Introduction: Treatment of anteroinferior shoulder instability by arthroscopy must restore stability while preserving joint motion. Inferior glenohumeral ligament (IGHL) laxity is an important parameter in the pathomechanism of this condition. The goals of this study is to use the Shoulder HyperAbduction Test (SHART) radiological test to quantify the tension in the IGHL following surgery and look for an eventual correlation between ligament tightening and joint motion.
Methods: This was a single-center, retrospective study that included patients with unilateral anteroinferior instability who were treated with an arthroscopic Bankart repair between September 2004 and December 2005. These patients did not experience any recurrence within a follow-up period of at least 2 years. Twenty-three patients were followed-up. This series included 16 men and seven women with an average age of 29.7±12 years. The average Instability Severity Index Score (ISIS) was 1.7±1.3 (from 0 to 3). The main outcome measures were the bilateral SHART test at the last follow-up visit and bilateral joint range of motion, before surgery and at the last follow-up.
Results: The follow-up was 3.3 years on average. The average SHART on the operated side (116.9±11.7°) was lower than the healthy side (121.9±9.6°), P=0.01. A difference of less than 4° was statistically related to loss of external rotation, with an odds ratio of 16, P=0.03. At the last follow-up, the average Walch-Duplay functional score was 72.4±13.8/100 and the Rowe score 90.2±11.6/100.
Discussion: It is difficult to achieve a perfect compromise between shoulder stability and joint motion. Progress in arthroscopy technique has led to a greater demand for the tightening of capsulo-labral and ligament structures. An arthroscopic Bankart repair provides IGHL tightening that is quantifiable with the SHART. External rotation is reduced when excessive tightening is made.
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http://dx.doi.org/10.1016/j.otsr.2011.04.009 | DOI Listing |
Background: Traumatic anterior shoulder dislocation is the most common type of joint dislocation, with an incidence of 11 to 29 per 100 000 persons per year. Controversy still surrounds the recommendations for treatment and the available procedures for surgical stabilization.
Methods: This review is based on pertinent publications (2014-2024) that were retrieved by a selective search in the PubMed and Google Scholar databases.
Arthroscopy
January 2025
Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center. Electronic address:
Purpose: The purpose of this study was to evaluate sex-based disparities in outcomes following surgery for anterior shoulder instability and to assess the quality of the current literature on this topic.
Methods: Following PRISMA guidelines, a June 2023 database search (PubMed, Web of Science, Embase, Cinahl) identified level I-III clinical studies on anterior shoulder instability (Jan 2003-May 2023). Eligible studies included male and female outcomes after anterior shoulder stabilization.
JSES Int
November 2024
Department of Orthopedics and Traumatology, Ankara Yildirim Beyazıt University, Ankara, Turkey.
Background: Arthroscopic Bankart repair (ABR) and the open Latarjet (OL) procedure are the most frequently preferred methods in the treatment of anterior glenohumeral instability. The aim of this study was to compare patients who underwent ABR or OL due to anterior glenohumeral instability in terms of functional capacity, glenohumeral bone loss, residual apprehension, redislocation, and dislocation arthropathy.
Methods: A total of 56 patients who underwent ABR or OL due to anterior glenohumeral instability between January 2018 and December 2021 were evaluated retrospectively.
Am J Sports Med
January 2025
Oregon Shoulder Institute, Medford, Oregon, USA.
Background: Despite the effectiveness of remplissage in reducing instability recurrence, debate remains about the loss of external rotation (ER) after this procedure.
Purpose: To compare the loss of ER after primary isolated arthroscopic Bankart repair alone (BR), Bankart with remplissage (REMP), and Latarjet (LAT) procedures.
Study Design: Meta-analysis; Level of evidence, 3.
Arthroscopy
January 2025
Department of Orthopaedic Surgery, Duke University, Durham, North Carolina, USA. Electronic address:
Purpose: To compare arthroscopic Bankart repair versus the open Latarjet procedure at a minimum of 10-year follow-up evaluating recurrence and arthropathy development rates.
Methods: A systematic review was performed in concordance with PRISMA guidelines. Studies were included if they reported on the arthroscopic Bankart repair or open Latarjet procedure with a minimum of 10-year follow-up.
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