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Chapter 06 Video 1: Uncomplicated Anterior Instability: The "Simple" Arthroscopic Bankart Repair

May 02, 2016

Contributors: Brett D Owens, MD; E'Stephan J Garcia, MD

Shoulder instability is common in young athletes. In this group, glenohumeral dislocation and subluxation have been shown to result in anteroinferior capsulolabral avulsions. Recurrence is common in young athletes, and early arthroscopic stabilization (Bankart repair) should be considered. Repeated instability events have been associated with progressive pathologic changes (humeral and glenoid bone loss) as well as inferior clinical outcomes compared with the results of early stabilization. Early arthroscopic stabilization can minimize the progressive changes that often complicate the surgical approach and expected outcomes. Proper patient selection and meticulous attention to surgical detail are necessary to optimize outcomes. Technical keys to success include ensuring adequate soft-tissue mobilization, using multiple suture anchors on the glenoid rim, eliminating capsular redundancy, and addressing concomitant pathology such as posterior labral or biceps anchor lesions and Hill-Sachs lesions.

Results for "Advanced Reconstruction: Shoulder 2"

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