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Arthroscopic Bony Bankart Bridge Procedure

March 01, 2020

Contributors: Edward Beck, MD, MPH; Brian R Waterman, MD, FAAOS; Ani Gowd, BS

Avulsion fractures of the anteroinferior glenoid rim occur in 4% to 70% of patients with a first-time shoulder dislocation. The likelihood of recurrent instability in these patients ranges from 80% to 90%, with an increased risk in younger patients who participate in contact or collision sports. Surgical stabilization decreases the risk for recurrent instability and allows patients to return to sport. The current literature has discussed numerous surgical modalities for the treatment of patients with labral or bony pathology. This video demonstrates the technique for an arthroscopic bony Bankart bridge procedure, which involves the use of a double-row construct to fix bony Bankart lesions with subcritical glenoid bone loss. In patients with concomitant off-track Hill-Sachs lesions, arthroscopic capsulotenodesis of the infraspinatus also may be performed to fill the bony defect. This technique decreases the risk of complications associated with other open procedures for bony augmentation of the glenoid.

Results for "Shoulder & Elbow"

2 of 21
2 of 21

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