T-plasty modification of the Bankart procedure for multidirectional instability of the anterior and inferior types.

Altchek, David W.; Warren, Russell F.; Skyhar, Michael J.; Ortiz, Gerald

doi:10.2106/00004623-199173010-00013

Cited by 408 publications

(191 citation statements)

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“…Most authors have found that multidirectional shoulder instability was equally common in males and females and that it was often bilateral with a high recurrence rate [1,3,4,6,13,15]. In our series there was a moderate female predominance.…”

Section: Discussionsupporting

confidence: 46%

Non-operative treatment of multidirectional shoulder instability

Kiss

Damrel

Mackie

et al. 2001

International Orthopaedics

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At an average follow-up of 3.7 years we assessed the results of non-operative treatment of 84 symptomatic shoulders in 59 patients with a diagnosis of multidirectional shoulder instability. Sixty-two shoulders had received no previous surgical treatment (group A) while 22 had failed to respond to surgical treatment before the rehabilitation programme (group B).Subjectively 11 of the non-operated shoulders (group A) were cured and 27 improved, 23 of the shoulders remained the same and one was worse at follow-up. According to the age and gender adjusted Constant score, 38 of the non-operated shoulders had either no disability or only mild disability, nine had moderate disability, while the remaining 15 had severe or total disability. These figures were far worse in group B. In group A only four shoulders required operation, while in group B seven required operation following rehabilitation.Patients who had had previous shoulder surgery, those with a work related injury and those with psychological problems were less likely to benefit from the rehabilitation programme.Résume Nous avons suivi pendant 3.7 ans 84 épaules chez 59 patients avec une instabilité multidirectionnelle traitée par un programme de rééducation. Soixante-deux épaules (groupe A) ne recevaient aucun traitement chirurgical, et 22 épaules (groupe B) ont eu un traitement chirurgical inefficace avant la rééducation. Dans le groupe A, 11 sont sans symptôme, 27 sont améliorés, 23 restent sans changement, et une est aggravé. Selon le score de Constant, 38 épaules n'avaient aucune insuffisance ou avaient des signes cliniques très modérés, neuf avaient des signes modérés et 15 avaient une instabilité sérieuse. Les résultats dans le groupe B ont été beaucoup plus mauvais. Dans groupe A quatre épaules et dans le groupe B sept épaules ont été opérées après la rééducation. Les patientes qui étaient traités chirurgicalement á cause d'un accident du travail ont fait leur programme de rééduca-tion avec moins de succès.

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Section: Discussionsupporting

confidence: 46%

Non-operative treatment of multidirectional shoulder instability

Kiss

Damrel

Mackie

et al. 2001

International Orthopaedics

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“…We examined instability by performing a modified load and shift test in the supine position [24]. The degree of instability was quantified based on the degree of subluxation with Grade 0 indicating no translation, Grade 1+ indicating translation to the glenoid rim, Grade 2+ translation beyond the glenoid rim with spontaneous reduction, and Grade 3+ translation beyond without spontaneous reduction [1]. Other provocative tests included the O'Brien's test, Apprehension Test, Neer, and Hawkins impingement tests.…”

Section: Methodsmentioning

confidence: 99%

‘Batter’s Shoulder’: Can Athletes Return to Play at the Same Level After Operative Treatment?

Wanich

Dines

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Background Batter's shoulder has been defined as posterior subluxation of the lead shoulder during the baseball swing. However, it is unclear whether or how frequently patients may return to play after treatment of this uncommon condition. Questions/purposes We therefore determined the rate of return to play after operative treatment for Batter's shoulder and whether ROM was restored. Methods We retrospectively reviewed the records of 14 baseball players diagnosed with Batter's shoulder. Four played professionally, six were in college, and four were in varsity high school. The average age was 20.3 years (range, 16-33 years). All had physical examinations and MRI findings consistent with posterior labral tears involving the lead shoulder. Treatment involved arthroscopic posterior labral repair (n = 10), débridement (n = 2), or rehabilitation (n = 2). The minimum followup was 18 months (average, 2.8 years; range, 18-64 months).

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“…5(I), it is assumed that the non-pathological glenoid cavity (MGW) had an initial measurement from point A to B. However, with some clinical conditions and injuries such as; congenital deficiency (glenoid hypoplasia), Bankart defects 36 or excessive wear 37,38 , the balance stability angle decreased with narrowed width (as illustrated in Fig. 5(II)) of the glenoid cavity, resulting to glenoid insufficiency.…”

Section: Glenoid Cavity Dimension and Scapular Geometrymentioning

confidence: 99%

Morphometry of the glenoid cavity and its correlation with selected geometric measurements of the scapula

Aigbogun

Oladipo

Oyakhiree

et al. 2017

Bangladesh J Med Sci

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Introduction: An understanding of the normal glenoid cavity morphometry is important in corroborating the basis of luxation at the glenohumeral joint (GHJ). This study was carried out to determine the morphomertic relationship of the glenoid cavity to joint stability and device models to estimateglenoid cavity dimensions ofthe scapular boneof Nigerian origin in a post-mortem skeletal state using selected angles and dimension Methods: A total of 200well-macerated unpaired scapulaebone (96 right and 104 left) with complete ossification were used for this study. Geometric measurements were taken using standard procedures. SPSS (IBM® version 20) was used to analyze the data and the results of all measured parameters (for both sides and total) were presented. Correlation was determined from the summation of the bilateral measurement of; the superior (SSA), inferior (ISA) and medial (SVA) angles of the scapulae, maximum height of the scapula (MHS), and maximum glenoid height and width (MGH and MGW). Glenoid index (GI) was calculated by dividing MGW by MGH. Regression formulae for estimation the glenoid cavity parameters were derived. Significance level was set at 95% (P≤0.05 was considered significant). Result: The mean GIwas calculated as 68.18±5.93% (with min. and max. ratio of 54% and 87%respectively). Of the predictor variables for estimating MGH and MGW, SSA was weakly (-) correlated (r<0.2; R 2 <0.1), MSH was averagely (+) correlated (r<0.55; R 2 <0.3), while a strong (+) correlation was observed between the interglenoid cavity dimensions (r=0.785; R 2 =0.617). Conclusion: Indices below 50% and above 89% are indications of possible GHJ problems.Using single measurements of various scapular parts to estimate the glenoid cavityis possible.Distortion of the morphometric relationship that exists between MGW and MGH is a clear pointer for glenohumeral luxation syndromes.

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T-plasty modification of the Bankart procedure for multidirectional instability of the anterior and inferior types.

Cited by 408 publications

References 0 publications

Non-operative treatment of multidirectional shoulder instability

Non-operative treatment of multidirectional shoulder instability

‘Batter’s Shoulder’: Can Athletes Return to Play at the Same Level After Operative Treatment?

Morphometry of the glenoid cavity and its correlation with selected geometric measurements of the scapula

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