Posttraumatic anterior-inferior instability of the shoulder: arthroscopic findings and clinical correlations

Spatschil, A.; Landsiedl, F; Anderl, Werner; Imhoff, Andreas B.; Seiler, H.; Vassilev, I.; Klein, W.; Boszotta, H.; Hoffmann, F.; Rupp, S.

doi:10.1007/s00402-005-0006-4

Cited by 91 publications

(63 citation statements)

References 18 publications

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“…In our experience, according to other authors [7,8,13,14], during shoulder arthroscopy for instability in some patients we observed not only a detensioning of capsularlabral tissue but also an attenuation or deficiency of this tissue, that sometimes can appear very thin and inconsistent. When we are facing these conditions, a simple tensioning of this tissue may not be enough to avoid failure.…”

Section: Discussionmentioning

confidence: 75%

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A new technique to improve tissue grip and contact force in arthroscopic capsulolabral repair: the MIBA stitch

Castagna

Conti

Mouhsine

et al. 2008

Knee Surg Sports Traumatol Arthr

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The success of anatomic repair of Bankart lesion diminishes in the presence of a capsule stretching and/or attenuation is reported in a variable percentage of patients with a chronic gleno-humeral instability. We introduce a new arthroscopic stitch, the MIBA stitch, designed with a twofold aim: to improve tissue grip to reduce the risk of soft tissue tear, particularly cutting through capsular-labral tissue, to and address capsule-labral detachment and capsular attenuation using a double loaded suture anchor. This stitch is a combination of horizontal mattress stitch passing through the capsular-labral complex in a "south-to-north" direction and an overlapping single vertical suture passing through the capsule and labrum in a "east-to-west" direction. The mattress stitch is tied before the vertical stitch in order to reinforce the simple vertical stitch, improving grip and contact force between capsular-labral tissue and glenoid bone.

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Section: Discussionmentioning

confidence: 75%

“…Spatschil et al [7] noted that recurrence after primary post-traumatic shoulder dislocation causes an increasing ligamentous damage with a consequent deficiency of anatomic restraints to instability.…”

Section: Introductionmentioning

confidence: 99%

A new technique to improve tissue grip and contact force in arthroscopic capsulolabral repair: the MIBA stitch

Castagna

Conti

Mouhsine

et al. 2008

Knee Surg Sports Traumatol Arthr

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“…10,11 The "engaging Hill-Sachs lesion" was termed by Burkhart and De Beer to describe a compression fracture of the humeral head that engages the anterior glenoid rim when the arm is placed in abduction and external rotation. Such defects are related to a greater rate of recurrent instability after arthroscopic Bankart repair alone.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic Remplissage for Moderate-Size Hill-Sachs Lesion

Alexander

Beicker

Tokish

2016

Arthroscopy Techniques

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Humeral bone loss has been shown to be a risk factor for failure after arthroscopic treatment of instability. We present the arthroscopic remplissage technique originally described by Koo and Burkhart et al. with a modification in the percutaneous anchor placement and suture tying that is reproducible and effective. We percutaneously place 2 suture anchors, which require no additional suture passing across the tissue, to create a double pulley technique, filling the defect with posterior capsule and rotator cuff. Therefore, the Hill-Sachs defect becomes extra-articular, eliminating the potential engagement of the anterior glenoid and contribution to recurrence of instability. This technique is applicable broadly for most Hill-Sachs lesions that need addressing. By not having to pass or shuttle any suture through tissue after anchor placement and by eliminating the necessity to go subacromially to retrieve or tie suture, the technique saves time and improves reproducibility. The compression of tissue into the Hill Sachs surface area also is improved by double-reinforced suturing through the double-pulley technique. The combination of these advantages creates a sound and efficient technique for remplissage.

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“…Íàëè÷èå êîñòíîãî äåôèöèòà ïå-ðåäíåãî êðàÿ ñóñòàâíîé âïàäèíû âûÿâëÿåòñÿ â 20-30% ñëó÷àåâ ó ïàöèåíòîâ, ïåðåíåñøèõ ïåðâè÷íóþ òðàâìàòè-÷åñêóþ äèñëîêàöèþ [16], äî 90% ñëó÷àåâ -ó ïàöèåíòîâ ñ ðåöèäèâèðóþùèìè âûâèõàìè [17,18]. Ïîâðåaeäåíèÿ Hill-Sachs áûëè îòìå÷åíû â 31-93% ñëó÷àåâ ïåðâè÷íîãî è ïîâòîðíîãî âûâèõîâ ïëå÷à, à òàêaeå â 76% ñëó÷àåâ íåóäà÷íûõ ñòàáèëèçàöèé [19]. Êîìïüþòåðíàÿ òîìîãðà-ôèÿ ñ âîçìîaeíîñòüþ 3D-ìîäåëèðîâàíèÿ ïîçâîëÿåò ñ ìàêñèìàëüíîé òî÷íîñòüþ âåðèôèöèðîâàòü íàëè÷èå êîñò-íûõ ïîâðåaeäåíèé, èõ ðàçìåðû è ôîðìó.…”

Section: литературный обзор современных этаповunclassified

“…Òàê, ïî äàííûì àðòðîñêîïèè, áû-ëî óñòàâëåíî, ÷òî ðàñïðîñòðàíåííîñòü ïîâðåaeäåíèé Hill-Sachs äîñòèãàåò îò 47 äî 80% ïðè ïåðâè÷íîì âûâèõå è ïðèáëèaeàåòñÿ ê 100% -â ñëó÷àÿõ ðåöèäèâèðóþùåé íåñòàáèëüíîñòè [24][25][26]. Èñïîëüçîâàíèå ôîðìóëû, ïðåä-ëîaeåííîé I.K.…”

Section: литературный обзор современных этаповunclassified

The Historical Review and Trends in the Development of Surgical Treatment of Reccurent Shoulder Instability

Прохоренко¹,

Filipenko²,

Fomenko³

2016

Bûll. sib. med.

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Posttraumatic anterior-inferior instability of the shoulder: arthroscopic findings and clinical correlations

Abstract: Thus we conclude that early surgical stabilization after posttraumatic anterior-inferior shoulder dislocation is necessary to prevent increasing damage within the shoulder joint.

Cited by 91 publications

References 18 publications

A new technique to improve tissue grip and contact force in arthroscopic capsulolabral repair: the MIBA stitch

A new technique to improve tissue grip and contact force in arthroscopic capsulolabral repair: the MIBA stitch

Arthroscopic Remplissage for Moderate-Size Hill-Sachs Lesion

The Historical Review and Trends in the Development of Surgical Treatment of Reccurent Shoulder Instability

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