Comparison of an arthroscopic and an open procedure for posttraumatic instability of the shoulder: A prospective, randomized multicenter study

Sperber, Anders; Hamberg, Per; Karlsson, Jón; Swärd, Leif; Wredmark, Torsten

doi:10.1067/mse.2001.112019

Cited by 138 publications

(130 citation statements)

References 17 publications

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“…While a large number of studies have looked at recurrence of shoulder instability following arthroscopic Bankart repair, a large degree of variability exists ranging from 3.4 to 33.3% lifetime recurrence rate, with an average rate of 13.1% when pooling 12 high-quality trials [8,[57][58][59][60][61][62][63][64]. The reported recurrence rate after arthroscopic Bankart repair ranges from 4 to 19% [65]; in newer literature, the risk is increased by participation in contact sports [66].…”

Section: Recurrence Of Shoulder Instabilitymentioning

confidence: 99%

Arthroscopic Bankart Repair for the Management of Anterior Shoulder Instability: Indications and Outcomes

DeFroda

Bokshan

Stern

et al. 2017

Curr Rev Musculoskelet Med

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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.

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Section: Recurrence Of Shoulder Instabilitymentioning

confidence: 99%

Arthroscopic Bankart Repair for the Management of Anterior Shoulder Instability: Indications and Outcomes

DeFroda

Bokshan

Stern

et al. 2017

Curr Rev Musculoskelet Med

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“…Arthroscopic techniques for reattaching the labrum can be divided into three categories: (1) a transglenoid suture technique, 14,26,35,51,62,74,76 (2) arthroscopically delivered and tied suture anchors, 33,40,93 and (3) arthroscopically delivered biodegradable tacs. 4,12,25,26,28,51,52,86,92 A comparison of the reported rates of recurrent dislocation for each technique is made in the Table. Multidirectional Instability The most commonly performed and most successfully reported surgical procedure for multidirectional instability of the shoulder is an anterior capsular shift, an open procedure that involves the overlaying and thus shortening of the anterior and inferior capsule. 3,60,77 Closure of the capsular interval between the subscapularis and supraspinatus has been reported to be successful in a small series of patients with subluxation.…”

Section: Surgical Managementmentioning

confidence: 99%

Shoulder Instability: Management and Rehabilitation

Hayes

Callanan²,

Walton³

et al. 2002

J Orthop Sports Phys Ther

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Shoulder dislocation and subluxation occurs frequently in athletes with peaks in the second and sixth decades. The majority (98%) of traumatic dislocations are in the anterior direction. The most frequent complication of shoulder dislocation is recurrence, a complication that occurs much more frequently in the adolescent population. The static (predominantly capsuloligamentous and labral) and dynamic (neuromuscular) restraints to shoulder instability are now well defined. Rehabilitation aims to enhance the dynamic muscular and proprioceptive restraints to shoulder instability. This paper reviews the nonoperative treatment and the postoperative management of patients with various classifications of shoulder instability.

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“…24,25 However, some reports showed no significant difference in loss of ROM. 3,11,14,26 We considered that these differences affected capsular augmentations (such as rotator interval closer and capsular shift) during arthroscopic surgery and/or ER angles of capsulorrhaphy for OBRICS. Therefore, we compared the results of a previous capsular augmentation study and those of our study (Table 5).…”

Section: Discussionmentioning

confidence: 99%

“…3,9 Few studies have prospectively evaluated the clinical results of traumatic anterior shoulder instability treated with either an open or arthroscopic procedure. [10][11][12][13][14] In addition, prospective studies reported short-term outcomes (less than 2-4 years); no middle or long-term (more than 5 years) outcome studies are currently available.…”

Section: Introductionmentioning

confidence: 99%

Open Bankart repair plus inferior capsular shift versus arthroscopic Bankart repair without augmentations for traumatic anterior shoulder instability: A prospective study

Uchiyama

Handa

Shimpuku

et al. 2017

Journal of Orthopaedic Surgery

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Purpose: Arthroscopic treatment of shoulder instability has some advantages (including short surgical time, less morbidity, less postoperative pain, reduced hospitalization time, and decreased risk of complications) compared with open procedures. We performed a prospective study comparing open repair with arthroscopic repair for recurrent anterior shoulder instability. The aim was to clarify the relative effectiveness of open Bankart repair plus inferior capsular shift (OBRICS) and arthroscopic Bankart (AB) repair without augmentations with approximately 5 years of follow-up. Methods: We investigated 32 shoulders of 30 patients (24 men and 6 women) undergoing OBRICS (15 shoulders of 17 patients; two patients were bilateral) and AB (15 shoulders of 15 patients). The average follow-up was 5 years and 2.5 months (range: 60-66 months). The clinical evaluation included recurrent instability rate, range of motion, and postoperative rehabilitation. All patients were assessed using the scoring systems of Rowe and the University of California at Los Angeles (UCLA) preoperatively and during the final evaluation. Results: Recurrent instability rates were significantly different between the OBRICS (0%) and AB (26.6%) groups (p ¼ 0.022). There were fewer limitations of external rotation (ER), ER at 90 abduction, and horizontal extension for AB than for OBRICS postoperatively (p < 0.05). The mean Rowe and UCLA scores for both methods were not significantly different at final follow-up. Conclusion: Our data suggest that OBRICS leads to a lower rate of recurrent instability. However, those with AB had fewer ER and horizontal extension limitations.

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Comparison of an arthroscopic and an open procedure for posttraumatic instability of the shoulder: A prospective, randomized multicenter study

Cited by 138 publications

References 17 publications

Arthroscopic Bankart Repair for the Management of Anterior Shoulder Instability: Indications and Outcomes

Arthroscopic Bankart Repair for the Management of Anterior Shoulder Instability: Indications and Outcomes

Shoulder Instability: Management and Rehabilitation

Open Bankart repair plus inferior capsular shift versus arthroscopic Bankart repair without augmentations for traumatic anterior shoulder instability: A prospective study

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