Combined Posterior Bankart Lesion and Posterior Humeral Avulsion of the Glenohumeral Ligaments Associated With Recurrent Posterior Shoulder Instability |
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Authors: | J. David Hill John F. Lovejoy Jr. Robert A. Kelly |
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Affiliation: | 1. Department of Orthopaedic Surgery, Atlanta Medical Center, Atlanta, Georgia, U.S.A.;2. Resurgens Orthopaedics, Atlanta, Georgia, U.S.A.;3. Orthopaedic Clinic of Jacksonville, Jacksonville, Florida, U.S.A. |
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Abstract: | 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. |
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Keywords: | Shoulder instability Humeral avulsion of glenohumeral ligament Bankart lesion Posterior shoulder instability Arthroscopic instability surgery |
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