Arthroscopic Bristow Procedure for Anterior Instability in Shoulders With a Stretched or Deficient Capsule: The “Belt-and-Suspenders” Operative Technique and Preliminary Results

Boileau, Pascal; Bicknell, Ryan T.; Fegoun, A. Benchikh El; Chuinard, Christopher

doi:10.1016/j.arthro.2007.03.096

Cited by 130 publications

(116 citation statements)

References 29 publications

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“…Boileau et al 25,26 highlighted that abduction and external rotation movements of the shoulder cause a physiological upward displacement of the subscapularis tendon. Such movements have no effect under normal conditions, but when a lesion of the capsulolabral complex occurs, these movements promote an anterior dislocation of the humeral head just below the lower edge of the subscapularis tendon.…”

Section: -23mentioning

confidence: 99%

“…[21][22][23] In 1972, furthermore, Symeonides 24 showed, in a human cadaveric study, a significant elongation of the subscapularis tendon related to shoulder instability (Fig 1) and showed that a simple capsular repair is not strong enough to prevent recurrent dislocation (Fig 2). More recently, Boileau et al 25,26 described the "sling effect" concept of the conjoined tendon on the subscapularis tendon and developed an arthroscopic technique combining the arthroscopic Bankart repair with tenodesis of the coraco-biceps tendon to treat shoulder instability in patients with a deficient or stretched anteroinferior capsule.…”

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confidence: 99%

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Arthroscopic Augmentation With Subscapularis Tendon in Anterior Shoulder Instability With Capsulolabral Deficiency

Maiotti

Rossi

2013

Arthroscopy Techniques

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The treatment of chronic shoulder instability with poor quality of the anterior capsulolabral tissue is still controversial. In these cases the Latarjet procedure is certainly more effective in preventing recurrence than an arthroscopic capsular repair. However, several studies have reported a variety of severe complications related to the Latarjet procedure because of the use of bone augmentation and hardware implantation; moreover, the arthroscopic version of the Latarjet procedure is technically difficult and potentially dangerous because of the proximity of neurovascular structures. The aim of this report is to describe an innovative arthroscopic technique consisting of an augmentation of the anterior capsulolabral tissue using the articular portion of the subscapularis tendon and knotless suture anchors paired with high-strength tape for its fixation to the anterior glenoid edge. In the absence of severe bone deficiency of the anterior glenoid edge, this procedure can minimize arthroscopic technique failures, restoring the anterior capsulolabral wall without any significant reduction of shoulder functionality.

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Section: -23mentioning

confidence: 99%

mentioning

confidence: 99%

Arthroscopic Augmentation With Subscapularis Tendon in Anterior Shoulder Instability With Capsulolabral Deficiency

Maiotti

Rossi

2013

Arthroscopy Techniques

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“…These include young age, high level of athletic competition, presence of a bony defect in the glenoid or humeral head, number of suture anchors, and ligamentous laxity. [12][13][14] The purpose of our study was to retrospectively evaluate the outcomes of arthroscopic repair of capsulolabral lesions in patients enrolled in our institution's database, with a minimum follow-up of one year.…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic Bankart repair for recurrent shoulder instability: A retrospective study of 86 cases

Antunes

Mendes

Prado

et al. 2016

Journal of Orthopaedics

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“…The arthroscopic possibilities for shoulder surgery have evolved greatly over recent years. They range from simpler procedures like bursectomy and acromioplasty (4) to repair techniques for cuff injuries using a double band (5) , repairs for complete lesions of the subscapularis (6) , labral reinsertion with capsule plication for glenohumeral instability (7) , fixation of the coracoid process to the glenoid (BristowLatarjet technique) (8) , fixation of acromioclavicular dislocation (9) , neurolysis of the suprascapular nerve (10) and interposition of membranes for treating arthrosis (11) and extensive cuff lesions (12) . In turn, learning the videoarthroscopic technique is complex (13) .…”

Section: Introductionmentioning

confidence: 99%

Eficácia do aprendizado da videoartroscopia em modelos sintéticos

Molin¹,

Mothes²,

Feder³

2012

Rev. bras. ortop.

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The authors declare that there was no conflict of interest in conducting this work ABSTRACTObjectives: The authors evaluate the learning of the videoarthroscopic technique, using the video surgery simulator SAM ® (Shoulder Arthroscopy Model). Methods: Twenty medical residents in Orthepaedics, without prior knowledge of the arthroscopic technique, were evaluated before and after training. The tasks consisted of positioning, in holes that simulated portals, four surgical threads attached to an anchor placed in the anatomical neck of the humerus in the synthetic model. Time, number of movements, number of attempts, amount of errors and comparison between the two phases of training before and after -were observed and noted. Results: The data was submitted to statistical analysis, and a significant difference was found in the comparison of the variables before and after the training. Conclusion: The result of this study enables us to conclude that training in the videoarthroscopic technique using the video surgery simulator SAM enables the surgeon to execute essential tasks involved in these techniques, in less time, making less mistakes, and developing the ability to deal better with the videoarthrocopic image.

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Arthroscopic Bristow Procedure for Anterior Instability in Shoulders With a Stretched or Deficient Capsule: The “Belt-and-Suspenders” Operative Technique and Preliminary Results

Cited by 130 publications

References 29 publications

Arthroscopic Augmentation With Subscapularis Tendon in Anterior Shoulder Instability With Capsulolabral Deficiency

Arthroscopic Augmentation With Subscapularis Tendon in Anterior Shoulder Instability With Capsulolabral Deficiency

Arthroscopic Bankart repair for recurrent shoulder instability: A retrospective study of 86 cases

Eficácia do aprendizado da videoartroscopia em modelos sintéticos

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