Clinical and Functional Outcomes of Arthroscopic Bankart Repair among Patients with Recurrent Anterior Shoulder Dislocation

Authors

  • Naveed Ali Shair
  • Muhammad Abubakar
  • Rehan Sittar
  • Muhammad Khalid Syed
  • Abdullah Tariq
  • Muhammad Hanif Mian

Keywords:

Arthroscopy, Bankart repair, shoulder dislocation, suture anchors, range of motion

Abstract

OBJECTIVE: To note the functional outcome of recurrent anterior shoulder dislocation with Bankart repair (BR) treated with arthroscopic stabilisation with suture anchors.

METHODOLOGY: This prospective cohort study was conducted at the Department of Orthopedic Surgery, Lahore General Hospital, Lahore, from January 2021 to June 2022. Patients undergoing arthroscopic BR with anterior instability of the glenohumeral joint with at least >6 episodes of dislocation/subluxation in the last six months were analysed. Functional outcomes were assessed at one-month, three-month and six month intervals post-surgery using "Modified University of California Los Angeles (UCLA)" and "Simple Shoulder Test (SST)".

RESULTS: Of 25 patients, 24 (96.0%) were male. The mean age was 27.20±4.0 years. The mean duration of symptoms was 9.1±6.2 months. In 16 (64.0%) patients, 2-suture anchors were utilised, while 3-suture anchors were used in the remaining 9 (36.0%) patients. Pre-surgery, the mean UCLA score was 16.4±5.6 and improved to 1-month, 3-month and 6-month as 16.6±5.1, 22.8±6.2 and 28.4±6.6 respectively (p<0.001). Pre-surgery, the mean SST score was 4.7±2.4 which improved to 1-month, 3-month and
6-month as 5.4±2.6, 8.1±3.3 and 11.2±3.1 respectively (p<0.001). All patients (100%) had full range of motion after six months post-surgery.

CONCLUSION: Arthroscopic BR in recurrent anterior shoulder dislocation was a reliable procedure regarding functional outcomes and range of motion after six months of follow-up.

References

Cutts S, Prempeh M, Drew S. Anterior shoulder dislocation. Ann R Coll Surg Engl. 2009; 91(1): 2-7. doi:10.1308/003588409X359123.

Griffith JF. Measuring glenoid and humeral bone loss in shoulder dislocation. Quant Imaging Med Surg. 2019; 9(2): 134-143. doi:10.21037/qims. 2019.01.06.

Adla DN, Shukla S, Pandey R. Clinical outcome of arthroscopic anterior stabilisation of shoulder using absorbable knotless suture anchors. J Bone Joint Surg Br. 2009; 91-B(Suppl-1): 118. doi:10.1302/0301-620X.91BSUPP_I.0910118b.

Taylor D, Arciero R. Pathologic changes associated with shoulder dislocations. Arthroscopic and physical examination findings in first-time, traumatic anterior dislocations. Am J Sports Med. 1997; 25(3): 306-311. doi: 10.1177/ 036354659702 500306.

Perthes G. Über Operationen bei habitueller Schulterluxation. Dtsch Z Chir 1906; 56: 149-151.

Bankart ASB. Recurrent or habitual dislocation of the shoulder. BMJ. 1920; 1: 1132-1133.

White AE, Patel NK, Hadley CJ, Dodson CC. An Algorithmic Approach to the Management of Shoulder Instability. J Am Acad Orthop Surg Glob Res Rev. 2019; 3(12): e19.00168. doi:10.5435/JAAOSGlobal-D-19-00168.

Moya D, Aydin N, Yamamoto N. Current concepts in anterior glenohumeral instability: diagnosis and treatment. SICOT J. 2021; 7: 48. doi: 10.1051/sicotj/ 2021048.

Freedman KB, Smith AP, Romeo AA, Cole BJ, Bach BR Jr. Open Bankart repair versus arthroscopic repair with transglenoid sutures or bioabsorbable tacks for Recurrent Anterior instability of the shoulder: a meta-analysis. Am J Sports Med. 2004; 32(6): 1520-1527. doi:10.1177/0363546504265188.

Mousavibaygei SR, Moein S, Sharifi Razavi D, Haghi F, Karimi Matloub R. Evaluating the results of Bankart repair in recurrent traumatic anterior shoulder dislocation. Int J Burns Trauma. 2021; 11(4): 337-343.

Amroodi MN, Jafari D, Kousari AA. Results of Open Bankart Surgery for Recurrent Anterior Shoulder Dislocation with Glenoid Bone Defect and Concomitant Hill-Sachs Lesion. Arch Bone Jt Surg. 2018; 6(3): 212-218.

Dickson JW, Devas MB. Bankart's operation for recurrent dislocation of shoulder. J Bone Joint Surg (Br). 1957; 39: 114-9.

Moore ML, Pollock JR, McQuivey KS, Bingham JS. The Top 50 Most-Cited Shoulder Arthroscopy Studies. Arthrosc Sports Med Rehabil. 2021; 3(1): e277-e287. doi:10.1016/j.asmr.2020.09.011.

Vaishya R. The rise of shoulder arthroscopy. J Clin Orthop Trauma. 2019; 10(2): 221. doi: 10.1016/j.jcot.2019.02.003.

Boileau P, Villalba M, Héry JY, Balg F, Ahrens P, Neyton L. Risk factors for recurrence of shoulder instability after arthroscopic Bankart repair. J Bone Joint Surg Am. 2006; 88(8): 1755-1763. doi: 10.2106/JBJS.E.00817.

Yadav YK. Recurrent anterior shoulder instability. Med J Armed Forces India. 2002; 58(1): 95-96. doi: 10.1016/S0377-1237(02)80033-8.

Bonazza NA, Riboh JC. Management of recurrent anterior shoulder instability after surgical stabilisation in children and adolescents. Curr Rev Musculoskelet Med. 2020; 13(2): 164-172. doi: 10.1007/s12178-020-09612-4.

Kumar R, Rashid R, Kumar K, Vishwanath MS. The clinical and functional outcome of arthroscopic bankart repair in recurrent shoulder dislocation. Int J Orthopaed Sci. 2021; 7(1): 147-151.

Minoughan CE, Schumaier AP, Fritch JL, Grawe BM. Correlation of Patient-Reported Outcome Measurement Information System Physical Function Upper Extremity Computer Adaptive Testing, with the American Shoulder and Elbow Surgeons Shoulder Assessment form and Simple Shoulder Test in Patients with Shoulder Pain. Arthroscopy. 2018; 34(5): 1430-1436. doi: 10.1016/j.arthro.2017. 11.040.

Ee GW, Mohamed S, Tan AH. Long-term results of arthroscopic Bankart repair for traumatic anterior shoulder instability. J Orthop Surg Res. 2011; 6: 28. doi: 10.1186/ 1749-799X-6-28.

Hobby J, Griffin D, Dunbar M, Boileau P. Is arthroscopic surgery for stabilisation of chronic shoulder instability as effective as open surgery? A systematic review and meta-analysis of 62 studies including 3044 arthroscopic operations. J Bone Joint Surg Br. 2007; 89(9): 1188-1196. doi: 10.1302/0301-620X.89B9.18467.

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Published

27-09-2023

How to Cite

1.
Naveed Ali Shair, Muhammad Abubakar, Rehan Sittar, Syed MK, Abdullah Tariq, Muhammad Hanif Mian. Clinical and Functional Outcomes of Arthroscopic Bankart Repair among Patients with Recurrent Anterior Shoulder Dislocation. J Liaq Uni Med Health Sci [Internet]. 2023 Sep. 27 [cited 2024 Dec. 27];22(03):160-3. Available from: http://ojs.lumhs.edu.pk/index.php/jlumhs/article/view/1126

Issue

Vol. 22 No. 03 (2023): Journal of Liaquat University of Medical & Health Sciences

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Original Articles

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