Arthroscopic Bony Bankart Repair Using Double-Threaded Headless Screw: A Case Report

Kokubu, Tatsuo; Nagura, Issei; Mifune, Yutaka; Kurosaka, Masahiro

doi:10.1155/2012/789418

Cited by 6 publications

(6 citation statements)

References 14 publications

(24 reference statements)

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“…Bankart lesions correspond to a disinsertion of the anteroinferior glenoid labrum secondary to a traumatic event of anterior instability of the shoulder. 1 When this lesion is accompanied by a fracture of the same anterior glenoid rim, it corresponds to a bony Bankart (BB) lesion. 2 The described incidence of BB lesions is between 8.6% and 41% in a first dislocation event, which increases to 50% to 86% in patients with recurrent events.…”

Section: Introductionmentioning

confidence: 99%

“…La lesión de Bankart corresponde a una desinserción del labrum anteroinferior glenoideo secundaria a un evento traumático de inestabilidad anterior del hombro. 1 Cuando esta lesión se acompaña de una fractura del mismo borde anterior glenoideo, corresponde a una lesión ósea de Bankart (BB). 2 La incidencia de la lesión BB es descrita entre un 8,6% y un 41% en un primer evento de luxación, y asciende a 50% a 86% en pacientes con eventos recurrentes.…”

Section: Introduccio Nunclassified

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Lesión de Bony Bankart: Conceptos fundamentales para su comprensión y tratamiento

Moran

2022

Revista Chilena de Ortopedia y Traumatología

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ResumenLas lesiones óseas en el borde anterior del anillo glenoideo secundarias a un episodio de inestabilidad anterior del hombro cada vez son más reportadas. Conocidas como lesión de Bony Bankart, su presencia genera una pérdida de la estabilidad estática glenohumeral que provoca un aumento del riesgo de un nuevo evento de luxación. Por ende, resulta fundamental que los cirujanos ortopédicos comprendan y diagnostiquen estas lesiones de forma correcta y oportuna para evaluar la necesidad de restaurar la superficie articular glenoidea. El objetivo de esta revisión narrativa es otorgar los conceptos más importantes de la lesión ósea de Bankart para comprender y enfrentar de forma adecuada esta lesión. Nivel de Evidencia V

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Section: Introductionmentioning

confidence: 99%

Section: Introduccio Nunclassified

Lesión de Bony Bankart: Conceptos fundamentales para su comprensión y tratamiento

Moran

2022

Revista Chilena de Ortopedia y Traumatología

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“…5) Thus, primary fixation should be attempted to decrease the glenoid defect, regardless of the bony fragment size. Various surgical techniques [6][7][8][9][10][11][12][13][14] to treat bony Bankart lesions have been described. Arthroscopic or open reduction is performed to fix the bony Bankart lesion to the glenoid depend-…”

Section: Introductionmentioning

confidence: 99%

“…An arthroscopic technique has many advantages, such as anatomic repair with a direct view, decreased invasiveness and tissue trauma, and a concomitant pathological diagnosis. Many arthroscopic methods have been used; 8,10,13,[15][16][17][18] however, they all have major limitations, including technical challenge.…”

mentioning

confidence: 99%

Clinical Results of the Arthroscopic "Multiple Pulled Suture" Technique for Large or Comminuted Bony Bankart Lesion

Lee

Kim

Kho

et al. 2017

Clinics in Shoulder and Elbow

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Background: Arthroscopic fixations for large and comminuted bony Bankart lesions are technically difficult. We developed an arthroscopic multiple pulled suture (MPS) technique to restore large and comminuted bony Bankart lesions. Methods: Ten patients (mean age, 49.8 years; range, 31-79 years) underwent bony Bankart repair using the illustrated MPS technique and were then followed for a mean of 27.3 months. A plain radiograph series and three-dimensional computed tomography scans were taken at the initial clinical evaluation and 3 months postoperatively. Outcome measurements included the American Shoulder and Elbow Surgeons (ASES) score, Rowe score, University of California at Los Angeles (UCLA) score, and subjective patient satisfaction, along with surgical complications. Results: Union of an osseous fragment with the glenoid rim was confirmed in all patients on a computed tomography scan 3 months after operation. The osseous fragment was restored to proper articular congruence and reduction. The affected shoulder was stable in nine of the 10 patients. One patient presented with a redislocation after a sports injury 3 years postoperatively. The ASES, Rowe, and UCLA scores improved at the final evaluation, and median patient satisfaction at the final follow-up was 9 of 10 points (range, 6-10 points). Conclusions: The arthroscopic MPS technique for bony Bankart lesions with large or comminuted osseous fragments was a relatively easy and safe method for stable fixation of the osseous fragment. Therefore, the arthroscopic MPS technique resulted in good restoration of stability with high patient satisfaction and low complication rates. (Clin Shoulder Elbow 2017;20(3):138-146)

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“…Since that time, various techniques and labral fixation implants have been reported in literature. [3][4][5][6][7] Success of anchor fixation and pullout strength rely on the quality of the bone microarchitecture. 8,9 Similarly, total shoulder arthroplasty (TSA) was first introduced by Neer 10 in the 1970s and has evolved into a well-established treatment method for shoulder arthritis and many other shoulder pathologies.…”

mentioning

confidence: 99%

Trabecular Bone Microarchitecture and Characteristics in Different Regions of the Glenoid

Li¹,

Williams²,

Curry³

et al. 2015

Orthopedics

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Success of shoulder surgery depends on implant fixation to the glenoid trabecular bone. The purpose of this study was to evaluate the anatomic characteristics of the normal glenoid trabecular bone microarchitecture to help assist in implant design and provide data for finite element analyses. Eight cadavers without evidence of osteoarthritis were used. Glenoids were scanned with micro-computed tomography and then divided into lateral and medial, then superior, inferior, anterior, and posterior quadrants (8 total segments). Each segment was analyzed for total mineral density, bone volume fraction, structure model index, and trabecular thickness (Tb.Th), number (Tb.N), and separation. Bone volume fraction was significantly higher (P<.05) in the posterolateral (20.8%±4.5%) and posteromedial (18.6%±2.5%) regions. Both Tb.N and Tb.Th were also highest in the posterolateral (Tb.N, 1.74±0.374 mm; Tb.Th, 0.148±0.017 mm) and posteromedial (Tb.N, 1.49±0.401 mm; Tb.Th, 0.165±0.016 mm) regions. Trabecular separation was greatest in the superomedial segment (1.00±0.181 mm) and lowest in the posterolateral region (0.663±0.121 mm). For structural model index, both the posterolateral (0.314) and posteromedial (0.312) regions had lower values than the other regions. The posterior segment of the normal glenoid in both the lateral and medial regions has the highest density, which is attributed to the increased trabecular number and thickness with decreased separation. This increased density may be attributed to the posterior directed loading of the glenohumeral joint. The trabecular microarchitecture in the glenoid is plate-like, as indicated by the low structural model index.

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Arthroscopic Bony Bankart Repair Using Double-Threaded Headless Screw: A Case Report

Cited by 6 publications

References 14 publications

Lesión de Bony Bankart: Conceptos fundamentales para su comprensión y tratamiento

Lesión de Bony Bankart: Conceptos fundamentales para su comprensión y tratamiento

Clinical Results of the Arthroscopic "Multiple Pulled Suture" Technique for Large or Comminuted Bony Bankart Lesion

Trabecular Bone Microarchitecture and Characteristics in Different Regions of the Glenoid

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