Arthroscopic glenoid labral lesion repair using all-suture anchor for traumatic anterior shoulder instability: short-term results

Gül, Orkun; Okutan, Ahmet Emin; Ayas, Muhammet Salih

doi:10.1016/j.jse.2019.03.003

Cited by 21 publications

(30 citation statements)

References 32 publications

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“…This rate is about 11 to 27% in the literature. [ 2 , 6 , 16 - 18 ] Type V SLAP lesions were detected in 36.6% of cases in Durban et al,[ 19 ] 40% in Gül et al,[ 17 ] and 34% in Aydin et al[ 20 ] studies. In our case series, it was approximately 39%, which is in accordance with the literature.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the clinical results of isolated Bankart and SLAP 5 lesions after arthroscopic repair

et al. 2020

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The glenohumeral joint is the most mobile joint in the human body. Shoulder stability is provided by static and dynamic stabilizers and load resistance is ensured by these stabilizers. [1] Damage to these structures leads to dislocation and recurrent instability. Traumatic anterior instability or dislocation of the shoulder joint usually results in avulsion of the anterior inferior labrum. Bankart defined this lesion as the "essential lesion" of shoulder instability. [2] In addition to Bankart lesions, lesions in different areas of the labrum can occur, such as superior labrum anterior to posterior (SLAP) lesions. Superior labral tears were first defined by Andrews et al. in 1985. [2] Then in 1990, Snyder [3] coined the term SLAP lesions. With SLAP lesions, the superior labrum detaches along with the biceps tendon and the labral tear extends anteriorly from the posterior superior labrum. Snyder further classified SLAP lesions into four categories and over time different types of SLAP lesions were added to Snyder's classification. [3-5] The etiology of SLAP lesions remains uncertain. There Objectives: This study aims to compare the clinical results of patients with traumatic isolated Bankart lesions and type V superior labrum anterior to posterior (SLAP) lesions after arthroscopic repair. Patients and methods: Patients who underwent arthroscopic repair for traumatic anterior glenohumeral instability were evaluated retrospectively between December 2014 and January 2019. Fifty-one patients (49 males, 2 females; mean age 25 years; range, 18 to 36 years) without bone defects affecting >20% of the glenoid fossa, off-track engaging Hills-Sachs lesions, multidirectional instability, or ligamentous laxity were included in the study. Group 1 had 31 patients with isolated Bankart lesions and group 2 had 20 patients with type V SLAP lesions. There were only two female patients in group 1 and all patients were male in group 2. The mean age was 25 years (range, 18 to 36 years) in group 1 and 25 years (range, 19 to 35 years) in group 2. Rowe, Constant, and Western Ontario Shoulder Instability (WOSI) scoring systems were used to evaluate the clinical outcomes of the patients preoperatively and at the last follow-up. Results: The mean follow-up time was 32 months (range, 12 to 48 months) in group 1 and 28.5 months (range, 12 to 42 months) in group 2. There were no statistically significant differences between the two groups in terms of the number of shoulder dislocations before the surgery, mean age at the time of surgery, and the mean time from the first dislocation to surgical treatment. When the Rowe, Constant, and WOSI scores were evaluated preoperatively and at the last follow-up, there were statistically significant changes within, but not between, the two groups. Conclusion: In type V SLAP lesions, the affected and repaired labrum surface area is larger than isolated Bankart lesions. However, as a result of appropriate surgical treatment, the affected surface area does not have a negative effect on clinical outcomes, and s...

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Section: Discussionmentioning

confidence: 99%

Comparison of the clinical results of isolated Bankart and SLAP 5 lesions after arthroscopic repair

et al. 2020

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“…To date, a variety of suture anchor designs such as bioabsorbable anchors made of polyglycolic acid, combinations of bioabsorbable polymers with osteoinductive bioceramic (biocomposite anchors), and polyetheretherketone (PEEK) material have replaced metallic tacks and anchors [7,15]. To overcome some of the disadvantages of solid suture anchors, such as anchor migration and glenohumeral cartilage damage [11,20], nonabsorbable all-suture or "soft" anchors with small diameters were developed [9].…”

Section: Short-term Outcomes After Knotless All-suture Anchor Bankartmentioning

confidence: 99%

“…Recently, nonabsorbable all-suture or "soft" anchors have entered the market. Multiple points of soft tissue fixation are possible thanks to the small diameter of the anchors [8,9,12]. All-suture anchors are also considered to preserve glenoid bone stock [9,12].…”

Section: Introductionmentioning

confidence: 99%

“…Multiple points of soft tissue fixation are possible thanks to the small diameter of the anchors [8,9,12]. All-suture anchors are also considered to preserve glenoid bone stock [9,12]. Other potential advantages are application through curved guides [12], facilitated revision surgery due to little bone loss [2,8], and low radiographic artifacts in the postoperative setting [2,23].…”

Section: Introductionmentioning

confidence: 99%

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Short-term outcomes after knotless all-suture anchor Bankart repair

et al. 2020

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“…Multiple surgical techniques have been described for treatment of anteroinferior shoulder instability,1, 2, 3, 4, 5, 6 but the Bankart procedure continues to be an optional treatment for this pathology 7, 8, 9, 10. Despite the advantages of all-arthroscopic techniques, high failure rates of arthroscopic Bankart repair have been reported especially in the presence of bony defects 11, 12.…”

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confidence: 99%

All-Arthroscopic, 270° Reconstruction of the Inferior Glenohumeral Ligament With Palmaris Longus Autograft

Arenas-Miquelez

Karargyris

Zumstein

2019

Arthroscopy Techniques

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Numerous factors play a role in anterior shoulder stability. The inferior glenohumeral ligament, especially the anterior band, is the main passive anterior stabilizer in the end range of motion. Surgical treatment of this pathology continues to be a challenge in patients with capsular deficiency, in whom the recurrence rate of soft-tissue arthroscopic repair increases significantly. There is not yet a fair solution for these patients without glenoid bone loss, in whom the poor tissue quality determines recurrent instability. We present an all-arthroscopic technique for reconstruction of the inferior glenohumeral ligament by means of palmaris longus autograft as an alternative to nonanatomic bone block procedures.

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Arthroscopic glenoid labral lesion repair using all-suture anchor for traumatic anterior shoulder instability: short-term results

Cited by 21 publications

References 32 publications

Comparison of the clinical results of isolated Bankart and SLAP 5 lesions after arthroscopic repair

Comparison of the clinical results of isolated Bankart and SLAP 5 lesions after arthroscopic repair

Short-term outcomes after knotless all-suture anchor Bankart repair

All-Arthroscopic, 270° Reconstruction of the Inferior Glenohumeral Ligament With Palmaris Longus Autograft

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