Shoulder instability: State of the Art

Sheean, Andrew J.; Beer, J.F. de; Giacomo, Giovanni Di; Itoi, Eiji; Burkhart, Stephen S.

doi:10.1136/jisakos-2016-000070

Cited by 12 publications

(13 citation statements)

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“…However, no randomized prospective studies with a high level of evidence on this subject are available in the literature. 19 Many authors advocate the efficacy of isolated capsulolabral arthroscopic repair in the treatment of glenohumeral instability for situations with glenoid bone loss of less than 15–20%; bone transfer surgeries are preferred only in cases in which the glenoid bone loss exceeds 20–25%. 6 , 7 Nonetheless, the lower bone defect threshold value for which isolated capsulolabral repair is indicated remains controversial; it has been increasingly considered that this value should not be exhaustive and universal, but rather only one of the parameters of each individual's instability risk profile.…”

Section: Discussionmentioning

confidence: 99%

“…Any glenoid bone lesion is an important risk factor for recurrence of glenohumeral dislocations, and isolated capsulolabral repair has higher recurrence rates than bone transfer surgeries in these patients; the larger the glenoid bone defect, the higher the risk. 5 , 6 , 7 , 8 , 19 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 …”

Section: Discussionmentioning

confidence: 99%

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Modified Bristow-Latarjet procedure for treatment of recurrent traumatic anterior glenohumeral dislocation

Moura

Reis

Ferreira

et al. 2018

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveRetrospective case–control study of authors experience in the modified Bristow-Latarjet procedure for treatment of recurrent traumatic anterior glenohumeral dislocation with glenoid bone injury.MethodsSample with 102 recurrent glenohumeral dislocation cases submitted to modified Bristow-Latarjet procedure. Indications included situations of recurrent traumatic anterior glenohumeral instability with more than two dislocation episodes and with glenoid bone attritional or fragmentary injuries, without possibility of reconstruction. Mean follow-up time was 5.33 ± 2.74 years (minimum 1; range 1–13).ResultsThe mean Walch-Duplay Score at the last evaluation was 91.23 ± 11.46 (range 15–100). The functional score of patients with glenoid bone loss greater than 20% did not show a significant difference in comparison with patients with glenoid bone loss lower than 20% (90 vs. 92, respectively). The functional score also did not show a significant difference between sports practice categories and between recreational and competitive practice, being excellent (greater than 90) in every category. There were no dislocation recurrences and the only complications were a case of persistent instability and a screw revision. Mild glenohumeral osteoarthrosis imaging signs were identified in 7.84% of the patients; however, their functional scores were not significantly different in comparison to other patients.ConclusionThe modified Bristow-Latarjet procedure is a very effective procedure with few complications in the medium-term, showing very satisfactory functional outcomes in the treatment of recurrent traumatic anterior glenohumeral dislocation associated with glenoid bone injury.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Modified Bristow-Latarjet procedure for treatment of recurrent traumatic anterior glenohumeral dislocation

Moura

Reis

Ferreira

et al. 2018

Revista Brasileira de Ortopedia (English Edition)

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“…Recurrence rates after arthroscopic Bankart repair (ABR) have been reported to be between 4 and 35%. 3 …”

Section: Introductionmentioning

confidence: 99%

Arthroscopic Bankart repair: A matched cohort comparison of the modified Mason Allen method and the simple stitch method

Wongtriratanachai

Nimkingratana

Phornphutkul

2020

Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilit

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Introduction Arthroscopic Bankart repair (ABR) has become a standard treatment for recurrent anterior shoulder dislocation in cases with minimal bone loss. Using the standard Bankart repair technique, the failure rate has been reported to be approximately between 4 and 35%. In addition to the original injury, multiple pathologies can occur after a dislocation including a Bankart lesion, capsular redundancy and bone defects. In cases with no significant bone loss, soft tissue plays a major role in stabilizing the shoulder joint. We hypothesized that effective repair of soft tissue with good inferior capsular shifting and proper capsulolabral restoration can create a proper level of soft tissue tension so the horizontal mattress suture method should improve outcomes. Materials and methods A retrospective cohort study was conducted by reviewing the records of patients with recurrent anterior instability who underwent ABR at a single institution between January 2009 and December 2017. Demographic information, preoperative radiographic data including glenoid bone loss, Hill-Sachs width, glenoid track and other surgical details were retrieved from the medical records. The patients identified were divided into 2 groups. Group 1 had one modified Mason Allen stitch plus simple stitches, while Group 2 had only simple stitches. Data obtained from the patient included failure rate, patient satisfaction, the ROWE score and Walch-Duplay score at a minimum of 2 years after surgery. Risk factors for failure were also identified. Results Group 1 included 50 patients (mean age 27.2 ± 9.4 years) who underwent modified Mason Allen stitch ABR (median follow-up, 59.2 months; range, 26.2–128.6 months). Group 2 included 30 patients (mean age 26.9 ± 8.5 years) who underwent simple stitch repair ABR (median follow-up, 68.0 months; range, 24.0–127.9 months). All patients met the inclusion criteria. Evaluation at the final follow-up compared Group 1 and Group 2: ROWE score (86.8 vs 76.3, P = 0.001), Walch-Duplay score (87.2 vs 82.0, P = 0.035), respectively. Failure rates were 6% in group 1 compared to 10% in group 2 (P = 0.511). Conclusions The modified Mason Allen stitch technique and the simple stitches technique ABR both result in excellent patient satisfaction at a minimum 2-year follow-up. Both techniques successfully restore shoulder stability, but the modified Mason Allen stitch technique results in better functional outcomes. Study design Cohort study; level of evidence, 3.

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“…In the absence of a bony defect, and if the patient does not present any specific risk of postoperative failure, a Bankart repair can be proposed, which has a failure rate of 4% to 35%. 1 …”

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confidence: 99%

Modified Mason–Allen Knot for Arthroscopic Complex Bankart Lesion Repair in Recurrent Anterior Shoulder Instability

Housset¹,

Nourissat²

2021

Arthroscopy Techniques

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The arthroscopic Bankart repair is a safe and reliable procedure for the treatment of recurrent shoulder instability for the well-indicated patient. Many repair techniques have been described to restore both labral height and width and recreate a dynamic concavity–compression effect. The modified Mason–Allen knot was first described for rotator cuff tear repair and consists of a horizontal mattress knot with a simple vertical stitch on the same anchor. The purpose of this work is to present the use of the modified Masen–Allen knot for the repair of the capsular labral complex during an arthroscopic Bankart procedure.

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Shoulder instability: State of the Art

Cited by 12 publications

References 100 publications

Modified Bristow-Latarjet procedure for treatment of recurrent traumatic anterior glenohumeral dislocation

Modified Bristow-Latarjet procedure for treatment of recurrent traumatic anterior glenohumeral dislocation

Arthroscopic Bankart repair: A matched cohort comparison of the modified Mason Allen method and the simple stitch method

Modified Mason–Allen Knot for Arthroscopic Complex Bankart Lesion Repair in Recurrent Anterior Shoulder Instability

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