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Review
. 2017 Dec;10(4):442-451.
doi: 10.1007/s12178-017-9435-2.

Arthroscopic Bankart Repair for the Management of Anterior Shoulder Instability: Indications and Outcomes

Steven DeFroda  1 , Steven Bokshan  2 , Evan Stern  2 , Kayleigh Sullivan  3 , Brett D Owens  2
Affiliations
Review

Arthroscopic Bankart Repair for the Management of Anterior Shoulder Instability: Indications and Outcomes

Steven DeFroda et al. Curr Rev Musculoskelet Med. 2017 Dec.

Abstract

Purpose of review: Arthroscopic Bankart repair is commonly utilized for shoulder stabilization in patients with anterior shoulder instability with minimum glenoid bone loss. The purpose of this review is to provide the indications, surgical technique, complications, and recent outcomes in arthroscopic Bankart repair for shoulder instability.

Recent findings: Improvements in arthroscopic techniques have led to better patient outcomes, as well as an improved understanding of the pathoanatomy of instability. More recent studies have shown that one of the potential failures of primary arthroscopic repair may be due to unaddressed bone loss. This underscores the importance of evaluating glenoid bone loss and proper patient selection for this procedure to ensure successful outcome. When indicated, arthroscopic stabilization is the treatment of choice for many surgeons due to its lower morbidity and low overall complication rate. Future work must focus on longer-term outcomes in patients undergoing arthroscopic Bankart repair, as well as the clinical outcomes of new fixation techniques, augmentation techniques, and the effect of glenoid bone loss in outcome.

Keywords: Arthroscopy; Bankart; Bone loss; Hill-Sachs; Outcomes; Shoulder instability.

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Conflict of interest statement

Conflict of Interest

Brett D. Owens reports non-financial support from MTF/CONMED and Mitek, outside the submitted work. The rest of the authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Figures

Fig. 1
Fig. 1
Proposed algorithm for the management of anterior instability based on patient pathology
Fig. 2
Fig. 2
Patient in beach chair position, the operative arm is held by a pneumatic arm holder
Fig. 3
Fig. 3
a Anterior landmarks of the shoulder, coracoid (blue arrow), antero-inferior portal, and antero-superior portal (green arrows). b Posterior portal (green arrow), an accessory 5 o’clock portal (blue arrow) can be made inline with the posterior border of the clavicle (dotted line) if posterior pathology is present. c Antero-lateral (white arrow) and posteriolateral (green arrow) corner of the acromion
Fig. 4
Fig. 4
The arthroscopic shaver is used to debride the zone of injury, assist in mobilization of the Bankart lesion, and decorticate bone on the glenoid for improved healing prior to repair. Glenoid (G), humeral head (HH)
Fig. 5
Fig. 5
Fully mobilized Bankart lesion (B), glenoid (G), humeral head (HH)
See this image and copyright information in PMC

References

    1. el Akad AM, Winge S, Molinari M, Eriksson E. Arthroscopic Bankart procedures for anterior shoulder instability. A review of the literature. Knee Surg Sports Traumatol Arthrosc. 1993;1(2):113–122. doi: 10.1007/BF01565465. - DOI - PubMed
    1. Owens BD, Harrast JJ, Hurwitz SR, Thompson TL, Wolf JM. Surgical trends in Bankart repair: an analysis of data from the American Board of Orthopaedic Surgery certification examination. Am J Sports Med. 2011;39(9):1865–1869. doi: 10.1177/0363546511406869. - DOI - PubMed
    1. Aboalata M, Plath JE, Seppel G, Juretzko J, Vogt S, Imhoff AB. Results of arthroscopic Bankart repair for anterior-inferior shoulder instability at 13-year follow-up. Am J Sports Med. 2016:1–6. - PubMed
    1. Alkaduhimi H, van der Linde JA, Willigenburg NW, Paulino Pereira NR, van Deurzen DFP, van den Bekerom MPJ. Redislocation risk after an arthroscopic Bankart procedure in collision athletes: a systematic review. J Shoulder Elb Surg Elsevier Inc. 2016;25(9):1549–1558. doi: 10.1016/j.jse.2016.05.002. - DOI - PubMed
    1. Blonna D, Bellato E, Caranzano F, Assom M, Rossi R, Castoldi F. Arthroscopic Bankart repair versus open Bristow-Latarjet for shoulder instability: a matched-pair multicenter study focused on return to sport. Am J Sports Med. 2016;44(12):3198–3205. doi: 10.1177/0363546516658037. - DOI - PubMed

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