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Arthroscopic shoulder stabilization using transglenoid sutures. A four-year minimum followup
M J Pagnani1, R F Warren, D W Altchek
1Lipscomb Clinic/Columbia Sports Medicine, Nashville, Tennessee 37203, USA.
The American Journal of Sports Medicine
|July 1, 1996
Summary
Arthroscopic stabilization using transglenoid sutures effectively treated recurrent anterior shoulder instability in most patients. However, 19% experienced recurrent instability, particularly those without a Bankart lesion.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Arthroscopy
Background:
- Recurrent anterior shoulder instability is a common orthopedic issue.
- Arthroscopic stabilization techniques aim to restore shoulder stability and function.
- Transglenoid sutures are utilized for capsular and labral repair.
Purpose of the Study:
- To evaluate the long-term outcomes of arthroscopic stabilization for recurrent anterior shoulder instability.
- To identify factors associated with treatment failure.
Main Methods:
- Retrospective study of 37 patients undergoing arthroscopic stabilization with transglenoid sutures.
- Mean follow-up of 5.6 years (range, 4-10 years).
- Assessment of outcomes using Rowe criteria; analysis of failure rates and associated factors.
Main Results:
- 74% of patients achieved good or excellent results; 7% had fair results.
- 19% of patients experienced recurrent instability (failed results).
- Absence of a Bankart lesion was linked to postoperative instability (P=0.03); humeral head defects did not impact outcomes.
Conclusions:
- Arthroscopic stabilization with transglenoid sutures provides good to excellent outcomes in a majority of patients with recurrent anterior shoulder instability.
- Patients without a Bankart lesion are at higher risk for recurrent instability.
- All failures occurred within two years post-procedure, suggesting early monitoring is crucial.