Title: Management of Recurrent Shoulder Dislocation by Arthroscopic Repair

Authors: Mudidana Prudhvi, Moka Siddartha

 DOI: https://dx.doi.org/10.18535/jmscr/v8i10.42

Abstract

Background: The shoulder joint, by virtue of its anatomy and biomechanics, is one of the most unstable and frequently dislocated joints in the body, accounting for nearly 50% of all dislocations, with a 2% incidence in the general population.

The cases are treated usually either open bankart’s repair and arthroscopic repair since early 19th century, but there are reports of the more incidence of failures after arthroscopic repair than open repair. But in recent period with understanding of the anatomy and pathophysiology behind dislocation and advent of newer technique and implants, favourable reports are seen in recent period.

Patients and Methods: This study is conducted in the department of orthopaedics, Andhra medical college, Visakhapatnam, Andhra Pradesh from July 2017 to December 2017.

The recurrent anterior shoulder dislocations patients presented to outpatient department and emergency department during the period of study fulfilling the inclusion criteria are included in the study.

All the patients are treated with arthroscopic bankart repair using suture anchors and followed up for a period of 1 year to assess the functional outcome.

Results: Excellent results are achieved in 16 patients and good results seen in 3 patients. No complications are reported during the study period.

Conclusion: Arthroscopic bankart repair with suture anchors are a good option for treating the recurrent anterior shoulder dislocation with good functional outcome.

References

  1. Tjoumakaris F.P., Bradley J.P. The rationale for an arthroscopic approach to shoulder stabilization. Arthroscopy. 2011;27(October (10)):1422–1433.
  2. 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 JtSurg Br. 2007;89:1188–1196
  3. Sisto D.J., Cook D.L. Intraoperative decision making in the treatment of shoulder instability. Arthroscopy. 1998;14:389–394.
  4. Brophy R.H., Marx R.G. The treatment of traumatic anterior instability of the shoulder: nonoperative and surgical treatment. Arthroscopy. 2009;25(3):298–304
  5. Clin Orthop Relat Res.2012 Apr;470( 4):961-4. doi: 10.1007/s11999-011-2229
  6. Gutierrez V, Monckeberg JE, Pinedo M, Radice F. Arthroscopically determined degree of injury after shoulder dislocation relates to recurrence rate Orthop J Sports Med.2016 Jun 23;4 (6):2325967116654114. doi:10.1177/2325967116654114.2016 Jun.
  7. Comparison of Time to Recurrence of Instability After Open and Arthroscopic Bankart Repair Techniques. Virk MS, Manzo RL, Cote M Arthroscopy.2013 May;29(5):920-33. doi: 10.1016/j.arthro.2012.11.010. Epub2013 Feb 5.

Corresponding Author

Mudidana Prudhvi

Junior Resident, Department of Orthopaedics, Andhra Medical College