“…While the ASES score focuses on pain level and functional ability both at work and leisure activity, the Rowe score is based stability, motion, and function. ASES scores following arthroscopic Bankart repair have ranged from 87 to 98 while Rowe scores generally range from 77 to 97 at a minimum follow-up of 2 years, indicating a high level of motion and function following arthroscopic repair (Table 1) [5,[47][48][49][50][51][52][53][54][55][56].…”
Purpose of Review Arthroscopic Bankart repair is commonly utilized for shoulder stabilization in patients with anterior shoulder instability with minimum glenoid bone loss. The purpose of this review is to provide the indications, surgical technique, complications, and recent outcomes in arthroscopic Bankart repair for shoulder instability. Recent Findings Improvements in arthroscopic techniques have led to better patient outcomes, as well as an improved understanding of the pathoanatomy of instability. More recent studies have shown that one of the potential failures of primary arthroscopic repair may be due to unaddressed bone loss. This underscores the importance of evaluating glenoid bone loss and proper patient selection for this procedure to ensure successful outcome. Summary When indicated, arthroscopic stabilization is the treatment of choice for many surgeons due to its lower morbidity and low overall complication rate. Future work must focus on longer-term outcomes in patients undergoing arthroscopic Bankart repair, as well as the clinical outcomes of new fixation techniques, augmentation techniques, and the effect of glenoid bone loss in outcome.
“…While the ASES score focuses on pain level and functional ability both at work and leisure activity, the Rowe score is based stability, motion, and function. ASES scores following arthroscopic Bankart repair have ranged from 87 to 98 while Rowe scores generally range from 77 to 97 at a minimum follow-up of 2 years, indicating a high level of motion and function following arthroscopic repair (Table 1) [5,[47][48][49][50][51][52][53][54][55][56].…”
Purpose of Review Arthroscopic Bankart repair is commonly utilized for shoulder stabilization in patients with anterior shoulder instability with minimum glenoid bone loss. The purpose of this review is to provide the indications, surgical technique, complications, and recent outcomes in arthroscopic Bankart repair for shoulder instability. Recent Findings Improvements in arthroscopic techniques have led to better patient outcomes, as well as an improved understanding of the pathoanatomy of instability. More recent studies have shown that one of the potential failures of primary arthroscopic repair may be due to unaddressed bone loss. This underscores the importance of evaluating glenoid bone loss and proper patient selection for this procedure to ensure successful outcome. Summary When indicated, arthroscopic stabilization is the treatment of choice for many surgeons due to its lower morbidity and low overall complication rate. Future work must focus on longer-term outcomes in patients undergoing arthroscopic Bankart repair, as well as the clinical outcomes of new fixation techniques, augmentation techniques, and the effect of glenoid bone loss in outcome.
“…The Maiotti technique, 22 , 23 which involves tenodesis of the tendon of the scapular muscle, solves the problem of capsular deficiency while biomechanically isolating the upper third of the tendon of the subscapularis, which is most important for normal function. Boileau et al.…”
Chronic traumatic anteroinferior instability is a common pathology of the shoulder joint. In case of glenoid bone defects, the Latarjet or bone block technique is the method of choice. The arthroscopic Bankart procedure and its modifications remain the preferred methods of treating patients without substantial bone damage of the glenoid and humeral head; however, there is a high recurrence of instability after the Bankart procedure, even for optimal indications. One of the main causes of recurrence is poor quality and weakness of the glenohumeral ligaments and labrum. We describe an alternative technique that provides triple mechanisms of stabilization like the Latarjet procedure. In our procedure, the long head of the biceps tendon is used for a sling effect, dynamic stabilization is achieved by trans-subscapular tenodesis with simultaneous plasty of the anterior segment of the labrum, and subsequent resuspension of the glenohumeral ligaments is performed using the same anchors. In patients without substantial bone loss, this procedure has numerous advantages over the arthroscopic Latarjet procedure. By creating triple mechanisms of stability like the Latarjet procedure (the bumper effect, reinforcement of ligaments, and sling effect), our procedure can significantly reinforce the Bankart procedure in cases of poor-quality glenohumeral ligaments.
“…Once the implant is tensioned, we secure it with half hitches and cut suture tails. 39 , 40 , 41 Fig 11 Left shoulder, view from posterior. The posterior round endobuttons are advanced using a sliding knot until they are flush with the posterior face of the glenoid.…”
Section: Surgical Techniquementioning
confidence: 99%
“…Considering the recent positive experience using partial subscapularis tenodesis on the glenoid rim, known as arthroscopic subscapularis augmentation (ASA), 37 , 38 , 39 , 40 , 41 to treat recurrent anterior instability with capsular inconsistence and moderate GBL, we decided to apply both techniques—free bone block and ASA (arthroscopic subscapularis augmentation and bone block)—in the treatment of severe GBL (10% to 25%) associated with anterior capsular insufficiency.…”
Glenoid bone loss and capsular deficiency represent critical points of arthroscopic Bankart repair failures. The purpose of this Technical Note is to present an all-arthroscopic bone block procedure associated with arthroscopic subscapularis augmentation for treating glenohumeral instability with glenoid bone loss and anterior capsulolabral deficiency. Two glenoid tunnels are set up from the posterior to the anterior side using a dedicated bone block guide, and 4 buttons are used to fix the graft to the glenoid. The subscapularis tenodesis is performed using a suture tape anchor. This combined arthroscopic technique (bone block associated with arthroscopic subscapularis augmentation) could be a valid and safe alternative to the arthroscopic or open Latarjet procedures.
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