Purpose: To investigate the midterm results of a standardized arthroscopic technique for labrum
reconstruction by using a third suprabicipital portal for better visualization of
the anterior glenoid rim. Methods: Thirty-three of 36 patients treated for recurrent anterior shoulder dislocation were
followed up by telephone and/or in clinical examinations. The average age of the patients
(12 women and 21 men) at the time of surgery was 25.2 years, with a mean follow-up
of 35 months. On average, 7.8 dislocations occurred between the first dislocation
and the stabilization procedure (mean, 45.4 months). Results: Two patients suffered again from redislocations (recurrence rate 6.1%), and 3 patients
had 1 or 2 subluxations (9.1%) at the time of follow-up. In the Rowe score, the patients
reached 77.5 points on average; 81.8% of the patients returned to sports and leisure
activities as in the time before the first dislocation, and 18.2% (6 patients) did
not. Limitations for external rotation were 7.8° on average postoperatively. No statistical
correlation between the number of preoperative dislocations and the level of the postoperative
Rowe score was found. Conclusions: The arthroscopic labrum reconstruction with capsular shift using the 3-portal technique
combined with a standardized suprabicipital camera position revealed a recurrence
rate and midterm results that were close to results achieved after open procedures.
The failure rate, according to the number of dislocations, was 6.1% based on the patient’s
satisfaction of 12.1%. Level of Evidence: Level IV, therapeutic case series.
Key Words
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The authors report no conflict of interest.
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© 2007 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
