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Arthroscopic bony bankart repair using double-threaded headless screw: a case report
Takeshi Kokubu1, Issei Nagura, Yutaka Mifune
1Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe 650-0017, Japan.
Case Reports in Orthopedics
|December 11, 2012
Summary
Arthroscopic fixation of bony Bankart lesions using a double-threaded cannulated screw offers effective shoulder joint repair. This technique provides compression between bone fragments without exposing the screw head in the joint.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Arthroscopy
Background:
- A bony Bankart lesion is a common shoulder injury resulting from anterior shoulder instability.
- Traditional surgical approaches may involve open reduction and internal fixation, with potential complications.
- Arthroscopic techniques offer minimally invasive options for treating complex shoulder pathologies.
Observation:
- A 39-year-old male patient presented with a left shoulder injury after a motorcycle accident.
- Radiographs confirmed a bony Bankart lesion, and CT imaging revealed a 40% defect of the glenoid articular surface.
- The patient underwent arthroscopic fixation of the bony Bankart lesion.
Findings:
- The bony fragment was reduced by securing the labrum with a suture anchor.
- A double-threaded cannulated screw was utilized for arthroscopic fixation.
- This method achieved compression between the bony fragments, promoting stable healing.
Implications:
- Arthroscopic bony Bankart repair with a double-threaded cannulated screw is an effective treatment option.
- The technique avoids glenohumeral joint exposure of the screw head, potentially reducing impingement complications.
- This minimally invasive approach may lead to improved patient outcomes and faster recovery in shoulder instability cases.