Arthroscopic Bankart repair using suture anchors in athletes: patient selection and postoperative sports activity.
OBJECTIVE
The purpose of this study was to evaluate the results in selected high-risk patients who underwent arthroscopic stabilization of shoulders with recurrent anterior instability.


OBJECTIVE
Arthroscopic stabilization using suture anchors is useful for athletes younger than 25 years or for contact athletes without a large bone loss of glenohumeral articulation.


METHODS
Prospective cohort study.


METHODS
The study group comprised 55 patients, with a mean follow-up of 42 months (range, 25-72 months). Thirty-two patients had recurrent dislocations, 14 had recurrent subluxations, and 9 had recurrent subluxations after a single dislocation. Rowe score, range of motion, recurrence, and sports activities were evaluated.


RESULTS
Mean Rowe score improved from 30.1 to 92.3 points; 45 scores (82%) were excellent, 5 (9%) good, 1 fair (2%), and 4 (7%) poor. Patients had lost a mean of 4 degrees of external rotation in adduction. Four (7%) had recurrence. The recurrence rate in contact athletes (9.5%, 2 of 21) was not statistically different from that in noncontact athletes (6%, 2 of 34). Forty-four (80%) returned at the same levels. The complete return rate in overhead-throwing athletes (68%, 17 of 25) was lower than that in nonoverhead athletes (90%, 27 of 30) (P = .0423). Five patients had unsatisfactory results.


CONCLUSIONS
Arthroscopic stabilization is a reliable procedure in selected high-risk patients.
Ide
Junji
J
Department of Orthopaedic Surgery, Kumamoto University Hospital, Japan. ide@kaiju.medic.kumamoto-u.ac.jp
Maeda
Satoshi
S
Takagi
Katsumasa
K
D000293:Adolescent; D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D018579:Patient Selection; D011446:Prospective Studies; D016059:Range of Motion, Articular / Q000502:physiology; D055502:Secondary Prevention; D012783:Shoulder Dislocation / Q000503:physiopathology / Q000601:surgery*; D012785:Shoulder Joint / Q000503:physiopathology / Q000601:surgery; D013177:Sports / Q000502:physiology; D013536:Suture Techniques; D016896:Treatment Outcome