Abstract:From January 1999 to December 2001, 58 patients with a Bankart or ALPSA lesion were treated with arthroscopic shoulder stabilization using absorbable suture anchors and slowly absorbable braided sutures. 56 patients underwent a follow-up clinical examination after, on average, 31 months (24-48 months). None of these patients had suffered more than five shoulder dislocations before the operation (average 2.8). Of the intraoperative lesions, a plain Bankart lesion was present in twelve patients (21.4%), 44 patie… Show more
“…Některé jsou zaměřeny na vlastní dosažené výsledky ASK stabilizace Bankartovy léze, jiné řeší otázku akutního ASK ošetření ramenního kloubu po první luxaci humeru. Většina prací je zaměřena na srovnání výsledků "otevřené" a "artroskopické" refixace Bankartova defektu -výhody, nevýhody jednotlivých postupů a metod (3,4,5,7,8,9,10,11,13,14,19,21,22,23,24,25,26). Považujeme tyto práce za velmi přínosné, neboť indikace k operačnímu výkonu nejsou dodnes zcela vyřešeny a záleží především na rozhodnutí operačního týmu k jakému řešení se v dané situaci rozhodne.…”
Section: Zásady Refixace Labra Podle Návodu Mitekunclassified
PURPOSE OF THE STUDYThe reconstructions of Bankart lesions, carried out according to the procedure recommended by the Mitek company, showed a high rate of recurrent dislocation. Therefore, based on operative experience, anatomical studies and reconstructive surgery on cadaver shoulders, we developed a new surgical technique that provided good shoulder stability and better operative outcomes. The results are reported here.
MATERIALBetween 1997 and 2005, arthroscopic Bankart repair with use of Mitek anchors was performed on 368 shoulders at the
“…Některé jsou zaměřeny na vlastní dosažené výsledky ASK stabilizace Bankartovy léze, jiné řeší otázku akutního ASK ošetření ramenního kloubu po první luxaci humeru. Většina prací je zaměřena na srovnání výsledků "otevřené" a "artroskopické" refixace Bankartova defektu -výhody, nevýhody jednotlivých postupů a metod (3,4,5,7,8,9,10,11,13,14,19,21,22,23,24,25,26). Považujeme tyto práce za velmi přínosné, neboť indikace k operačnímu výkonu nejsou dodnes zcela vyřešeny a záleží především na rozhodnutí operačního týmu k jakému řešení se v dané situaci rozhodne.…”
Section: Zásady Refixace Labra Podle Návodu Mitekunclassified
PURPOSE OF THE STUDYThe reconstructions of Bankart lesions, carried out according to the procedure recommended by the Mitek company, showed a high rate of recurrent dislocation. Therefore, based on operative experience, anatomical studies and reconstructive surgery on cadaver shoulders, we developed a new surgical technique that provided good shoulder stability and better operative outcomes. The results are reported here.
MATERIALBetween 1997 and 2005, arthroscopic Bankart repair with use of Mitek anchors was performed on 368 shoulders at the
Background:There is a strong correlation between glenoid defect size and recurrent anterior shoulder instability. A better understanding of glenoid defects could lead to improved treatments and outcomes.Purpose:To (1) determine the rate of reporting numeric measurements for glenoid defect size, (2) determine the consistency of glenoid defect size and location reported within the literature, (3) define the typical size and location of glenoid defects, and (4) determine whether a correlation exists between defect size and treatment outcome.Study Design:Systematic review; Level of evidence, 4.Methods:PubMed, Ovid, and Cochrane databases were searched for clinical studies measuring glenoid defect size or location. We excluded studies with defect size requirements or pathology other than anterior instability and studies that included patients with known prior surgery. Our search produced 83 studies; 38 studies provided numeric measurements for glenoid defect size and 2 for defect location.Results:From 1981 to 2000, a total of 5.6% (1 of 18) of the studies reported numeric measurements for glenoid defect size; from 2001 to 2014, the rate of reporting glenoid defects increased to 58.7% (37 of 63). Fourteen studies (n = 1363 shoulders) reported defect size ranges for percentage loss of glenoid width, and 9 studies (n = 570 shoulders) reported defect size ranges for percentage loss of glenoid surface area. According to 2 studies, the mean glenoid defect orientation was pointing toward the 3:01 and 3:20 positions on the glenoid clock face.Conclusion:Since 2001, the rate of reporting numeric measurements for glenoid defect size was only 58.7%. Among studies reporting the percentage loss of glenoid width, 23.6% of shoulders had a defect between 10% and 25%, and among studies reporting the percentage loss of glenoid surface area, 44.7% of shoulders had a defect between 5% and 20%. There is significant variability in the way glenoid bone loss is measured, calculated, and reported.
Current data show that the majority of patients in Germany with shoulder instability caused by soft tissue lesions are treated arthroscopically. The published redislocation rates in retrospective studies are less than 10%. Currently most surgeons prefer to use special strong suture materials and bioabsorbable suture anchors with a trend for knotless anchors. Some authors have published special techniques for labrum repair including double row fixation to increase the pull out force of the sutures but further prospective studies are necessary to prove whether these techniques can reduce the redislocation rate. In cases of extended anterior pouch of the capsule and in non-traumatic instability, capsular plication and interval closure can be indicated. There are still no clear objective parameters concerning indications or amount of plication and interval closure.
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