Arthroscopic bioabsorbable tack stabilization of initial anterior shoulder dislocations: A preliminary report

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      Twenty-six consecutive cadet athletes sustained an acute, initial anterior shoulder dislocation. All dislocations required a manual reduction for initial treatment. Arthroscopy was performed within 10 days in all patients. The Beach chair position and interscalene anesthesia were used in each case. At arthroscopy, 25 patients had an avulsion of the anterior-inferior capsulolabral complex (Bankart lesion) from the glenoid rim. One patient had a lateral detachment of the inferior glenohumeral ligament from the humeral neck. Twenty-three patients had a Hill-Sachs lesion and 3 SLAP tears were noted. All Bankart lesions were repaired with a cannulated bioabsorbable fixation device. Nineteen patients, over 1 year postoperative, are the subject of this preliminary report. The average age was 19.5 years (range, 17 to 23 years). Follow-up averaged 19 months (range, 12 to 24 months). The average loss of external rotation was 3°. There have been no recurrent dislocations and 1 patient has had a single episode of resubluxation. Using the Rowe point score, 16 patients were rated excellent, 2 good, and 1 fair. All of the athletes in this study have returned to preinjury performance status. Acute stabilization of initial anterior shoulder dislocations appears to be an effective treatment option in young athletes known to have high recurrence rates with nonoperative treatment. This particular technique has been safe with little morbidity.


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        • Aronen J.G.
        • Regan K
        Decreasing the incidence of recurrence of first time anterior shoulder dislocations with rehabilitation.
        Am J Sports Med. 1984; 12: 283-291
        • Henry J.H.
        • Genung J.A.
        Natural history of glenohumeral dislocation revisited.
        Am J Sports Med. 1982; 10: 135-137
        • Hovelius L
        Shoulder dislocation in Swedish ice hockey players.
        Am J Sports Med. 1979; 6: 373-377
        • Hovelius L
        • Eriksson K
        • Fredin H
        • Hagberg G
        • Hussenius V.A.
        • Lind B
        • Thorling J
        • et al.
        Recurrence after initial dislocation of the shoulder.
        J Bone Joint Surg Am. 1983; 65: 343-349
        • Hovelius L
        Anterior dislocation of the shoulder in teenagersand young adults.
        J Bone Joint Surg Am. 1987; 69: 393-399
        • Kiviluoto O
        • Posila M
        • Jaronia H
        • Sundholm A
        Immobilization after primary dislocation of the shoulder.
        Acta Orthop Scand. 1980; 51: 915-919
        • McLaughlin H.L.
        • MacLellan D.I.
        Recurrent anterior dislocation of the shoulder.
        J Trauma. 1967; 7: 191-201
        • Rowe C.R.
        • Sakellairdes H.T.
        Factors related to recurrences of anterior dislocation of the shoulder.
        Clin Orthop. 1961; 20: 40-48
        • Simonet W.T.
        • Cofield R.H.
        Prognosis in anterior shoulder dislocation.
        Am J Sports Med. 1984; 12: 19-24
        • Wheeler J.H.
        • Ryan J.B.
        • Arciero R.A.
        • Molinari R.N.
        Arthroscopic versus nonoperative treatment of acute shoulder dislocations in young athletes.
        Arthroscopy. 1989; 5: 213-217
        • Arciero R.A.
        • Wheeler J.H.
        • Ryan J.B.
        • McBride J.T.
        Arthroscopic Bankart repair vs. nonoperative treatment for acute, initial, anterior shoulder dislocations.
        Am J Sports Med. 1994; 22: 589-594
        • Skyhar M.J.
        • Altchek D.W.
        • Warren R.F.
        • et al.
        Shoulder arthroscopy with the patient in the beach-chair position.
        Arthroscopy. 1988; 4: 256-259
        • Warner J.P.
        • Warren R.E.
        Arthroscopic Bankart repair using a cannulated, absorbable fixation device.
        Op Tech Orthop. 1991; 1: 192-198
        • Pagnani M.J.
        • Warren R.E.
        Arthroscopic shoulder stabilization.
        Op Tech Sports Med. 1993; 1: 276-284
        • Snyder S.J.
        • Karzel R.P.
        • DelPizzo W.
        • Forkel R.D.
        • Friedman M.J.
        SLAP lesions of the shoulder.
        Arthroscopy. 1990; 6: 274-279
        • Warner J.J.P.
        • Kam S
        • Marks P
        Arthroscopic repair of combined bankart and superior lateral detachment anterior and posterior lesions: Technique and preliminary results.
        Arthroscopy. 1994; 10: 383-391
        • Coughlin L
        • Rubinovich M
        • Johansson J
        • White B
        • Greenspoon J
        Arthroscopic staple capsulorraphy for anterior shoulder instability.
        Am J Sports Med. 1992; 20: 253-256
        • Hawkins R.B.
        Arthroscopic stapling repair for shoulder instability.
        in: A retrospective study of 50 cases. Ed. 3. Arthroscopy. 5. 1989: 122-128
        • Matthews L.S.
        Anterior staple capsulorraphy for recurrent anterior shoulder instability.
        Arthroscopy. 1988; 4: 106-111
        • Ticker J.B.
        • Bigliani L.U.
        • Soslowsky L.J.
        • Pawluk R.I.
        • Flatow E.L.
        • Mow V.C.
        Viscoelastic and geometric properties of the inferior glenohumeral ligament.
        in: Presented at the 25th Annual American Orthopaedic Association Residents' Conference, Ann Arbor, MIMarch 1992
        • Turkel S.J.
        • Panic M.W.
        • Marshal J.L.
        • Girgis R.J.
        Stabilizing mechanisms preventing anterior dislocation of the glenohumeral joint.
        J Bone Joint Surg Am. 1981; 63: 1208-1217
        • O'Brien S.J.
        • Neves M.C.
        • Arnoczky S.P.
        • Rozbruck S.R.
        • DiCarlo E.F.
        • Warren R.F.
        • Schwartz R.
        • et al.
        The anatomy and histology of the inferior glenohumeral ligament complex of the shoulder.
        Am J Sports Med. 1990; 18: 449-456
        • Baker C.L.
        • Uribe J.W.
        • Whitman C.
        Arthroscopic evaluation of acute initial shoulder dislocations.
        Am J Sports Med. 1990; 18: 25-28
        • Perthes G
        Uber Operationen bei Habituellur Schulterluxation.
        Deutsch Ztschr Chir. 1906; 85: 199-227
        • Aronen J.G.
        • Regan K.
        Decreasing the incidence of recurrence of first time anterior shoulder dislocations with rehabilitation.
        Am J Sports Med. 1984; 12: 283-291
        • Morgan C.D.
        • Bodenstab A.B.
        Arthroscopic Bankart suture repair:Technique and early results.
        Arthroscopy. 1987; 3: 111-122