with-moderate-glenoid-bone-loss-clinical-comparison-of-two-series
#13
R Russo, G Della Rotonda, F Cautiero, M Ciccarelli, M Maiotti, C Massoni, F Di Pietto, M Zappia
PURPOSE: The treatment of chronic anterior shoulder instability with glenoid bone loss is still debated. The purpose of this study is to compare short-term results of two techniques treating chronic shoulder instability with moderate glenoid bone loss: bone block according to open Latarjet-Patte procedure and arthroscopic Bankart repair in association with subscapularis augmentation. METHODS: Ninety-one patients with moderate anterior glenoid bone loss underwent from 2011 to 2015...
December 21, 2016: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/27942510/is-clinical-evaluation-alone-sufficient-for-the-diagnosis-of-a-bankart-lesion-without-the-use-of-magnetic-resonance-imaging
#14
Bryan Loh, Jason Beng Teck Lim, Andrew Hwee Chye Tan
BACKGROUND: Imaging modalities such as magnetic resonance arthrogram (MRA) offer great utility in diagnosing Bankart lesions but they are associated with a high degree of intra and interobserver variability. This study aims to evaluate the diagnostic accuracy of clinical evaluation and imaging modalities in Bankart lesions such as magnetic resonance imaging (MRI) and MRA of the shoulder. METHODS: Between February 2004 to January 2015, a retrospectively review of the surgical records at a tertiary hospital identified a total of 250 patients treated with a shoulder arthroscopy for Bankart repair...
November 2016: Annals of Translational Medicine
https://www.readbyqxmd.com/read/27926676/long-term-restoration-of-anterior-shoulder-stability-a-retrospective-analysis-of-arthroscopic-bankart-repair-versus-open-latarjet-procedure
#15
COMPARATIVE STUDY
Stefan M Zimmermann, Max J Scheyerer, Mazda Farshad, Sabrina Catanzaro, Stefan Rahm, Christian Gerber
BACKGROUND: Various operative techniques are used for treating recurrent anterior shoulder instability, and good mid-term results have been reported. The purpose of this study was to compare shoulder stability after treatment with the 2 commonly performed procedures, the arthroscopic Bankart soft-tissue repair and the open coracoid transfer according to Latarjet. METHODS: A comparative, retrospective case-cohort analysis of 360 patients (364 shoulders) who had primary repair for recurrent anterior shoulder instability between 1998 and 2007 was performed...
December 7, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/27904726/the-influence-of-arthroscopic-remplissage-for-engaging-hill-sachs-lesions-combined-with-bankart-repair-on-redislocation-and-shoulder-function-compared-with-bankart-repair-alone
#16
Sang-Hun Ko, Jae-Ryong Cha, Chae-Chil Lee, Il-Yeong Hwang, Chang-Gyu Choe, Min-Seok Kim
BACKGROUND: Recurrence of glenohumeral dislocation after arthroscopic Bankart repair can be associated with a large osseous defect in the posterosuperior part of the humeral head. Our hypothesis is that remplissage is more effective to prevent recurrence of glenohumeral instability without a severe motion deficit. METHODS: Engaging Hill-Sachs lesions were observed in 48 of 737 patients (6.5%). Twenty-four patients underwent arthroscopic Bankart repair combined with remplissage (group I) and the other 24 patients underwent arthroscopic Bankart repair alone (group II)...
December 2016: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/27876488/arthroscopic-subscapularis-augmentation-of-bankart-repair-in-chronic-anterior-shoulder-instability-with-bone-loss-less-than-25-and-capsular-deficiency-clinical-multicenter-study
#17
Marco Maiotti, Carlo Massoni, Raffaele Russo, Steffen Schroter, Antonio Zanini, Diana Bianchedi
PURPOSE: To assess the short-term outcomes of the arthroscopic subscapularis augmentation (ASA) technique, consisting of a tenodesis of the upper third of the subscapularis tendon and a Bankart repair, and its effect on shoulder external rotation. METHODS: Patients selected for this study were involved in contact sports, with a history of traumatic recurrent shoulder dislocations and a minimum of 2-year follow-up. Inclusion criteria were patients with glenoid bone loss (GBL) ranging from 5% to 25%, anterior capsular deficiency, and Hill-Sachs lesion who underwent ASA technique...
November 19, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27872125/results-of-arthroscopic-bankart-repair-for-anterior-inferior-shoulder-instability-at-13-year-follow-up
#18
Mohamed Aboalata, Johannes E Plath, Gernot Seppel, Julia Juretzko, Stephan Vogt, Andreas B Imhoff
BACKGROUND: Anterior-inferior shoulder instability is a common injury in young patients, particularly those practicing overhead-throwing sports. Long-term results after open procedures are well studied and evaluated. However, the long-term results after arthroscopic repair and risk factors of recurrence require further assessment. HYPOTHESIS: Arthroscopic Bankart repair results are comparable with those of open repair as described in the literature. STUDY DESIGN: Case series; Level of evidence, 4...
March 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27816093/editorial-commentary-the-debate-over-double-row-continues-shoulder-arthroscopic-capsulolabral-and-bankart-repair-for-shoulder-instability
#19
EDITORIAL
Stephen C Weber
In an in vitro cadaver study, the mechanical properties of capsulolabral repair were significantly improved with the authors' double-row technique over single-row repair. Whether this time zero improvement in mechanical properties will translate into improved clinical outcomes remains to be seen, and there are concerns, including risks of increased costs and complications, with the clinical application of the technique.
November 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/27814944/correlations-of-coracohumeral-ligament-and-range-of-motion-restriction-in-patients-with-recurrent-anterior-glenohumeral-instability-evaluated-by-magnetic-resonance-arthrography
#20
Kenji Kanazawa, Yoshihiro Hagiwara, Nobuaki Kawai, Takuya Sekiguchi, Masashi Koide, Akira Ando, Hiroyuki Sugaya, Eiji Itoi
BACKGROUND: Evaluation of range of motion (ROM) restriction before treatment of shoulder disorders is important for predicting the final functional outcomes. The purpose of this study was to investigate correlations of thickness of the coracohumeral ligament (CHL) and ROM restriction in patients with recurrent anterior glenohumeral instability. METHODS: Between January 2005 and March 2015, 181 shoulders (137 male and 44 female patients; mean age, 29.3 years) with recurrent anterior glenohumeral instability treated with an arthroscopic Bankart repair were enrolled in this study...
February 2017: Journal of Shoulder and Elbow Surgery
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