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Summary
At this time the principal role of the arthroscope in the management of dislocating
shoulder seems to be the identification of the intra-articular pathology. The findings
should enable a surgeon to carry out an appropriate open repair, and the results of
such surgery are excellent. Is there a place for arthroscopic repair? Some patients
sometimes request it; others have had a failed open repair, or wish to avoid a scar.
The author has devised a removable “Rivet,” which fixes a loose labrum and the inferior
glenohumeral ligament back on to a roughened glenoid margin. Use of this technique
avoids some of the hazards that occur with implanting a staple or similar device in
the joint. The “Rivet” is removed after 4–6 weeks. Ten patients have been so treated,
with a follow-up of 6 months to 2 years. There was one failure, with a return of dislocation.
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References
- Bankart operation for recurrent dislocation of the shoulder.J Bone Joint Surg. 1957; 29B: 114-125
- Recurrent anterior dislocation of the shoulder.Am J Surg. 1956; 91: 323-333
- E. and L. Livingstone Ltd, Edinburgh1960: 492 Fractures and joint injuries, Vol. II. 4th ed.
- Inferior capsular shift for involuntary inferior and multidirectional instability of the shoulder.J Bone Joint Surg. 1980; 62A: 897-908
- Recurrent or habitual dislocation of the shoulder joint.Br Med J. 1923; 2: 1132-1133
- (Atlanta, February 9–14)Complications of repairs for glenohumeral instability.in: Instructional Course Lectures. 1984
Article info
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Copyright
© 1988 Arthroscopy Association of North America. All rights reserved. Published by Elsevier Inc.