[Results of arthroscopic ventral limbus capsule refixation after primary traumatic shoulder dislocation]

The three-year results for arthroscopic refixation of the labrum-ligament-capsule complex after traumatic primary dislocation of the shoulder will be discussed. This prospective study included only patients with primary dislocations showing radiographic signs of anterior instability in the drawer test and no accompanying bony injuries. Twenty-six patients with an average age of 31 years and arthroscopic suture had been dismissed from postoperative treatment after an average 15 weeks showing a fully mobile and pain-free shoulder joint. At the time of follow-up the average results obtained with our own score were 94.1 points. 61.5% of the patients showed fully mobile shoulder joints and 84.6% reported full sporting capacity. Negative findings were obtained for all stability tests performed after 32 months. No recurrencies had occurred until the time of the follow-up. Compared to the reluxation rates described in the literature for traumatic primary shoulder dislocations in juvenile patients, our three-year results were highly positive and we will continue to use arthroscopy in the treatment of instable shoulder joints after traumatic primary dislocation in order to avoid recurrencies and associated sequelae.