Related Experiment Video
Updated: Mar 30, 2026
10:10
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
44.2K
Arthroscopic Versus Open Stabilization for Anterior Shoulder Subluxations
Brett D Owens1, Kenneth L Cameron1, Karen Y Peck1
1John A. Feagin Jr Sports Medicine Fellowship, Keller Army Hospital, US Military Academy, West Point, New York, USA.
Orthopaedic Journal of Sports Medicine
|November 5, 2015
Summary
Surgical stabilization of anterior glenohumeral subluxations yields excellent outcomes, with no significant difference between open and arthroscopic approaches. Early intervention for athletes with fewer than four subluxation events improves results and reduces recurrence.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Shoulder Instability Research
Background:
- Limited literature exists on treating anterior glenohumeral subluxations compared to dislocations.
- Focus on anterior subluxation events is crucial for comprehensive shoulder instability management.
Purpose of the Study:
- To evaluate surgical stabilization outcomes for anterior glenohumeral subluxations.
- To compare the efficacy of open versus arthroscopic surgical techniques.
Main Methods:
- Prospective randomized controlled trial (Level of evidence, 2).
- Inclusion of patients with anterior glenohumeral subluxations undergoing Bankart repair, excluding significant bone loss or complex tears.
- Randomization to open or arthroscopic Bankart repair with a minimum 2-year follow-up, assessing outcomes via SANE, WOSI, ASES, SST, Rowe, and Tegner scores.
Main Results:
- 19 patients completed follow-up (10 open, 9 arthroscopic); no significant differences in 2-year outcomes (WOSI, ASES, etc.) between groups.
- Overall recurrence rate of 31% (6/19) for subluxations, with no dislocations.
- Patients with ≤3 prior subluxation events showed superior outcomes (WOSI, ASES) compared to those with >3 events.
Conclusions:
- Surgical stabilization provides excellent outcomes for Bankart lesions from anterior glenohumeral subluxations.
- No significant difference in outcomes between open and arthroscopic methods.
- Early surgical stabilization for young athletes with ≤3 subluxation events is recommended to improve outcomes.
