共查询到20条相似文献,搜索用时 15 毫秒
1.
This case report presents a traumatic dislocation after an arthroscopic Bankart repair in which the repair site was intact and failure occurred through a new bony interval. The new bony Bankart lesion was identified 3 years after the initial arthroscopic repair. This highlights the issue of whether a traumatic redislocation after a surgical repair for recurrent shoulder instability represents a failure of repair or a reinjury. 相似文献
2.
3.
4.
5.
Recurrent posterior glenohumeral instability is uncommon and is often misdiagnosed. Damage to the posterior capsule, posteroinferior glenohumeral ligament, and posterior labrum have all been implicated as sources of traumatic posterior instability. We describe a case of traumatic recurrent posterior instability resulting from a posterior Bankart lesion accompanied by posterior humeral avulsion of the glenohumeral ligaments. The Bankart lesion was repaired using a single arthroscopic suture anchor at the glenoid articular margin. The posterior humeral avulsion of the glenohumeral ligaments was addressed with 3 suture anchors placed at the capsular origin at the posterior humeral head. Using these anchors, the posterior capsule was advanced laterally and superiorly for a secure repair. Arthroscopic anatomic reconstruction of both lesions resulted in an excellent clinical outcome. 相似文献
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
Introduction This study presents an arthroscopic removal technique for proud metallic suture anchor after Bankart repair and analyzes the
cause of anchor failures.
Patients Six male patients with an average age 23 years who had proud anchor on the glenoid surface were included. The diagnosis of
six patients at the time of the primary surgery was traumatic anterior shoulder instability. Four patients had arthroscopic
repair and two had open Bankart repair previously. Four patients complained of pain accompanying a metallic clicking sound
during shoulder motion which increased with abduction and external rotation. One patient had pain with apprehension of dislocation
and another patient suffered from only pain. Most symptoms had been revealed during the rehabilitation period (average 8.3 months)
and confused with postoperative pain. The protruded anchors were detected through plain radiographs in four patients and during
arthroscopic examination in two patients.
Method To extract the proud anchor arthroscopically, a screw driver of a larger diameter than that of the proud suture anchor was
used to retrieve the anchor. A larger screw driver was striked with a hammer along the previous suture anchor hole to make
a room between the suture anchor and the adjacent glenoid bone so that the hole of the suture anchor became larger. After
the hole was widened, the suture anchor had enough room to move freely and it could be removed with a grasper or a mosquito
easily. The location of the proud anchor was 2, 3 and 5 o’clock in three patients and 4 o’clock in three patients. In two
patients, the suture anchor was malpositioned about 5 mm medial from the anterior glenoid rim. All patients had chondral damage
on the humeral head.
Results Following the procedure none had shoulder instability in 3 years of follow-up. Preoperative visual analog scale score for
pain was an average of 3.5. The visual analog scale score for pain was decreased to 1.2 after surgery. All patients had a
slight limitation of external rotation preoperatively, and they showed a normal range of motion postoperatively. Constant
score improved from 65 to 89, and similarly, American Shoulder and Elbow Society score increased from 67 to 88 after the operation.
Conclusion Despite small numbers of patients, a successful removal of proud metal suture anchors was achieved using a large empty suture
anchor screw driver, which is a simple and reproducible method to remove a proud metallic suture anchor arthroscopically. 相似文献
17.
18.
Chung-Yuh Tzeng Yung-Cheng Chiu Kui-Chou Huang Kuan-Rong Lee Chu-Ling Chang Hsiu-Jung Cheng Shiu-Jung Hung Feng-Chun Chang Wen-Huey Chen Jordan Leith 《Formosan Journal of Musculoskeletal Disorders》2013,4(3):65-71
BackgroundIn this report, we describe our preliminary clinical results of arthroscopic Bankart repair in traumatic anterior-inferior shoulder instability using the two-portal method.MethodFrom August 2009 to December 2011, arthroscopic repair of Bankart lesion using this method was performed in 16 consecutive patients who were prospectively enrolled. Fifteen shoulders were treated with two-anchor sutures and one was treated with three-anchor sutures. Twelve patients received metallic anchor screws and four patients received bioanchor screws. The assessments were performed using the Rowe score, the University of California at Los Angeles shoulder rating scale, the American Shoulder and Elbow Surgeons score, and the shoulder range of motion (ROM) deficit.ResultsWith an average follow-up period of 22.9 months, all shoulder scores improved after surgery (p < 0.001). The average ROM deficit of the operated shoulders was not significant as compared with the healthy side in forward elevation (p > 0.05), but was significant in external rotation (p < 0.05). All of the 16 shoulders remained stable (100%) after the arthroscopic repair surgery. All patients returned to their preinjury levels of daily activity without recurrent problems.ConclusionIn patients with traumatic anterior glenohumeral instability, arthroscopic Bankart repair with the two portal method can provide good results. It can be an alternative method of treating patients with Bankart lesion without associated major glenoid defect or rotator cuff lesion in traumatic anterior-inferior instability. 相似文献
19.
IntroductionArthroscopic Bankart revision after recurrent shoulder dislocation is still a matter of discussion. Several factors are contributing to this injury. Recently the development of all suture anchors has grown in popularity in arthroscopic stabilization. It was proven to preserve bone stock, smaller in size thus more anchors can be made.Presentation of caseWe presented a case of 27-year-old woman with recurrent anterior dislocation after seven years of arthroscopic Bankart repair. Seven years before, we performed Bankart repair using three 2.8 mm fiber-wire anchor (FASTak® (Arthrex, Karsfield Germany)). For the revision surgery we performed arthroscopic revision using four all suture anchor technique (Y-Knot® Flex All-Suture Anchor, 1.3 mm – One strand of #2 Hi-Fi® (Conmed, New York)).DiscussionFrom preoperative and intraoperative assessment, we found no anchor failure and no massive bony lesion. To preserve the bone stock we insert four all suture anchors between the old anchor. One year post-operative follow up showed that patient could gain normal range of movement. No early or late complications were observed.ConclusionCompared to the conventional metallic anchor, all suture anchor has the same biomechanical strength. Moreover due to its relatively small size, it can reserve bone stock and more anchors can be made thus adding more stability to the shoulder. 相似文献