Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
권호 표지
DOI QR코드

DOI QR Code

What Should We Treat For Recurrent Dislocation?

재발성 탈구에서 무엇을 치료할 것인가?

  • Tae Suk-Kee (Department of Orthopaedic Surgery Chung-Ang University College of Medicine)
  • 태석기 (중앙대학교 의과대학 정형외과학교실)
  • Published : 2004.06.01
Download PDF
⟨ Previous Next ⟩

Abstract

As the multidirection and posterior instabilities of the shoulder are not only uncommon but responds well to conservative treatment, the shoulder instabilities which requires surgical treatment are traumatic anterior type in most cases, Although various surgical procedures had been used in the past, Bankart procedure is the standard surgical method as a primary procedure in traumatic anterior instability, Nevertheless there has been changes in the techniques of Bankart procedure in order to minimize decrease of external rotation and effectively address capsular laxilty, Capsular shift might be needed if there remains excessive capsular laxity of the inferior capsule after repair of the Bankart lesion, Large bony Bankart lesion should be fixed if possible and severe glenoid rim erosion requires extracapsular bone block after repair of the capsule. Although a few surgical procedures are described for the management of Hill-Sachs lesion in special circumstances, Hill-Sachs lesion does not usually need to be addressed.

Keywords

References

  1. Bach BR, Warren RF and Fronek J: Disruption of the lateral capsule of the shoulder: a cause of recurrent dislocation. J Bone Joint Surg , 70-B: 274-276 ,1988. https://doi.org/10.1302/0301-620X.70B2.3346302
  2. Bankart ASB: Recurrent or habitual dislocation of the shoulder joint. Br Med J , 2:1132,1923. https://doi.org/10.1136/bmj.2.3285.1132
  3. Bankart ASB: The pathology and treatment of recurrent dislocation of the shoulder joint. Br J Surg , 26:23,1938. https://doi.org/10.1002/bjs.18002610104
  4. Bigliani LV, Kurzweil PR, Schwartzbach CC, Wolfe IN and Flatow EL: Inferior capsular shift procedure for anterior-inferior shoulder instability in athletes. Am J Sports Med, 22:578-584,1994. https://doi.org/10.1177/036354659402200502
  5. Bigliani LU, Pollock RG and Soslowsky LJ, Flatow EL and Pawluk RJ and Mow VC: Tensile properties of the inferior glenohumeral ligament. J Orthop Res, 10:187-197,1992. https://doi.org/10.1002/jor.1100100205
  6. Black KP, Lim TH, McGrady LM and Raasch W: In vitro evaluation of shoulder external rotation after a Bankart reconstruction. Am J Sports Med, 25:449-453 ,1997. https://doi.org/10.1177/036354659702500406
  7. Burkhead WZ and Rockwood CA Jr: Treatment of instability of the shoulder with an exercise program. J Bone Joint Surg, 74-A:890-896, 1992.
  8. Clarke HO: Habitual dislocation of the shoulder: The Putti-Platt operation. J Bone Joint Surg, 30-B: 19-25,1948. https://doi.org/10.1302/0301-620X.30B1.19
  9. Dickson JW and Devas MB: Bankart's operation for recurrent dislocation of the shoulder. J Bone Joint Surg, 39-B:114-119, 1957. https://doi.org/10.1302/0301-620X.39B1.114
  10. Gerber C: Observations on the classification of instability. In: Warner JJP, Iannotti JP, Gerber C ed. Complex and revision problems in shoulder surgery. Philadelphia, Lippincott-Raven: 9-18, 1997.
  11. Helfet AJ: Coracoid transplantation for recurring dislocation of the shoulder. J Bone Joint Surg, 40-B:198-202 ,1958. https://doi.org/10.1302/0301-620X.40B2.198
  12. Hill HA and Sachs MD: The grooved defect of the humeral head. Radiology, 690-700,1940.
  13. Lazarus MD and Harryman DT III: Open repairs for anterior instability. In: Warner JJP, Iannotti JP, Gerber C ed. Complex and revision problems in shoulder surgery. Philadelphia , Lippincott-Raven: 47-63, 1997.
  14. Matsen FA III, Thoman SV, Rockwood CA Jr and Wirth MA: Glenohumeral instability. In: Rockwood CA and Matsen FA III ed. The shoulder. Philadelphia, WB Saunders Co: 611-754, 1998.
  15. Pollock RG and Barron OA: Posterior instability repairs. In: Warner JJP, Iannotti JP, Gerber C ed. Complex and revision problems in shoulder surgery. Philadelphia, Lippincott-Raven: 9-18, 1997.
  16. Rokito AS, Namkoong BA, Juckermann JA and Gallagher MA: Open surgical treatment of anterior glenohuemral instability: a historical perspective and review if the literature. Am J Orthop , 27: 723-725, 1998.
  17. Rosenberg BN, Richmond JC and Levine WN: Long-term follow-up of Bankart reconstruction. Am J Sports Med, 23:538-544, 1995. https://doi.org/10.1177/036354659502300504
  18. Rowe CR, Patel D and Southmayd WW: The Bankart procedure: Long-term end-result study. J Bone Joint Surg, 60-A: 1-16,1978.
  19. Rubenstein DL, Jobe FW, Glousman RE, Kvitne RS, Pink M and Giangarra CE: Anterior capsulolabral reconstruction of the shoulder in athletes. J Shoulder Elbow Surg, 1:229-237, 1992. https://doi.org/10.1016/S1058-2746(09)80064-5
  20. Weber BG , Simpson LA and Hardegger F: Rotational humeral osteotomy for recurrent anterior dislocation of the shoulder associated with a large Hill-Sachs Iesion. J Bone Joint Surg, 66-A: 1443-1450,1984.
  21. Wirth MA , Blatter G and Rockwood CA Jr: The capsular imbrication procedure for recurrent anterior instability of the shoulder. J Bone Joint Surg, 78-A:246-259, 1996.

Cited by

  1. Coracoclavicular Ligament Augmentation Using Endobutton for Unstable Distal Clavicle Fractures - Preliminary Report - vol.14, pp.1, 2011, https://doi.org/10.5397/CiSE.2011.14.1.001
  2. Review in Remplissage on Anterior Shoulder Instability with Huge Hill-Sachs Lesion vol.14, pp.1, 2011, https://doi.org/10.5397/CiSE.2011.14.1.134
  3. A Retrospective Analysis of the Relationship Between Rotator Cuff Tear and Biceps Lesion vol.14, pp.1, 2011, https://doi.org/10.5397/CiSE.2011.14.1.013