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Arthroscopic shoulder stabilization using transglenoid sutures

A Ekelund1, R Nyberg

  • 1Dept. of Orthopaedics, St. Göran's Hospital, Stockholm, Sweden.

Scandinavian Journal of Medicine & Science in Sports
|December 24, 1998
PubMed
Summary

Arthroscopic stabilization with transglenoid sutures effectively treated recurrent anterior shoulder instability. Most patients achieved good to excellent outcomes, with many returning to sports at their previous level.

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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.

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  • 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.