Arthroscopic shoulder stabilization using transglenoid sutures

Area of Science:

• Orthopedic Surgery
• Sports Medicine
• Arthroscopy

Background:

• Posttraumatic recurrent anterior shoulder instability is a common disabling condition.
• Surgical intervention is often required to restore shoulder stability and function.
• Arthroscopic techniques offer minimally invasive options for shoulder stabilization.

Purpose of the Study:

• To evaluate the efficacy and safety of arthroscopic stabilization using multiple transglenoid sutures for posttraumatic recurrent anterior shoulder instability.
• To assess patient outcomes, including recurrence rates, functional scores, and return to sports.

Main Methods:

• A cohort of 24 patients with posttraumatic recurrent anterior shoulder instability underwent arthroscopic stabilization.
• Multiple transglenoid sutures were employed for glenoid rim repair.
• Patients were followed for a minimum of 2 years postoperatively.

Main Results:

• No serious complications were reported during the follow-up period.
• Two patients (8.3%) experienced recurrence of instability.
• The remaining 22 patients achieved good or excellent results, with a median modified Rowe score of 89.
• A median loss of 5 degrees in external rotation was observed.
• Seventeen patients remained active in sports, with 11 returning to their previous competitive level.

Conclusions:

• Arthroscopic stabilization with multiple transglenoid sutures is a safe and effective treatment for posttraumatic recurrent anterior shoulder instability.
• This technique yields high rates of patient satisfaction and successful return to sports.
• The procedure demonstrates a low recurrence rate and minimal impact on shoulder range of motion.