Mini-incision bankart repair

Leslie A Fink Barnes, Kenneth Accousti, Edward W. Lee, Evan L. Flatow

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Recurrent instability can lead to severe disability. The balance between stability and freedom of motion makes the glenohumeral joint vulnerable to injury. Treatment can be challenging. Historic surgical options have included staple capsulorrhaphy [1] and subscapularis advancement [2], but these procedures resulted in substantial restriction of external rotation and subsequent glenohumeral arthrosis [3-7]. Furthermore, the traditional limited operative indications failed to account for the growing awareness of subluxations as a source of symptomatic instability [8-11]. Surgical options today for anterior shoulder instability include capsular shift [12], capsulolabral repair [13], and transfer of the coracoid [14]. Some indications are overlapping, but mini-incision open Bankart repair may be favored in cases of young collision and over-head athletes, revision cases, and in cases with a sizable glenoid fracture amenable to screw fixa tion [12, 17-22]. Here we describe the mini-incision approach for capsulolabral repair.

Original languageEnglish (US)
Title of host publicationMinimally Invasive Surgery in Orthopedics
PublisherSpringer International Publishing
Pages97-112
Number of pages16
ISBN (Electronic)9783319341095
ISBN (Print)9783319341071
DOIs
StatePublished - Jul 30 2016

Keywords

  • Anterior apprehension test
  • Anterior/posterior drawer tests
  • Bony Bankart injury
  • Hill-Sachs lesions
  • Humeral avulsion of glenohumeral ligament (HAGL)
  • Jobe’s relocation test
  • Load-and-shift tests
  • Mini-incision Bankart repair
  • Posterior stress test
  • Sulcus test

ASJC Scopus subject areas

  • Medicine(all)

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