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Chunyan Jiang - One of the best experts on this subject based on the ideXlab platform.
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double pulley dual row technique for arthroscopic fixation of large bony Bankart Lesion minimum 2 year follow up with ct evaluation
Orthopaedic Journal of Sports Medicine, 2021Co-Authors: Siyi Guo, Chunyan JiangAbstract:Background:A “double-pulley” dual-row technique had been applied for arthroscopic fixation of large bony Bankart Lesion in which the fragment has a wide base.Purpose:To investigate clinical outcome...
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clinical results after all arthroscopic reduction and fixation of bony Bankart Lesion
Chinese journal of surgery, 2011Co-Authors: Yiming Zhu, Chunyan Jiang, Qingyun XueAbstract:OBJECTIVE To investigate the shoulder function after arthroscopic reduction and internal fixation in patients with bony Bankart Lesion. METHODS Between May 2004 and May 2008, 45 patients with bony Bankart Lesion who were treated with all arthroscopic reduction and internal fixation with metal anchors were included in this study. Among them 40 patients were male and 5 patients were female. The average age at the surgery was 27.6 years (16.5 - 50.1 years). The average duration of follow-up was 29.7 months (24.8 - 49.0 months). A history of recurrent dislocation of affected shoulder was found in all patients. Metal anchors were used to fix the bony Bankart Lesion during the surgery. Hill-Sachs remplissage technique was used to treat the Engaging Hill-Sachs Lesion. The preoperative American Shoulder and Elbow Society (ASES) score, Constant-Murley score, Rowe score and the VAS score for instability were 84 ± 14, 95.1 ± 4.6, 39.4 ± 2.9 and 5 ± 3 respectively. RESULTS No significant change was found regarding active forward elevation, external rotation and internal rotation after the surgery. The ASES score, Constant-Murley score, Rowe score and the VAS score of stability were 95 ± 7, 98.3 ± 2.2, 84.5 ± 22.0 and 1 ± 2, improved significantly higher after the surgery (P < 0.01). One subluxation and 3 redislocation were happened during follow-up. The overall failure rate was 8.9% (4/45). CONCLUSIONS All arthroscopic reduction and fixation of bony Bankart Lesion can achieve a good result.
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a new double pulley dual row technique for arthroscopic fixation of bony Bankart Lesion
Knee Surgery Sports Traumatology Arthroscopy, 2011Co-Authors: Jin Zhang, Chunyan JiangAbstract:The double-row technique is a new concept for arthroscopic treatment of bony Bankart Lesion in shoulder instability. It presents a new and reproducible technique for arthroscopic fixation of bony Bankart fragments with suture anchors. This technique creates double-mattress sutures which compress the fragment against its bone bed and restores better bony anatomy of the anterior glenoid rim with stable and non-tilting fixation that may improve healing.
Jon J P Warner - One of the best experts on this subject based on the ideXlab platform.
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results of arthroscopic capsulolabral repair Bankart Lesion versus anterior labroligamentous periosteal sleeve avulsion Lesion
Arthroscopy, 2008Co-Authors: Mehmet Ugur Ozbaydar, Bassem T Elhassan, David Diller, Daniel F Massimini, Laurence D Higgins, Jon J P WarnerAbstract:Purpose The purpose of this study was to evaluate the results of arthroscopic capsulolabral repair for traumatic anterior shoulder instability and to compare the outcome in patients who have Bankart Lesions versus those with anterior labroligamentous periosteal sleeve avulsion (ALPSA) Lesions. Methods This study included 99 patients (93 shoulders), 72 male and 17 female, with a mean age of 32 years, who underwent arthroscopic Bankart repair for traumatic, recurrent anterior shoulder instability, by use of suture anchors. In 67 shoulders (72%) a discrete Bankart Lesion was repaired, and in 26 shoulders (28%) an ALPSA Lesion was repaired. The 2 groups were analyzed with regard to the number of preoperative dislocations and number of postoperative recurrences. Results At a mean follow-up of 47 months (range, 24 to 98 months), recurrence of instability was documented in 10 shoulders (10.7%). Of the shoulders, 5 had Bankart Lesions (7.4%) and 5 had ALPSA Lesions (19.2%) ( P = .0501). The mean number of dislocations or subluxations before the index surgery was significantly higher in the ALPSA group (mean, 12.3 [range, 2 to 57]) than in the Bankart group (mean, 4.9 [range, 2 to 24]) ( P P > .05 for all). Conclusions Patients with ALPSA Lesions present with a higher number of recurrent dislocations than those with discrete Bankart Lesions. In addition, the failure rate after arthroscopic capsulolabral repair is higher in the ALPSA group than in the Bankart group. Level of Evidence Level IV, therapeutic case series.
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arthroscopic fixation of posterior Bankart Lesion in the beach chair position
Techniques in Shoulder and Elbow Surgery, 2008Co-Authors: Darren J Friedman, Jon J P Warner, Nata Parnes, Zachary R Zimmer, Laurence D HigginsAbstract:ABSTRACT Posterior labral injuries and posterior shoulder instability are becoming an increasingly recognized and treated entity in those with shoulder pain. Arthroscopic stabilization may be performed in either the beach chair or lateral decubitus position. We will describe in detail the arthroscopic technique of posterior labral repair in the beach chair position for the treatment of symptomatic posterior labral Lesions or posterior instability in patients who have failed conservative treatment. Postoperative rehabilitation and clinical results will be summarized.
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arthroscopic versus open Bankart repair for traumatic anterior shoulder instability
Clinics in Sports Medicine, 2000Co-Authors: Brian J Cole, Jon J P WarnerAbstract:After more than 15 years of experience, arthroscopic shoulder stabilization is becoming less controversial. Historically, recurrence rates following arthroscopic stabilization have been higher than with open stabilization. Although a negligible advantage may exist in terms of expedited postoperative rehabilitation and improved postoperative recovery of motion, critics suggest that its use in contact athletes be limited. The indications for arthroscopic stabilization are expanding, in part, because of improved understanding of the pathophysiology of shoulder instability. Understanding the mechanism of recurrent instability following arthroscopic stabilization offers clues to how physicians can prevent unsatisfactory results in the future. With newer instrumentation and the ability to thermally treat capsular tissue, coexisting pathology, such as capsular plastic deformation, rotator interval Lesions, and unrecognized intra-articular pathology, can now be addressed arthroscopically. The judicious use of these techniques is warranted until long-term study results become available. Ideal patients for arthroscopic Bankart repair have a discrete Bankart Lesion; a robust, well-developed IGHL; no significant capsular laxity or intraligamentous injury; and an absence of concomitant intra-articular pathology. Additional findings on MR imaging or CT evidence of a discrete labral Lesion and pure unidirectional anterior instability during EUA are also good prognostic indicators for arthroscopic Bankart repair. Arthroscopic criteria that render patients less appropriate for an arthroscopic repair include capsular injury, capsular laxity, a bony Bankart Lesion, glenohumeral arthritis, and a rotator cuff tear. The authors' believe that either absent or patulous, poorly developed glenohumeral ligaments represent a poor prognostic indicator for a successful outcome following standard arthroscopic Bankart repair. Individuals with poor-quality tissue are more predictably managed using open capsulorrhaphy. Patients with pathologic ligamentous laxity in the absence of a Bankart Lesion or any apparent intraligamentous injury to the IGHL are also good candidates for treatment with an open capsulorrhaphy. Findings determined from a thorough physical examination, EUA, and the pathology appreciated during diagnostic arthroscopy help to appropriately choose the surgical procedure that effectively addresses pathology in patients who present with recurrent traumatic anterior instability. Patient preferences and surgical experience are important determinants of procedure selection, and current arthroscopic techniques lack the versatility to uniformly address the entire spectrum of pathology that may be associated with traumatic anterior shoulder instability. Surgeons should always be prepared to convert to an open-stabilization technique if the arthroscopic technique is deficient in addressing all pathology identified at the time of surgery.
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combined Bankart and hagl Lesion associated with anterior shoulder instability
Arthroscopy, 1997Co-Authors: Jon J P Warner, Gloria M BeimAbstract:Traumatic anterior shoulder instability has been shown to be associated with a spectrum of capsulolabral pathology, including separation of the labrum (Bankart Lesion), capsular rupture, and humeral avulsion of the glenohumeral ligaments (HAGL Lesion). We describe a case of combined Bankart and HAGL Lesions, a condition that has not been described before. Careful anatomic repair of both components of this bipolar capsular injury resulted in an excellent outcome.
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an arthroscopic technique for anterior stabilization of the shoulder with a bioabsorbable tack
Journal of Bone and Joint Surgery American Volume, 1996Co-Authors: Kevin P. Speer, Russell F Warren, Michael J Pagnani, Jon J P WarnerAbstract:Arthroscopically assisted repair of the anterior aspect of the labrum with use of a bioabsorbable tack was performed in fifty-two consecutive patients who had chronic anterior instability of the shoulder. The average age of the patients was twenty-eight years (range, sixteen to fifty years). The etiology of the instability was a traumatic injury in forty-nine patients; twenty-six of those injuries were sustained during participation in a contact sport. Fifty shoulders had a Bankart Lesion. The patients were evaluated at an average of forty-two months (range, twenty-four to sixty months) after the procedure. Forty-one (79 per cent) of the patients were asymptomatic and were able to participate in sports without restriction. The repair was considered to have failed in eleven (21 per cent) of the patients. In four of them, the failure resulted from a single traumatic reinjury during participation in a contact sport, and three of these reinjuries were treated nonoperatively. The remaining seven failures occurred atraumatically. Eight patients had an open glenoid-based capsulorrhaphy as a consequence of recurrent instability. At the reoperation, no evidence of the tack was found in any patient. In seven patients, the Bankart Lesion had completely healed, and the anteroinferior aspect of the capsule was patulous. Anterior stabilization of the shoulder with a bioabsorbable tack may be indicated for patients who have anterior instability but do not need a capsulorrhaphy or capsular imbrication to reduce the joint volume.
Matthew T Provencher - One of the best experts on this subject based on the ideXlab platform.
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Mini-open Repair of the Floating Anterior Inferior Glenohumeral Ligament: Combined Treatment of Bankart and Humeral Avulsion of the Glenohumeral Ligament Lesions
Arthroscopy techniques, 2018Co-Authors: Zachary S. Aman, Mitchell I. Kennedy, Anthony Sanchez, Joseph J. Krob, Colin P. Murphy, Connor G. Ziegler, Matthew T ProvencherAbstract:Anterior shoulder instability often results from avulsion of the anterior inferior glenohumeral ligament (aIGHL) off its insertion on the glenoid, yielding a Bankart Lesion. Although less common, avulsion of the ligament attachment to the humerus results in a humeral avulsion of the glenohumeral ligament (HAGL) Lesion. Combined Bankart and HAGL Lesions, also termed the "floating aIGHL," create a complex pathology that is not detailed significantly in the literature. We believe a mini-open approach is a viable and reproducible procedure for treatment because it allows for protection of the axillary nerve and other neurovascular structures while providing optimal exposure to both the humeral insertion site of the distal aIGHL and the Bankart Lesion, ensuring anatomic restoration. The purpose of this Technical Note is to describe our preferred technique to surgically treat the floating aIGHL, consisting of an anterior HAGL and concomitant Bankart Lesion repair through a mini-open approach.
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acute bony Bankart Lesion and surgical fixation
Journal of Orthopaedic & Sports Physical Therapy, 2009Co-Authors: Michael D Rosenthal, Matthew T ProvencherAbstract:The patient was a 25-year-old man who sustained a traumatic left anterior shoulder dislocation. After self-reducing the first time, as well as in subsequent repeated dislocations over the following 2-day period, the patient reported his injury to the medical staff, who sent him to the physical therapist for evaluation. Anterior-posterior, scapular outlet, and axillary radiographic views demonstrated a bony glenoid Lesion consistent with a bony Bankart Lesion, which was best seen on the scapular outlet view. A 3-dimensional computed tomography scan was performed to assess the size and displacement of the bony Bankart Lesion. Six days following injury, the patient underwent operative fixation of the bony Bankart Lesion. Following surgery, the patient completed 5 months of physical therapy and subsequently returned to high-demand upper body activities. At 3 years following surgery, the patient reported full functional ability without shoulder instability or pain.
Terry A Hammond - One of the best experts on this subject based on the ideXlab platform.
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heterotopic ossification under an anterior labroligamentous periosteal sleeve avulsion Lesion that was incorrectly identified as a fracture of the anterior glenoid rim a bony Bankart Lesion a report of 3 cases
Journal of Bone and Joint Surgery American Volume, 2019Co-Authors: Terry A HammondAbstract:CASES Senior musculoskeletal radiologists diagnosed fractures of the anterior glenoid rim (osseous Bankart Lesions) in 3 patients with shoulder instability who had routine imaging. However, additional assessment suggested that the images were more consistent with heterotopic ossification under an anterior labroligamentous periosteal sleeve avulsion (ALPSA) Lesion with no true osseous Bankart Lesion and no substantial bone loss. CONCLUSION Recognition of the Lesion described in this article is important to prevent potential misdiagnosis and may assist in surgical decision-making.
Denny Tjiauw Tjoen Lie - One of the best experts on this subject based on the ideXlab platform.
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arthroscopic repair of the Bankart Lesion using dual row labral repair
Video Journal of Sports Medicine, 2021Co-Authors: Bryan Loh, Denny Tjiauw Tjoen LieAbstract:Background:The most common technique described for Bankart repair is the single-row labral repair. Recent interest has been the use of a dual-row, double pulley technique, first described by Zhang ...
