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Arthroscopic Repair of Traumatic Anterior Shoulder Instability with Small Glenoid Bone Defect
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  • Journal title : Clinics in Shoulder and Elbow
  • Volume 7, Issue 2,  2004, pp.70-75
  • Publisher : Korean Shoulder and Elbow Society
  • DOI : 10.5397/CiSE.2004.7.2.070
 Title & Authors
Arthroscopic Repair of Traumatic Anterior Shoulder Instability with Small Glenoid Bone Defect
Koo Bon-Seop; Jeong Hwa-Jae;
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 Abstract
Purpose: To evaluate the results of arthroscopic repair of traumatic anterior shoulder instability with glenoid bone defect. Materials and Methods: Nineteen patients who had underwent arthroscopic repair for the shoulder with traumatic anterior instability and glenoid bone defect were retrospectively reviewed. Mean age was 24.6 years(range, 20 to 39) and mean follow-up was 23 months(range, 19 to 55). No glenoid bone defect was greater than 7mm in length and 20% of the glenoid. The results were evaluated according to stability, range of motion and function. Results: All patients obtained excellent-good results according to Rowe scoring system. Two patients(10.5%) had instability. The mean loss of external rotation was 15 degrees (range, 0 to 25). Functionally, 17 patients could participate in preinjured work or sports to the same level with or without mild discomfort. The remained 2 patients who had 25 degree loss of external rotation could not play sports. Conclusion: Though arthroscopic repair is a good treatment for traumatic anterior shoulder instability with small glenoid bone defect, it is possible to cause loss of external rotation
 Keywords
Shoulder;Traumatic anterior instability;Glenoid bone defect;Arthroscopic repair;
 Language
Korean
 Cited by
 References
1.
Bigliani LU, Newton PM, Steinmann SP, Connor PM and Mcllveen SJ: Glenoid rim lesions associated with recurrent anterior dislocation of the shoulder. Am J Sports Med, 26: 41-45, 1998.

2.
Buhler M and Gerber C: Shoulder instability related to epileptic seizures. J Shoulder Elbow Surg, 11: 339-344,2002. crossref(new window)

3.
Burkhart SS and De Beer JF: Traumatic gleno-humeral bone defects and their relationship to failure of arthroscopic Bankart repairs: Significance of the inverted-pear glenoid and the humeral engaging Hill-Sachs lesion. Arthroscopy, 16:677-694,2000. crossref(new window)

4.
Burkhart SS, De Beer JF, Tehrany AM and Parten PM: Quantifying glenoid bone loss arthroscopically in shoulder instabilty. Arthroscopy, 18:488-491,2002. crossref(new window)

5.
Edwards TB, Boulahia A and Walch G: Radiographic analysis of bone defect in chronic anterior shoulder instability. Arthroscopy, 19: 732-739,2003. crossref(new window)

6.
Hovelius L, Eriksson K, Fredin H, et al: Recurrences after initial dislocation of the shoulder. Results of a prospective study of treatment. J Bone Joint Surg, 65-A: 343-349, 1983.

7.
Itoi E, Lee SB, Berglund LJ, Berge LL and An KN: The effect of a glenoid defect on anteroinferior stability of the shoulder after Bankart repair: A cadaveric study. J Bone Joint Surg, 82-A:35-46,2000.

8.
Lo IKY, Parten PM and Burkhart SS: The inverted pear glenoid: An indicator of significant glenoid bone loss. Arthroscopy, 20:169-174,2004. crossref(new window)

9.
Pavlov H, Warren RF, Weiss CB, et al: The roentgenographic evaluation of anterior shoulder instabiltiy. Clin Orthop,194:153-158,1985.

10.
Porcellini G, Campi F and Paladini P: Arthroscopic approach to acute bony Bankart lesion. Arthroscopy, 18:764-769,2002. crossref(new window)

11.
Robinson CM, Kelly M and Wakefield AE: Redislocation of the shoulder during the first six weeks after a primary anterior dislocation: Risk factors and results of treatment. J Bone Joint Surg, 84-A:1552-1559,2002.

12.
Rowe CR: Prognosis in dislocations of the shoulder. J Bone Joint Surg, 38-A: 957-977, 1956.

13.
Rowe CR, Patel D and Southmayd WW: The Bankart procedure: A long-term end-results study. J Bone Joint Surg, 60-A: 1-16,1978.

14.
Ryu RK: Arthroscopic approach to traumatic anterior shoulder instability. Arthroscopy, 19: 94-101,2003.

15.
Singson RD, Feldman F, Bigliani LU: CT arthrographic patterns in recurrent glenohumeral instability. AJR, 149: 749-753, 1987. crossref(new window)

16.
Stein DA, Jazrawi L and Bartolozzi AR: Arthroscopic stabilization of anterior shoulder isntability: A review of the literature. Arthroscopy, 18:912-924,2002. crossref(new window)

17.
Tauber M, Resch H, Forstner R, Raffl M and Schauer J: Reasons for failure after surgical repair of anterior shoulder instability. J Shoulder Elbow Surg, 13: 279-285, 2004. crossref(new window)

18.
Werner AW, Lichtenberg S, Schmitz H, Nikolic A and Habermeyer P: Arthroscopic findings in atraumatic shoulder instability. Arthroscopy, 20: 268-272, 2004. crossref(new window)

19.
Williams GR and Hassan ASH: Surgical management of failed anterior instability surgery. Operative Techniques in Orthopaedics, 13: 242-251,2003. crossref(new window)