Application of arthroscopy in interior luxation of the shoulder.
Background. Arthroscopy is undoubtly the most comprehensive procedure for shoulder lesions providing even better inspection of the interior of the joint than conventional open procedures.<br /> Material and methods. The atrthroscopic Bankart procedure by suture and MITEK technique was performed in 102 patients (1992-2003) with acute anterior shoulder dislocations. The minimum follow-up was 1 year. Clinical examination demostrated positive labrum pathology in all cases. <br /> Results. Arthroscopic treatment of acute shoulder dislocations has been succesfull in 100%. None of 102 patients experienced intraoperative complications or infections. A slight loss of abduction and minimal loss of external rotation was found in patients but there was no recurrence of complete dislocations or subluxations. <br /> Conclusions. We believe that arthroscopic surgical intervention after the initial shoulder dislocations can dramatically lower the recurrence rate and should be considered as a treatment option in young patients.
Pawlas
Roman
R
Oddział Urazowo-Ortopedyczny, Wojewódzki Szpital Specjalistyczny, Bielsko-Biała.
Frac
Robert
R
Dziecioł
Andrzej
A
Wilczyński
Jacek
J